Preservation of humidity and heat of respiratory gases during anaesthesia--a laboratory investigation.

Abstract

Humidification and heating of anaesthetic gases are desirable to prevent respiratory tract damage and a fall in body temperature during operative procedures. Numerous studies on the humidity and temperature of inspiratory gases in different breathing systems for anaesthesia have been carried out, but comparisons are difficult since different methods have been used. In this laboratory set-up we studied a non-rebreathing system with and without humidifiers and a circle absorber system with low (0.5 l/min) or medium (5 l/min) fresh gas flows regarding their ability to heat and humidify anaesthetic gases. The humidity of inspired gases was acceptable in the non-rebreathing system using either a Bennett Cascade humidifier or disposable humidifiers and in the circle absorber system using a fresh gas flow of 5 l/min or less. The temperature of the inspired gases was highest with the Bennett Cascade humidifier, followed by the low-flow circle system. The circle absorber system used with low fresh gas flow gave higher inspiratory gas temperature and humidity than the non-rebreathing system with a good disposable humidifier.