The carbon dioxide absorption technique: No 4
digital file Black & White Sound 1944 16:30
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Summary: A technical film (part of a series) apparently aimed at the inexperienced anaesthetist. This video explains the principles of the carbon dioxide absorption technique and demonstrates the two methods in use: single-phase absorption and closed-circuit or two-phase absorption. Firstly the principle of absorption is illustrated using diagrams. Next the equipment is shown being prepared a canister is shown. An anaesthetist is shown preparing a patient nitrous oxide and ether are discharged into the breathing aparatus. The anaesthetist has to observe the patient's breathing bag carefully to monitor the patient's air supply. The methodology for using closed-circuit anaesthesia is more complex and requires the clinician to calibrate the machinery carefully the advantage of this methodology is that a suitable level of anaesthesia can be maintained. Ends suddenly no credits. 4 segments
Title number: 18322
LSA ID: LSA/21479
Description: Segment 1 Credits followed by rolling intertitles explaining the principles of the carbon dioxide absorption technique. The two methods in use are demonstrated diagrammatically. Firstly: single-phase absorption is shown. The principle of absorption is illustrated using diagrams showing how to avoid excess carbon dioxide forming in the apparatus. Intertitle: Demonstration of a canister. One type is shown being filled with soda-lime. The canister is made airtight by the anaesthetist blowing excess air out (the dust which arises is readily visibile) and then filling the canister with water. The canister it taped and a spare is shown. Time start: 00:00:00:00 Time end: 00:04:47:18 Length: 00:04:47:18 Segment 2 Intertitle: Single phase absorption. (i) Apparatus. The canister is tubed up, attached to the mask and re-breathing bag. A female patient is briefly shown. Intertitle: Single phase absorption. (ii) Induction. This example shows a patient induced with nitrous oxide and ether. When the required level of anaesthesia is reached, the carbon-dioxide canister is added to the circuit and the nitrous-oxide-ether reduced. The anaesthetist has to observe the patient's breathing bag carefully to monitor the patient's air supply. The anaesthetist touches the canister as the narrator explains that it can get very hot from the chemical reaction. Time start: 00:04:47:18 Time end: 00:08:10:00 Length: 00:03:13:06 Segment 3 Intertitle: Closed circuit or two-phase absorption. (i) Principle. This method is explained diagrammatically. Closed circuit or two-phase absorption (ii) Apparatus. The equipment is demonstrated. An anaesthetist points out the relevant equipment as the narrator explains how it works. The gases are shown circulating around the cylinder or bottle and then back to the re-breathing bag. Time start: 00:08:10:00 Time end: 00:12:00:00 Length: 00:03:50:00 Segment 4 The expiratory value is shown. The valves are demonstrated. lntertitle: Closed circuit or two-phase absorption. (iii) Control of circuits. A flow diagram showing the methodology for using closed-circuit anaesthesia is shown. Closed circuit or two-phase absorption. (iv) Induction. The anaesthetist is shown screwing the canister into place, then the patient is induced using nitrous-oxide-ether. Exact dosage of each gas is described. The patient is now fully anaesthetised. The other gases are adjusted. Time start: 00:12:00:00 Time end: 00:16:30:00 Length: 00:03:30:00
Credits: Directed by Yvonne Fletcher, Photographed by A. E. Jeakins, Diagrams by Diagram Films Ltd. Made with the co-operation of the Department of Anaesthetics, Westminister Hospital, London.
Keywords: Anesthesia, Closed-Circuit -- History; Anesthesia; Anesthesia -- history
Locations: United Kingdom; England; London; Westminister Hospital
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