Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast cover image

Episode 36: Pediatric respiratory anatomy and physiology with Dr. Schwengel

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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The Difference Between SIBO and Nitrous in a Pediatric Circuit

I like to start with nitrous if I have a cooperative patient because the volatilac aesthetics smell bad. People typically don't like that, especially if they're coming back for a repeat visit. But it's not in infants and young children, the effectiveness of both of them together does not equal a faster induction. So what you're measuring by the machine is a diluted sample. N-Tidal CO2 is a little bit trickier to measure when you have an amount of dead space that may be equal to their own anatomical dead space. And so it dilutes out the N-T tidal CO2 that you're measuring.

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