RT Book, Section A1 Ved, Sudha A2 Freeman, Brian S. A2 Berger, Jeffrey S. SR Print(0) ID 1135741950 T1 Pediatric Anesthesia: Equipment T2 Anesthesiology Core Review: Part Two Advanced Exam YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9781259641770 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1135741950 RD 2024/04/25 AB The delivery of a precise and safe mixture of oxygen and anesthetic gases to a pediatric patient, followed by the removal of carbon dioxide (CO2), presents unique challenges. Important issues to consider are the size of the child (from a 1000-g newborn to a 100-kg adolescent), the means of providing humidity and preventing heat loss, apparatus dead space, resistance, and work of breathing, and preventing rebreathing. Since 1998, the biggest advance in pediatric anesthesia has been the replacement of Mapleson and traditional circle breathing systems with the new anesthesia workstations. The modern anesthesia machine is able to precisely deliver small tidal volumes (TVs) accurately by compensating for breathing circuit compliance and changes in fresh gas flow with ventilators that can precisely deliver small volumes at high rates.