Carbon dioxide absorption method for inhalation anesthesia its Development and principles

Abstract

Like most revolutionary innovations and discoveries in the art and practice of medicine, the absorption of carbon dioxide from anesthetic mixtures was not first used by accident nor was it the creation of one individual. It resulted from the intelligent application of accumulated knowledge of anesthetics and their administration. D. E. Jackson applied the principles of complete rebreathing of anesthetic mixtures to laboratory experiments; Ralph M. Waters established the method in clinical anesthesia. The absorption of carbon dioxide from anesthetic mixtures introduces desirable improvements in inhalation anesthesia. Accurate, convenient and safe appliances have been constructed. Anesthetic mixtures may be completely rebreathed. The respired atmosphere is warmed and saturated with water vapor. The physiological control of carbon dioxide and oxygen tensions, essential during inhalation narcosis, may be accomplished by the anesthetist. The fire and explosion hazard is minimized. Obnoxious and toxic anesthetic gases and vapors are removed from the atmosphere breathed by the surgical team. A definite economy is effected. A convenient technique that improves surgical conditions is available. The technique to be employed satisfactorily requires clinical judgment as well as technical ability.