Carbon dioxide absorption

Published on 07/02/2015 by admin

Filed under Anesthesiology

Last modified 07/02/2015

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Carbon dioxide absorption

John M. VanErdewyk, MD

Scientists first began experimenting with substances capable of absorbing carbon dioxide (CO2)in the early 1900s. Progress was made during World War I, when chemical warfare stimulated research to eliminate CO2 from the closed breathing system of the gas mask. Today, CO2 absorption is used daily to remove CO2 from semiclosed or closed anesthetic circuits.

CO2 absorbers

An ideal CO2 absorber would have the following characteristics: efficiency, ease of handling, low resistance to airflow, low cost, lack of toxicity, and lack of reactivity when used with common anesthetics.

The amount of CO2 that can be absorbed varies depending upon the absorbent. In practical use, the maximum amount is rarely achieved because of factors such as channeling of gas flow around the granules of absorbent. Channeling refers to the preferential passage of exhaled gases through the canister via the pathways of least resistance. Excessive channeling will bypass much of the granule bulk and decrease efficiency. Proper canister design—with screens and baffles plus proper packing—helps decrease channeling (Figure 8-1).

A dual-chamber canister is more efficient than a single-chambered canister, and an ideal water content of the absorbent is needed for optimal CO2 absorption. For the greatest efficiency of absorption, the patient’s entire tidal volume should be accommodated within the void space of the container. Therefore, a properly packed canister should contain approximately one half of its volume in granules and one half as intergranular space.

The greater the surface area available for CO2 absorption, the greater the absorptive ability. However, as granule size decreases (surface area increases), the resistance to airflow through the canister increases. A compromise has been reached in a granule size of 4 to 8 mesh, which allows good CO2