Mera F and Bain circuits.
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Biomedical subjects
Publications and source records attributed to M R Nott.
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In conscious subjects breathing spontaneously the performance of the Lack semi-closed system resembled the Magill attachment in that rebreathing was only detected at fresh gas flows of less than resting minute volume. With the Bain semi-closed system rebreathing was detectable at fresh gas flows of the order of 2.5 times the minute volume. The two co-axial circuits behaved similarly for anaesthetised patients. In adults breathing spontaneously the Lack system is efficient and more economical than the Bain.
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The minimum resistance of expiratory Heidbrink-type value has been assessed by determining the pressure decrease across the values at a flow rate of 30 litre min--1. The average resistance of 70 valves currently in clinical use was 318 Pa at that flow rate and about 44% had resistances greater than the limit of 294 Pa previously suggested. The resistances obtained in new valves were either similar or fractionally greater. Valves being introduced as parts of scavenging systems appeared, on the whole, to have lower resistances.
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