[Closed-circuit anesthesia in children].
The aim of this study is to demonstrate how easy and suitable is the closed system in infants and children. An original circuit, adapted from the Bain-Spoerel system, is used. Its principle is to draw-up the expired gas through a soda lime canister by a pump, whose flow is 14 l.min-1. ("Circuit Bisontin"). For this study, 20 infants and children underwent anesthesia with isoflurane, in spontaneous or mechanical ventilation (with a "bag in the bag" principle ventilator). The lowest body weight was 2.7 kg. The advantages are a minimal dead space and no expenditure of energy during spontaneous ventilation thanks to an internal high flow and the absence of internal one-way valve. Gas monitoring is achieved by a four gas analyser (Capbomac Datex).
Arbez-Gindre
F
F
Département d'anesthésie-réanimation, Centre hospitalier régional, Besançon.
Neidhardt
A
A
Lassauge
F
F
Clément
G
G
Pequegnot
C
C
D000293:Adolescent; D000764:Anesthesia, Closed-Circuit / Q000379:methods; D000769:Anesthesia, Inhalation / Q000379:methods; D000818:Animals; D002245:Carbon Dioxide / Q000032:analysis; D002648:Child; D002675:Child, Preschool; D006224:Cricetinae; D005260:Female; D006801:Humans; D007530:Isoflurane; D008297:Male; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000032:analysis
D002245:Carbon Dioxide; D007530:Isoflurane; D010100:Oxygen
Anesthésie en circuit fermé chez l'enfant.