The Anaesthetic Machine

Vaporizers

Physics of vapours

Basics

In order to be useable, it must be possible to deliver a volatile agent in a specific range of concentrations. In general, the vapours which form above most of the volatiles which have been used are far too potent for immediate use; they has to be diluted. One way in which this can be achieved is to split the gas flowing through the vaporizer, such that only a portion cones into contact with the volatile, the rest passing through a bypass channel. By altering the fractions passing along each route (in the figure below, by altering the resistance to flow through the bypass), the vapour concentration can be controlled. An example of this type of simple vaporizer is the Goldman.

Vaporizer - low setting Vaporizer - high setting

As fresh-gas flows increase, more vapour is washed out of the chamber and the lower the concentration the vaporizer delivers. This can be corrected by ensuring that the vapour is always saturated. If this condition can be met, then the output of the vaporizer depends only on the splitting ratio.

To achieve this, the surface area from which the volatile can evaporate can be increased by the use of wicks (e.g. the String vaporizer).

As the liquid in the vaporizer evaporates, its temperature will fall and with it the vapour pressure (be it saturated or unsaturated). This will reduce the performance of the device. This can be ameliorated by increasing the mass of the vaporiser, with the additional material acting as a heatsink. This approach was used in the EMO and OMV vaporizers, both of which have a water jacket.

Schematic of the EMO vaporizer

The diagram of the EMO vaporizer also indicates a more sophisticated approach, that of temperature compensation. This makes use of an automatic adjuster which alter the spitting ratio depending upon temperature and this can be seen in the dismantled TEC 4 vaporizer in the RLH museum.

Draw-over vaporizers

The simple vaporizers such as the Goldman and the Boyle's bottle (a bubble-through design), have very low resistance to gas flow. As a result, they can be used without a compressed gas source, the patient's respiratory effort drawing gas through the device. They can even be used inside a circle system, so-called 'vaporizer-in-circuit' or VIC. Although this is a very effective configuration and delivers the set vapour concentration regardless of fresh-gas flow, great care must be taken to avoid inadvertent delivery of high volatile concentrations as the recirculating gas passes repeatedly through the vaporiser.

Plenum-chamber vaporizers

Modern vaporizers have sophisticated gas pathways and include temperature compensation. The vapour in the chamber is saturated and the output concentration is carefully controlled by adjusting the splitting ratio. With this complexity comes a complicated gas pathway and high resistance to flow; these plenum chamber devices must be supplied from a compressed gas source.

Both draw-over and plenum chamber vaporizers are examples of 'variable bypass' devices. An alternative approach is the 'measured-flow' vaporiser in which a separate gas flow containing vapour is added to the fresh gas. This is how the TEC 6 desflurane vaporizer works. For a detailed description, see the CEACCP article.

More History, CEACPP