BASIC PHYSICS FOR THE
ANAESTHESIOLOGISTS
RATHER APPLIED PHYSICS
dr.r.selvakumar.
professor of anaesthesiology
k.a.p.viswanatham govt medical college
trichy
WE HATE PHYSICS…
THAT’S WHY WE SELECTED
MEDICINE
CBE-SZ
BUT… THERE IS A LITTLE BIT OF
PHYSICS IN ALLACTIVITIES OF
OUR DAY TO DAY LIFE….
JUST NOW I’VE FITTED THE MACHINE
WITH A NEW N2O CYLINDER….
HOW LONG WILL IT LAST…?
CAN I TAKE A CASE WHICH MAY LAST
FOR 6 HOURS….?
How the physics knowledge helps the Anaesthesiologists?
1.HOW TO CALCULATE THE AMOUNT OF
N2O GAS IN A CYLINDER..?
•STORAGE OF N2O IN A CYLINDER
•PARTLY AS GAS ,PARTLY AS LIQUID
STORY OF O2 – IDEAL GAS
CBE-SZ
MOLECULAR WEIGHT
ADDITION OF ATOMIC WEIGHT
ATOMIC WEIGHT OF NITROGEN – 14, OXYGEN – 16
MOLECULAR WEIGHTOF N2O – 14+14+16 = 44
CBE-SZ
GRAM MOLECULAR WEIGHT
MOLECULAR WEIGHT EXPRESSED IN GRAMS.
AVAGADRO HYPOTHESIS:
ONE GRAM MOLECUALR WEIGHT OF ALL GASES WILL CONTAIN THE
SAME NUMBER OF MOLECULES AND OCCUPY THE SAME VOLUME ( 22.4 L)
AT S.T.P
32 g OF O2 = 44 g OF N2O = 28 g OF N2 =22.4 LITERS
CBE-SZ
AMOUNT OF N2O GAS IN A CYLINDER
TARE WEIGHT OF THE CYLINDER = 12.5 K.G
CYLINDER WEIGHT WITH N2O = 15 K.G
SO.. WEIGHT OF THE N2O = 2.5 K.G = 2500G
44G OF N2O = 22.4 L
THEREFORE 2500 G = 22.4/44 x 2500 = 1272 L
CBE-SZ
2. HOW DOES THE ALVEOLAR GAS
EXCHANGE OCCURS….?
O2 AND CO2 MOVE IN OPPOSITE
DIRECTION BECAUSE OF
PARTIAL PRESSURE GRADIENT.
CBE-SZ
WHAT DO YOU MEAN BY
PARTIAL PRESSURE?
@ @
@
@
@
$ $
$
@ @
@
@
@ $
$
IN A MIXTURE OF GASES,THE PRESSURE EXERTED BY EACH GAS
IS THE SAME AS THAT WHICH IT WOULD EXERT IF IT ALONE
OCCUPIED THE CONTAINER
$
5 PSI 3 PSI 8 PSI
DALTON’S LAW OF PARTIAL PRESSURE
THE PROPORTION OF THE PRESSURE EXERTED BY A GAS
IN THE TOTAL PRESSURE IS EQUATED WITH THE VOLUME
IT OCCUPIES
@ @
@
@
@
$
$
$
PRESSURE OF @ GAS = 5 PSI
PRESSURE OF $ GAS = 3 PSI
TOTAL PRESSURE = 8 PSI
What is the % contribution of pressure of @ gas
In the total pressure?
5/8 x 100 = 62.5%
So, gas @ will occupy
62.5% of the total volume
THE % OF O2 IN THE ROOM AIR = 21% BY VOLUME
THAT MEANS…IT CONTRIBUTES 21% OF THE
TOTAL ATMOSPHERIC PRESSURE
21/100 X 760 = 159.6 mm of Hg. pO2 in room air = 159.6
CBE-SZ
Gaseous
Component
Percentage in
Air
% x 760 (mm
Hg)
Partial
Pressure
exerted (mm
Hg)
Symbol
Nitrogen 79.04 0.7904 x 760 600.7 PN
Oxygen 20.93 0.2093 x 760 159.1 PO2
Carbon
Dioxide
0.03 0.0003 x 760 0.228 PCO2
Total 100 760
Partial Pressure of Atmospheric Gases Calculation
CBE-SZ
WHAT WILL HAPPEN IN Mt EVEREST…?
ATMOSPHERIC PRESSURE = 253 mm of Hg.
PARTIAL PRESSURE OF O2 = 21/100 X 253 = 53 mm of Hg
CBE-SZ
* *
** **
*** ** ***
* * *
* * * **
3. DIFFUSION OF GAS IN A LIQUID
GAS GOES INTO SOLUTION
SATURATION POINT
THE PRESSURE EXERTED BY THE GAS IN THE LIQUID
IS CALLED AS “TENSION”
CBE-SZ
DIFFFUSION OF GAS IN A LIQUID
100 PSI 200 PSI
* *
* * *
* *
* *
* * * **
* ** **
*** ***
**** **
*** ***
*
*
*
THE AMOUNT OF GAS DISSOLVED IN A GIVEN LIQUID
IS DIRECTLY PROPORTIONAL TO THE PARTIAL PRESSURE OF
THE GAS IN EQUILIBRIUM WITH THE LIQUID
HENRY’S LAW
CBE-SZ
DIFFUSION OF GAS IN A LIQUID
PARTIAL PRESSURE OF THE GAS
TEMPERATURE
NATURE OF THE GAS
TYPE OF LIQUID
CBE-SZ
PARTITION COEFFICIENT
1 litre of BLOOD
1 litre
N2O
0.47 L N2O
RATIO OF THE AMOUNT OF SUBSTANCE PRESENT IN ONE PHASE
COMPARED WITH ANOTHER,THE TWO PHASES BEING OF EQUAL VOLUME
AND IN EQUILIBRIUM
CBE-SZ
PARTITION CO-EFFICIENT
THE AMOUNT OF DISSOLVED GAS TO RAISE THE SAME
PARTIAL PRESSURE AS IN THE CONTAINER MAY NOT BE
THE SAME……
CBE-SZ
++++
++++
+++
*******
*******
**** ***
***
# # # #
# ## #
# ## ##
++ +
+
*******
****
****
# # ### ##
#####
####
########
N2O
0.47
HALOTHANE
2.3
ETHER
12
SOLUBILITY OF ANAESTHETICS IN BLOOD
CBE-SZ
THATS WHY, INDUCTION WITH ETHER IS SLOW……
Partial pressure in the alveoli builds up
very slowly as most of the ether goes into
solution in the blood.
Only when blood gets fully saturated, the
Partial pressure in the alveoli and then brain rises…..
CBE-SZ
BOURDON PRESSURE
GAUGE
CBE-SZ
4. WHICH PART OF THE BOYLE’S MACHINE
UTILISES THE SAME PRINCIPLE AS THIS TOY…?
BOURDON PRESSURE GAUGECBE-SZ
IN A CONTAINER,PRESSURE EXERTED BYA COMPRESSED GAS
EXERTS ITS EFFECT EQUALLY ON ALL SIDES OF THE CONTAINER.
IF THE CONTAINER IS MADE SUCH A WAY THAT IT CAN EXPAND OR
STRAIGHTEN OUT IN A DIRECTION, IT WILL DO SO AS LONG AS THE
PRESSURE IS MAINTAINED INSIDE.
ONCE THE PRESSURE IS RELEASED, THE CONTAINER WILL RETAIN ITS
ORIGINAL SHAPE
PRINCIPLE OF BOURDON PRESSURE GAUGE
CBE-SZ
------------------------
---------------------------------------
BASIC PRINCIPLE OF PRESSURE REGULATORS
TALL CONTAINER
PRESSURE = P
AREA OF ACTING
FORCE = a
SHORT,
WIDE
CONTAINER
Pressure = p
Area = A
P
a
p
A
CBE-SZ
5. HOW THE CYLINDER PRESSURE IS REDUCED
TO LOWER LEVEL IN THE BOYLE’S MACHINE…?
BASIC PRINCIPLE OF PRESSURE REGULATOR
AT EQUILIBRIUM
FORCE ACTING IN THE TALL
CONTAINER
=
FORCE ACTING IN THE
SHORT,WIDE CONTAINER
P x a = p x A
CBE-SZ
A LARGE FORCE ACTING ON A SMALL SURFACE AREA
CAN BE BALANCED BY
A SMALL FORCE ACTING ON A LARGE SURFACE AREA
BASIC PRINCIPLE OF
PRESSURE REGULATORS
CBE-SZ
CYLINDER
PRESSURE = P
SMALL DIAPHRAGM
AREA = a
LARGE DIAPHRAGM
AREA = A
REDUCED PRESSURE = p
FLOW
METER
SCHEME OF A SIMPLE PRESSURE REGULATOR
CBE-SZ
SIMPLE PRESSURE REGULATOR
FORCE ACTING TO OPEN
THE SMALL DIAPHRAGM = P x a
AT EQUILIBRIUM….
FORCE ACTING TO CLOSE
THE SMALL DIAPHRAGM = p x A
BALANCED BY
CBE-SZ
EXAMPLE:
CYLINDER PRESSURE = 2000 psi
SURFACE AREA OF
SMALL DIAPHRAGM = 10 mm
PRESSURE OF THE GAS
IN THE REGULATOR = p
SURFACE AREA OF
LARGE DIAPHRAGM = 100 mm
2000 X 10 = p X 100
p = 2000 X 10 /100
p = 200 psi
SO, IF THE CYLINDER PRESSURE IS 2000, THE REGULATOR WILL REDUCE
IT TO 200 psi.
CBE-SZ
2000 X 10 = p X 100
p = 2000 X 10 /100
p = 200 psi
IN OTHER WORDS, THE RATIO OF THE SURFACE AREA
OF THE TWO DIAPHRAGMS DECIDE THE RATIO OF
PRESSURE REDUCTION
HERE IT IS 10 : 100 – SO, PRESSURE REDUCTION IS 1/10
CBE-SZ
CYLINDER
PRESSURE = P
SMALL DIAPHRAGM
AREA = a
LARGE DIAPHRAGM
AREA = A
REDUCED PRESSURE = p
FLOW
METER
SCHEME OF A MODIFIED PRESSURE REGULATOR
S1
S2
P X a X S1 = p X A X S2
CBE-SZ
MODERN REGULATOR:
CBE-SZ
PRESSURE OF THE SPEEDING FLUID
CBE-SZ
6.WHAT DO YOU MEAN BY VENTURI PRINCIPLE…?
CBE-SZ
BASIC PRICIPLE OF VENTURI INJECTOR
BASIC PRINCIPLE OF A NEBULISER
VENTI MASKS FOR OXYGEN THERAPY
CBE-SZ
Some more applications
Of Venturi principle….
Bunsen burner
Insect sprayer
THE BRILLIANCE OF ANCIENT CHOLA KING, RAJA RAJA CHOLAN
CBE-SZ
IRRIGATION SYSTEM OF THE CAUVERY BASIN
WATER LET-OUT SYSTEM FROM THE LAKES
DANIEL BERNOULLI - 1738
GIOVANNI BATTISTA VENTURI - 1746 - 1822
RAJA RAJA CHOLAN - 985 - 1014
CBE-SZ
THANK YOU
dr.r.selvakumar. m.d.d.a.dnb
professor of anaesthesiology,
k.a.p.viswanatham govt. medical college,
trichy

Basic physics for Anaesthesiologists

  • 1.
    BASIC PHYSICS FORTHE ANAESTHESIOLOGISTS RATHER APPLIED PHYSICS dr.r.selvakumar. professor of anaesthesiology k.a.p.viswanatham govt medical college trichy
  • 2.
    WE HATE PHYSICS… THAT’SWHY WE SELECTED MEDICINE CBE-SZ
  • 3.
    BUT… THERE ISA LITTLE BIT OF PHYSICS IN ALLACTIVITIES OF OUR DAY TO DAY LIFE….
  • 4.
    JUST NOW I’VEFITTED THE MACHINE WITH A NEW N2O CYLINDER…. HOW LONG WILL IT LAST…? CAN I TAKE A CASE WHICH MAY LAST FOR 6 HOURS….? How the physics knowledge helps the Anaesthesiologists?
  • 5.
    1.HOW TO CALCULATETHE AMOUNT OF N2O GAS IN A CYLINDER..? •STORAGE OF N2O IN A CYLINDER •PARTLY AS GAS ,PARTLY AS LIQUID STORY OF O2 – IDEAL GAS CBE-SZ
  • 6.
    MOLECULAR WEIGHT ADDITION OFATOMIC WEIGHT ATOMIC WEIGHT OF NITROGEN – 14, OXYGEN – 16 MOLECULAR WEIGHTOF N2O – 14+14+16 = 44 CBE-SZ
  • 7.
    GRAM MOLECULAR WEIGHT MOLECULARWEIGHT EXPRESSED IN GRAMS. AVAGADRO HYPOTHESIS: ONE GRAM MOLECUALR WEIGHT OF ALL GASES WILL CONTAIN THE SAME NUMBER OF MOLECULES AND OCCUPY THE SAME VOLUME ( 22.4 L) AT S.T.P 32 g OF O2 = 44 g OF N2O = 28 g OF N2 =22.4 LITERS CBE-SZ
  • 8.
    AMOUNT OF N2OGAS IN A CYLINDER TARE WEIGHT OF THE CYLINDER = 12.5 K.G CYLINDER WEIGHT WITH N2O = 15 K.G SO.. WEIGHT OF THE N2O = 2.5 K.G = 2500G 44G OF N2O = 22.4 L THEREFORE 2500 G = 22.4/44 x 2500 = 1272 L CBE-SZ
  • 9.
    2. HOW DOESTHE ALVEOLAR GAS EXCHANGE OCCURS….? O2 AND CO2 MOVE IN OPPOSITE DIRECTION BECAUSE OF PARTIAL PRESSURE GRADIENT. CBE-SZ
  • 10.
    WHAT DO YOUMEAN BY PARTIAL PRESSURE? @ @ @ @ @ $ $ $ @ @ @ @ @ $ $ IN A MIXTURE OF GASES,THE PRESSURE EXERTED BY EACH GAS IS THE SAME AS THAT WHICH IT WOULD EXERT IF IT ALONE OCCUPIED THE CONTAINER $ 5 PSI 3 PSI 8 PSI
  • 11.
    DALTON’S LAW OFPARTIAL PRESSURE THE PROPORTION OF THE PRESSURE EXERTED BY A GAS IN THE TOTAL PRESSURE IS EQUATED WITH THE VOLUME IT OCCUPIES @ @ @ @ @ $ $ $ PRESSURE OF @ GAS = 5 PSI PRESSURE OF $ GAS = 3 PSI TOTAL PRESSURE = 8 PSI What is the % contribution of pressure of @ gas In the total pressure? 5/8 x 100 = 62.5% So, gas @ will occupy 62.5% of the total volume
  • 12.
    THE % OFO2 IN THE ROOM AIR = 21% BY VOLUME THAT MEANS…IT CONTRIBUTES 21% OF THE TOTAL ATMOSPHERIC PRESSURE 21/100 X 760 = 159.6 mm of Hg. pO2 in room air = 159.6 CBE-SZ
  • 13.
    Gaseous Component Percentage in Air % x760 (mm Hg) Partial Pressure exerted (mm Hg) Symbol Nitrogen 79.04 0.7904 x 760 600.7 PN Oxygen 20.93 0.2093 x 760 159.1 PO2 Carbon Dioxide 0.03 0.0003 x 760 0.228 PCO2 Total 100 760 Partial Pressure of Atmospheric Gases Calculation CBE-SZ
  • 15.
    WHAT WILL HAPPENIN Mt EVEREST…? ATMOSPHERIC PRESSURE = 253 mm of Hg. PARTIAL PRESSURE OF O2 = 21/100 X 253 = 53 mm of Hg CBE-SZ
  • 16.
    * * ** ** ***** *** * * * * * * ** 3. DIFFUSION OF GAS IN A LIQUID GAS GOES INTO SOLUTION SATURATION POINT THE PRESSURE EXERTED BY THE GAS IN THE LIQUID IS CALLED AS “TENSION” CBE-SZ
  • 17.
    DIFFFUSION OF GASIN A LIQUID 100 PSI 200 PSI * * * * * * * * * * * * ** * ** ** *** *** **** ** *** *** * * * THE AMOUNT OF GAS DISSOLVED IN A GIVEN LIQUID IS DIRECTLY PROPORTIONAL TO THE PARTIAL PRESSURE OF THE GAS IN EQUILIBRIUM WITH THE LIQUID HENRY’S LAW CBE-SZ
  • 18.
    DIFFUSION OF GASIN A LIQUID PARTIAL PRESSURE OF THE GAS TEMPERATURE NATURE OF THE GAS TYPE OF LIQUID CBE-SZ
  • 19.
    PARTITION COEFFICIENT 1 litreof BLOOD 1 litre N2O 0.47 L N2O RATIO OF THE AMOUNT OF SUBSTANCE PRESENT IN ONE PHASE COMPARED WITH ANOTHER,THE TWO PHASES BEING OF EQUAL VOLUME AND IN EQUILIBRIUM CBE-SZ
  • 20.
    PARTITION CO-EFFICIENT THE AMOUNTOF DISSOLVED GAS TO RAISE THE SAME PARTIAL PRESSURE AS IN THE CONTAINER MAY NOT BE THE SAME…… CBE-SZ
  • 21.
    ++++ ++++ +++ ******* ******* **** *** *** # ## # # ## # # ## ## ++ + + ******* **** **** # # ### ## ##### #### ######## N2O 0.47 HALOTHANE 2.3 ETHER 12 SOLUBILITY OF ANAESTHETICS IN BLOOD CBE-SZ
  • 22.
    THATS WHY, INDUCTIONWITH ETHER IS SLOW…… Partial pressure in the alveoli builds up very slowly as most of the ether goes into solution in the blood. Only when blood gets fully saturated, the Partial pressure in the alveoli and then brain rises….. CBE-SZ
  • 23.
    BOURDON PRESSURE GAUGE CBE-SZ 4. WHICHPART OF THE BOYLE’S MACHINE UTILISES THE SAME PRINCIPLE AS THIS TOY…?
  • 24.
  • 25.
    IN A CONTAINER,PRESSUREEXERTED BYA COMPRESSED GAS EXERTS ITS EFFECT EQUALLY ON ALL SIDES OF THE CONTAINER. IF THE CONTAINER IS MADE SUCH A WAY THAT IT CAN EXPAND OR STRAIGHTEN OUT IN A DIRECTION, IT WILL DO SO AS LONG AS THE PRESSURE IS MAINTAINED INSIDE. ONCE THE PRESSURE IS RELEASED, THE CONTAINER WILL RETAIN ITS ORIGINAL SHAPE PRINCIPLE OF BOURDON PRESSURE GAUGE CBE-SZ
  • 26.
    ------------------------ --------------------------------------- BASIC PRINCIPLE OFPRESSURE REGULATORS TALL CONTAINER PRESSURE = P AREA OF ACTING FORCE = a SHORT, WIDE CONTAINER Pressure = p Area = A P a p A CBE-SZ 5. HOW THE CYLINDER PRESSURE IS REDUCED TO LOWER LEVEL IN THE BOYLE’S MACHINE…?
  • 27.
    BASIC PRINCIPLE OFPRESSURE REGULATOR AT EQUILIBRIUM FORCE ACTING IN THE TALL CONTAINER = FORCE ACTING IN THE SHORT,WIDE CONTAINER P x a = p x A CBE-SZ
  • 28.
    A LARGE FORCEACTING ON A SMALL SURFACE AREA CAN BE BALANCED BY A SMALL FORCE ACTING ON A LARGE SURFACE AREA BASIC PRINCIPLE OF PRESSURE REGULATORS CBE-SZ
  • 29.
    CYLINDER PRESSURE = P SMALLDIAPHRAGM AREA = a LARGE DIAPHRAGM AREA = A REDUCED PRESSURE = p FLOW METER SCHEME OF A SIMPLE PRESSURE REGULATOR CBE-SZ
  • 30.
    SIMPLE PRESSURE REGULATOR FORCEACTING TO OPEN THE SMALL DIAPHRAGM = P x a AT EQUILIBRIUM…. FORCE ACTING TO CLOSE THE SMALL DIAPHRAGM = p x A BALANCED BY CBE-SZ
  • 31.
    EXAMPLE: CYLINDER PRESSURE =2000 psi SURFACE AREA OF SMALL DIAPHRAGM = 10 mm PRESSURE OF THE GAS IN THE REGULATOR = p SURFACE AREA OF LARGE DIAPHRAGM = 100 mm 2000 X 10 = p X 100 p = 2000 X 10 /100 p = 200 psi SO, IF THE CYLINDER PRESSURE IS 2000, THE REGULATOR WILL REDUCE IT TO 200 psi. CBE-SZ
  • 32.
    2000 X 10= p X 100 p = 2000 X 10 /100 p = 200 psi IN OTHER WORDS, THE RATIO OF THE SURFACE AREA OF THE TWO DIAPHRAGMS DECIDE THE RATIO OF PRESSURE REDUCTION HERE IT IS 10 : 100 – SO, PRESSURE REDUCTION IS 1/10 CBE-SZ
  • 33.
    CYLINDER PRESSURE = P SMALLDIAPHRAGM AREA = a LARGE DIAPHRAGM AREA = A REDUCED PRESSURE = p FLOW METER SCHEME OF A MODIFIED PRESSURE REGULATOR S1 S2 P X a X S1 = p X A X S2 CBE-SZ
  • 34.
  • 35.
    PRESSURE OF THESPEEDING FLUID CBE-SZ 6.WHAT DO YOU MEAN BY VENTURI PRINCIPLE…?
  • 36.
  • 37.
    BASIC PRICIPLE OFVENTURI INJECTOR
  • 38.
    BASIC PRINCIPLE OFA NEBULISER
  • 39.
    VENTI MASKS FOROXYGEN THERAPY
  • 40.
    CBE-SZ Some more applications OfVenturi principle…. Bunsen burner Insect sprayer
  • 41.
    THE BRILLIANCE OFANCIENT CHOLA KING, RAJA RAJA CHOLAN CBE-SZ
  • 42.
    IRRIGATION SYSTEM OFTHE CAUVERY BASIN WATER LET-OUT SYSTEM FROM THE LAKES
  • 44.
    DANIEL BERNOULLI -1738 GIOVANNI BATTISTA VENTURI - 1746 - 1822 RAJA RAJA CHOLAN - 985 - 1014 CBE-SZ
  • 45.
    THANK YOU dr.r.selvakumar. m.d.d.a.dnb professorof anaesthesiology, k.a.p.viswanatham govt. medical college, trichy