Which anaesthetic circuit?

RE: Which anaesthetic circuit?

Courtney Scales — Thu, 12 Jul 2018 17:45:48 GMT

I quite like a Mini-Lack for those patients between 4-8kgs :) I only put cats on a T Piece and anything other 8kgs on a circle. Some pediatric sizes tubing can be put onto a circle for anything over 6kg ish.

RE: Which anaesthetic circuit?

Courtney Scales — Thu, 12 Jul 2018 17:43:22 GMT

Yes! There are SO many benefits to a re-breathing system! I get itchy when I have to use a Bain/TPiece for a long period of time due to the high FGF rate: drying on the patients airways, the poor environment, the cost of the iso/sevo.

Low-flo anaesthesia FTW!

RE: Which anaesthetic circuit?

James Colver Cert. Ed, RVN — Tue, 03 Jul 2018 22:47:55 GMT

Benefits of low flow extend to less volatile agent use, reduction of atmospheric pollution and perhaps most important of all, better maintenance of the patient's body temperature and prevention of water loss

RE: Which anaesthetic circuit?

Nick Shackleton — Tue, 03 Jul 2018 20:36:42 GMT

Also if you are going to use oxygen concentrator then we should be monitoring FiO2 to ensure that concentration levels are adequate for our patients

RE: Which anaesthetic circuit?

Nick Shackleton — Tue, 03 Jul 2018 20:35:07 GMT

Surely flow rates are a fundamental part of anaesthesia. We should only be using low flow rates in conjunction with capnography to monitor for rebreathing.

RE: Which anaesthetic circuit?

apache — Tue, 03 Jul 2018 19:47:21 GMT

I fail to see any great need for re-breathing circuits these days. We do 95% of operating with either a Mini Lack or a Parallel Lack.

Have a modified T-piece and a Bain for IPPV cases and to give our SVN broader exposure to different circuits.

O2 concentrators so they cost the same amount to run irrespective of flow rate. A bottle of Iso costs less than £20. Are low flow rates really a necessity?

RE: Which anaesthetic circuit?

Calli D — Tue, 03 Jul 2018 14:19:21 GMT

I am seeing the Humphrey ADE circle system creeping in in quite a few practices now. Can switch from a Mini lack to circle system easily and only with essentially 1 system. I don't think they are cheap to buy but says will save money in the long term. I like using them. https://www.anaequip.com/ade/

RE: Which anaesthetic circuit?

Nicola Smith — Tue, 03 Jul 2018 14:03:14 GMT

I like a mini lack and would use that over a tpiece