Handbook of anæstheticsRoss, J. Stuart (John Stuart)
Science
Handbook of anæsthetics
Ross, J. Stuart (John Stuart)
Anesthesia; Anesthetics
Nitrous oxide is supplied by the makers as a fluid condensed in iron
bottles or cylinders, and only becomes gaseous upon being released from
them. In passing from the fluid to the gaseous state, heat is of course
lost, and it will be noticed that the end of the cylinder which is in
use becomes rapidly crusted over with frost. Ice, moreover, forms in
the small channel at the head of a cylinder, and is apt from time to
time to block it.
The cylinders are of various sizes and designated after the numbers
of gallons of gas which they will supply: 25 is the smallest size, 50
or 100 are more usual; anything up to 500 is occasionally met with in
hospital practice. Moreover the cylinders are of two types, called
respectively _vertical_ (for use in the upright position), and
_angle_ for use in the horizontal position (_see_ Fig. 13).
[Illustration: FIG. 12.--Frame for adapting vertical
cylinders to foot use.]
[Illustration:
FIG. 13A. FIG. 13B.
Two types of N_{2}O cylinders.
A. Vertical (or ordinary). B. Angle.]
The cylinders are fixed in frames of various types of which examples
are seen in Figs. 13 and 14.
Upon each cylinder, of whatever size or type, will be found a label
stating its weight when full and empty, the difference representing
the weight of the contents when the bottle is full. For instance, in
the case of the 50-gallon cylinder the weight of its full charge is 15
ounces. Weighing the cylinder is the only certain means which we have
to estimate how much of the charge remains. The student will readily
appreciate therefore that once a cylinder has been used at all there
is always a risk of the supply of gas from it running out during an
administration. It is for this reason that cylinders are habitually
used in couples, one of which is always supposed to be quite full. To
this one it is well to attach a label marked “full,” and care must be
taken to replace at once a cylinder known to be empty. In this way we
always have upon the frame one cylinder partly and another entirely
full.
[Illustration: FIG. 14.--Complete N_{2}O apparatus,
showing twin cylinders, supply pipe, 2-gallon bag, 3-way tap,
and face-piece.]
By whatever makers the cylinder is supplied it will be found that the
thread upon the outlet pipe is the same, and the metal nipple figured
in Fig. 14 will fit it. To the distal end of the nipple, a rubber tube
is attached which leads to a rubber bag usually of 2 gallons capacity.
The remainder of the apparatus may be of several types.
Public-domain text, read in full here on John Shaqi.
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