BY
DR. S. PADMANABHA
PROF. & H.O.D.,
DEPT. OF ANAESTHESIOLOGY,
YENEPOYA MEDICAL COLLEGE
MANGALORE – 575 018.
VAPORIZERS
VAPORIZERS
• INTRODUCTION
• BASIC PHYSICS
• CLASSIFICATIONS
• OLD VAPORIZERS
• NEWER VAPORIZERS
INTRODUCTION
• Both inhalational agent & vaporizers made
rapid progress.
• Today we are able to administer set
concentrations accurately.
ANAESTHESIA MACHINE
ANAESTHESIA WORK STATION
POSITION OF THE VAPORIZERS
STANDBY VAPORIZERS
DESFLURANE VAPORIZER
DESFLURANE
What is vaporizers?
An instrument designed to….
• Facilitate change of liquid into vapor
• Add controlled amount of vapor in flow of
gases
Why vaporizer needed?
• Liquid Inhalational agents need to be
vaporized
• Widely differing properties of agents, hence
specific vaporizers
• Potent agents require accurate conc. control
BASIC PHYSICS
• Gas-It is a substance that appears in gaseous
state under standard condition of
temperature and atmospheric pressure
• Vapor - is the gaseous phase of the
agent,which is normally liquid at room
temperature and atmospheric pressure
CRITICAL TEMPERATURE
• Critical temperature: is the temperature below
which gas can be liquefied by applying
pressure.
• THE CRITICAL TEMPERATURE, GAS/VAPOR
BOILING POINT
• Boiling Point: Boiling point of liquid is the
temperature at which its vapor pressure is equal
to atmosphereic pressure.
Boiling point SVP
Halothane 50.2 243
Isoflurane 48.5 238
Sevoflurane 58.5 160
Desflurane 23.5 664
VAPORIZER CONSTRUCTION
• Specific heat of agent: Materials with high
specific heat are preferred in construction of
the vaporizers.
• Latent heat of Vaporization
• Thermal Conductivity: High thermal
conductivity is desirable in vaporizer
construction.
CLASSIFICATION
Based on regulating output concentration
• Variable bypass
• Measured flow
• Electronic vaporizers
Based on method of vaporization
• Flow over
• Bubble through
• Injection
CLASSIFICATIONS (Contd…..)
Based on method of temperature Compensation
• Mechanical thermocompensation
• Supplied heat
• Computerized thermocompensation
Based on location of the vaporizer
• Plenum
• Low resistance (Draw Over)
Based on agent specificity
• Agent specific
• Multiple agent
Automatic Temp. Compensating Devices
Bimetallic Strip Expansion element
Expansion or contraction
property of a special liquid
inside bellows used to control
the valve
Two metals of different coefficients of
thermal expansion are fixed together.
Depending upon VC temperature the
strip move away or towards control
valve.
OLD VAPORIZERS
MORTON’S EITHER INHALER
Draw over, flow over with wicks, concentration not
calibrated, temperature not compensated, agent
specific.
OPEN DROP METHOD
Draw over, flow over without wicks,
concentration not calibrated, temperature
not compensated, multiple agent.
EPSTIEN MACINTOSH OXFORD
(E.M.O.)
Draw Over, Concentration calibrated,Flow over,
Temperature compensated by water jacket and agent specific,
can be used any where.
GOLDMANS VAPORIZER
Plenum or Draw over type ,variable bypass, flow
over, temperature not compensated, concentration
poorly calibrated, multiple agent, both inside and
outside circle.
BOYLES BOTTLE
Plenum type, variable bypass, flow over or bubble through,
concentration poorly calibrated, temperature not
compensated, agent specific, out of circle.
TEC - 2
Plenum type, concentration poorly calibrated, flow over with wicks,
temperature compensated, out of circle and agent specific.
TEC - 3
Plenum type, variable by pass, flow over with wicks, temperature
compensated, concentration calibrated, out of circle, agent specific.
TEC - 4
Plenum type, variable bypass, flow over with wicks, temperature
compensated, concentration calibrated, out of circle, agent specific.
NEWER VAPORIZER
TEC 5
Plenum type, concentration calibrated, variable bypass,
flow over with wicks, out of circle, agent specific with keyed filling.
TEC - 7
Concentration calibrated, plenum type, Variable bypass,
Flow over with wicks, Temperature compensated,
out of circuit, agent specific
TEC - 7
The innovative non-spill system in the Tec.7
vaporizer limits movement of liquid agent if
the vaporizer is lifted or inverted. This
protects its internal components and helps to
maintain output within clinically acceptable
limits.
TEC – 6 DESFLURANE VAPORIZER
It is a electrically heated, dual circuit gas/vapor blender,
constant-temperature, agent specific and out-of-circuit vaporizer.
PRINCIPLE OF DESFLURANE VAPORIZER
PRINCIPLE OF DESFLURANE
VAPORIZER (Contd…)
TEC - 6
Flow meters [1]. The fresh gas travels through pipe [2]. None of the fresh gas goes to the vaporizing chamber [4]. The vaporizing chamber is
electrically heated [3]. Using sensors for feedback, the temperature is kept very constant. The heating causes the Desflurane to become a gas
under pressure [4] and this travels down pipe [5]. The flow of Desflurane is resisted by two valves [6,13]. Valve [6] is the valve that you
control when you set the dial to a particular concentration. When you increase the concentration setting, the valve [6] opens a bit and lowers the
resistance, allowing more Desflurane to flow through. Valve [13] is an electronically controlled valve. Computer [12], the vaporizer's "brain", is
able to also alter the flow of Desflurane by controlling valve [13]. i.e. both you and the computer can adjust the desflurane injection rate. The
Desflurane then goes via pipe [7] and meets the fresh gas at [8]. The Desflurane mixes with the fresh gas [8] and a final concentration emerges
from the exit of the vaporizer [9].Fresh gas flow resistor (10), Fresh gas flow & Desflurane vapor balancing unit(11)
THE GE ALADIN CASSETTE VAPORIZER
It is a electronically controlled, variable bypass, constant-temperature,
multiple agent specific, and out-of-circuit vaporizer.
SAFETY FEATURES
• Select – TEC mount
• Filling devices
• Interlocking
• Colour coding
FILLING DEVICES
• Easy fill system
• Funnel fill
• quick fill.
The male adaptor that fits into the vaporizer filler
receptacle.
CAP OF BOTTLE REMOVED
Quick fill system
COLOR CODING OF VAPORIZERS
• ISOFLURANE SEVOFLURANE HALOTHANE
PURPLE YELLOW RED
HAZARDS OF VAPORIZERS
• Incorrect agent
• Tipping
• Simultaneous inhaled agent administration
• Overfilling
• Leaks
• Electronic failure
• Pumping effect
• Pressurizing effect
PUMPING EFFECT
CONCLUSION
• Proper maintenance will help to deliver the
accurate concentrations of the anaesthetic
vapor.
• In the future anaesthetic depth sensor may be
available as an integral part of the vaporizer.
THANK YOU

vaporizer(dr.s.p)

  • 1.
    BY DR. S. PADMANABHA PROF.& H.O.D., DEPT. OF ANAESTHESIOLOGY, YENEPOYA MEDICAL COLLEGE MANGALORE – 575 018. VAPORIZERS
  • 2.
    VAPORIZERS • INTRODUCTION • BASICPHYSICS • CLASSIFICATIONS • OLD VAPORIZERS • NEWER VAPORIZERS
  • 3.
    INTRODUCTION • Both inhalationalagent & vaporizers made rapid progress. • Today we are able to administer set concentrations accurately.
  • 4.
  • 5.
  • 6.
    POSITION OF THEVAPORIZERS
  • 7.
  • 8.
  • 9.
  • 10.
    What is vaporizers? Aninstrument designed to…. • Facilitate change of liquid into vapor • Add controlled amount of vapor in flow of gases
  • 11.
    Why vaporizer needed? •Liquid Inhalational agents need to be vaporized • Widely differing properties of agents, hence specific vaporizers • Potent agents require accurate conc. control
  • 12.
    BASIC PHYSICS • Gas-Itis a substance that appears in gaseous state under standard condition of temperature and atmospheric pressure • Vapor - is the gaseous phase of the agent,which is normally liquid at room temperature and atmospheric pressure
  • 13.
    CRITICAL TEMPERATURE • Criticaltemperature: is the temperature below which gas can be liquefied by applying pressure. • THE CRITICAL TEMPERATURE, GAS/VAPOR
  • 14.
    BOILING POINT • BoilingPoint: Boiling point of liquid is the temperature at which its vapor pressure is equal to atmosphereic pressure. Boiling point SVP Halothane 50.2 243 Isoflurane 48.5 238 Sevoflurane 58.5 160 Desflurane 23.5 664
  • 15.
    VAPORIZER CONSTRUCTION • Specificheat of agent: Materials with high specific heat are preferred in construction of the vaporizers. • Latent heat of Vaporization • Thermal Conductivity: High thermal conductivity is desirable in vaporizer construction.
  • 16.
    CLASSIFICATION Based on regulatingoutput concentration • Variable bypass • Measured flow • Electronic vaporizers Based on method of vaporization • Flow over • Bubble through • Injection
  • 17.
    CLASSIFICATIONS (Contd…..) Based onmethod of temperature Compensation • Mechanical thermocompensation • Supplied heat • Computerized thermocompensation Based on location of the vaporizer • Plenum • Low resistance (Draw Over) Based on agent specificity • Agent specific • Multiple agent
  • 18.
    Automatic Temp. CompensatingDevices Bimetallic Strip Expansion element Expansion or contraction property of a special liquid inside bellows used to control the valve Two metals of different coefficients of thermal expansion are fixed together. Depending upon VC temperature the strip move away or towards control valve.
  • 20.
    OLD VAPORIZERS MORTON’S EITHERINHALER Draw over, flow over with wicks, concentration not calibrated, temperature not compensated, agent specific.
  • 21.
    OPEN DROP METHOD Drawover, flow over without wicks, concentration not calibrated, temperature not compensated, multiple agent.
  • 22.
    EPSTIEN MACINTOSH OXFORD (E.M.O.) DrawOver, Concentration calibrated,Flow over, Temperature compensated by water jacket and agent specific, can be used any where.
  • 23.
    GOLDMANS VAPORIZER Plenum orDraw over type ,variable bypass, flow over, temperature not compensated, concentration poorly calibrated, multiple agent, both inside and outside circle.
  • 24.
    BOYLES BOTTLE Plenum type,variable bypass, flow over or bubble through, concentration poorly calibrated, temperature not compensated, agent specific, out of circle.
  • 25.
    TEC - 2 Plenumtype, concentration poorly calibrated, flow over with wicks, temperature compensated, out of circle and agent specific.
  • 26.
    TEC - 3 Plenumtype, variable by pass, flow over with wicks, temperature compensated, concentration calibrated, out of circle, agent specific.
  • 27.
    TEC - 4 Plenumtype, variable bypass, flow over with wicks, temperature compensated, concentration calibrated, out of circle, agent specific.
  • 28.
    NEWER VAPORIZER TEC 5 Plenumtype, concentration calibrated, variable bypass, flow over with wicks, out of circle, agent specific with keyed filling.
  • 29.
    TEC - 7 Concentrationcalibrated, plenum type, Variable bypass, Flow over with wicks, Temperature compensated, out of circuit, agent specific
  • 30.
    TEC - 7 Theinnovative non-spill system in the Tec.7 vaporizer limits movement of liquid agent if the vaporizer is lifted or inverted. This protects its internal components and helps to maintain output within clinically acceptable limits.
  • 31.
    TEC – 6DESFLURANE VAPORIZER It is a electrically heated, dual circuit gas/vapor blender, constant-temperature, agent specific and out-of-circuit vaporizer.
  • 32.
  • 33.
  • 34.
    TEC - 6 Flowmeters [1]. The fresh gas travels through pipe [2]. None of the fresh gas goes to the vaporizing chamber [4]. The vaporizing chamber is electrically heated [3]. Using sensors for feedback, the temperature is kept very constant. The heating causes the Desflurane to become a gas under pressure [4] and this travels down pipe [5]. The flow of Desflurane is resisted by two valves [6,13]. Valve [6] is the valve that you control when you set the dial to a particular concentration. When you increase the concentration setting, the valve [6] opens a bit and lowers the resistance, allowing more Desflurane to flow through. Valve [13] is an electronically controlled valve. Computer [12], the vaporizer's "brain", is able to also alter the flow of Desflurane by controlling valve [13]. i.e. both you and the computer can adjust the desflurane injection rate. The Desflurane then goes via pipe [7] and meets the fresh gas at [8]. The Desflurane mixes with the fresh gas [8] and a final concentration emerges from the exit of the vaporizer [9].Fresh gas flow resistor (10), Fresh gas flow & Desflurane vapor balancing unit(11)
  • 35.
    THE GE ALADINCASSETTE VAPORIZER It is a electronically controlled, variable bypass, constant-temperature, multiple agent specific, and out-of-circuit vaporizer.
  • 36.
    SAFETY FEATURES • Select– TEC mount • Filling devices • Interlocking • Colour coding
  • 37.
    FILLING DEVICES • Easyfill system • Funnel fill • quick fill.
  • 38.
    The male adaptorthat fits into the vaporizer filler receptacle.
  • 39.
  • 40.
  • 41.
    COLOR CODING OFVAPORIZERS • ISOFLURANE SEVOFLURANE HALOTHANE PURPLE YELLOW RED
  • 42.
    HAZARDS OF VAPORIZERS •Incorrect agent • Tipping • Simultaneous inhaled agent administration • Overfilling • Leaks • Electronic failure • Pumping effect • Pressurizing effect
  • 43.
  • 44.
    CONCLUSION • Proper maintenancewill help to deliver the accurate concentrations of the anaesthetic vapor. • In the future anaesthetic depth sensor may be available as an integral part of the vaporizer.
  • 45.