Handbook of anæstheticsRoss, J. Stuart (John Stuart)
Science
Handbook of anæsthetics
Ross, J. Stuart (John Stuart)
Anesthesia; Anesthetics
Fig. 15 shows the ordinary _Barth three-way_ tap with facepiece;
the indicator on the tap has three possible positions designated on
the dial as “Air,” “Valves,” and “No Valves.” If the tap is pointed
backwards towards the bag at the position marked “air” the end of the
bag is closed and the patient is breathing air only. With the tap in
the middle position of “valves,” the inspiration of the patient will
draw gas from the bag, but the expiration closes the valve which is now
in operation at the orifice of the bag, and will open the expiratory
valve which conducts the expired air into the general atmosphere. In
the third position of “no valves” the patient breathes both in and out
of the bag.
[Illustration: FIG. 15.--Barth 3-way N_{2}O tap.]
[Illustration: FIG. 16.--Hewitt’s wide-bore gas
valves.]
Fig. 16 shows the Hewitt type of inhaler. The calibre of the orifices
through which respiration takes place is greater than in the Barth
three-way tap, and to that extent this type of valve is to be
preferred. Although differently arranged exactly the same possibilities
are present in it.
The _facepiece_ is sometimes made of celluloid with an inflatable
rubber edging. The object of this type of facepiece is that the
colour of the lips may be appreciated by the anæsthetist during the
administration. The preferable plan is to make the whole facepiece of
rubber with an inflatable border. Such a facepiece made by a good maker
will last many years, and is much more stable and reliable than its
celluloid competitor.
The Care of the Nitrous Oxide Apparatus.
This is a matter of considerable moment, particularly to those who do
not use their apparatus every day. After use, the valves, facepiece,
and bag should be disconnected from each other, all moisture wiped away
from the bright parts, and the bag hung up with its open end downwards,
and preferably in a warm room. If re-breathing has been extensively
practiced it is well to wash the bag out with some carbolic lotion
before hanging it up. The rubber valves in the valvepiece are liable
to lose their elasticity, particularly if kept in a cold place after
becoming damp. From time to time the valve piece should be taken to
pieces, the valves carefully dried in front of a warm fire and powdered
over with a little talc.
Administration.
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