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16 - T-pieces

from Part 1 - Physics, mathematics, statistics, anaesthetic apparatus

Published online by Cambridge University Press:  13 August 2009

Sylva Dolenska
Affiliation:
William Harvey Hospital, Kent
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Summary

T-pieces (Figure 50) are geometrically opposite of the Magill system: the fresh gas flow inlet is near the subject while the expiratory valve or port is the furthest. E type is a valveless system suitable for spontaneously breathing subjects only. F type is a paediatric valveless system.

Figure 51 shows theoretical inspiratory gas flow during spontaneous breathing in a T-piece system. The inspiratory waveform is a sine wave. Integration of flow (area under the curve) yields volume inspired. This is again divided into gas that enters alveoli (VA) and dead space gas (VD). Superimposed on the graph is the fresh gas flow, which is constant. The area under the straight line of the fresh gas flow is the fresh gas volume delivered into the system. It can be seen that at point A the inspiratory flow exceeds the fresh gas flow. Until that point, excess fresh gas was being deposited in the tubing. After that point, inspiratory flow is supplied in part (the part exceeding fresh gas flow) by gas previously deposited in the tubing. Provided that the roughly triangular area between the fresh gas flow line, the inspiratory curve up to point A, and the y-axis, which is the volume deposited in the large bore tubing, equals the area under the peak inspiratory flow above the fresh gas flow line up to point B (which is the volume of gas drawn from the system in excess of fresh gas flow during that time), no CO2-containing gas will be rebreathed.

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Publisher: Cambridge University Press
Print publication year: 2006

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  • T-pieces
  • Sylva Dolenska
  • Book: Basic Science for Anaesthetists
  • Online publication: 13 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544545.019
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  • T-pieces
  • Sylva Dolenska
  • Book: Basic Science for Anaesthetists
  • Online publication: 13 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544545.019
Available formats
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • T-pieces
  • Sylva Dolenska
  • Book: Basic Science for Anaesthetists
  • Online publication: 13 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544545.019
Available formats
×