RT Book, Section
A1 Alex, Gijo
A1 Chandran, Neethu
A2 Ellinas, Herodotos
A2 Matthes, Kai
A2 Alrayashi, Walid
A2 Bilge, Aykut
SR Print(0)
ID 1176456760
T1 Monitoring, Breathing Systems, and Machines
T2 Clinical Pediatric Anesthesiology
YR 2021
FD 2021
PB McGraw Hill
PP New York, NY
SN 9781259585746
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1176456760
RD 2024/04/25
AB FOCUS  POINTSSerious  adverse  events  are  more  common  in  the  pediatric  population,  so  proper  understanding  and  implementation  of  monitoring  tools  are  essential  to  prevent  adverse  outcomes.The  American  Society  of  Anesthesiology  recommends  that  during  all  anesthetics  the  patient’s  oxygenation,  ventilation,  circulation,  and  temperature  should  be  continually  evaluated.Due  to  the  minimal  dead  space  and  resistance,  Mapleson  E  and  F  are  the  circuit  of  choice  for  neonates  and  pediatric  patients.Pediatric  breathing  systems  have  the  same  components  as  standard  adult  circuits,  but  are  modified  to  decrease  resistance  to  breathing  and  minimize  dead  space.  These  modifications  include  short  and  narrow  tubing,  valves  that  require  reduced  pressure  to  open  and  close,  smaller  reservoir  bag,  shorter  Y  connection,  and  more  compact  carbon  dioxide  absorbers.The  primary  resistance  in  a  pediatric  circuit  is  determined  by  the  internal  diameter  of  the  endotracheal  tube  and  by  the  length  of  the  tube.1  The  unidirectional  valves  and  carbon  dioxide  absorber  also  increase  breathing  resistance.