Production of compound A and carbon monoxide in circle systems: an in vitro comparison of two carbon dioxide absorbents

Anaesthesia. 2004 Jun;59(6):584-9. doi: 10.1111/j.1365-2044.2004.03704.x.

Abstract

Two new generation carbon dioxide absorbents, DrägerSorb Free and Amsorb Plus, were studied in vitro for formation of compound A or carbon monoxide, during minimal gas flow (500 ml x min(-1)) with sevoflurane or desflurane. Compound A was assessed by gas chromatography/mass spectrometry and carbon monoxide with continuous infrared spectrometry. Fresh and dehydrated absorbents were studied. Mean (SD) time till exhaustion (inspiratory carbon dioxide concentration >or= 1 kPa) with fresh absorbents was longer with DrägerSorb Free (1233 (55) min) than with Amsorb Plus (1025 (55) min; p < 0.01). For both absorbents, values of compound A were < 1 ppm and therefore below clinically significant levels, but were up to 0.25 ppm higher with DrägerSorb Free than with Amsorb Plus. Using dehydrated absorbents, values of compound A were about 50% lower than with fresh absorbents and were identical for DrägerSorb Free and Amsorb Plus. With dehydrated absorbents, no detectable carbon monoxide was found with desflurane.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorption
  • Anesthesia, Closed-Circuit / methods*
  • Anesthetics, Inhalation / chemistry
  • Calcium Chloride
  • Calcium Hydroxide
  • Carbon Dioxide / chemistry*
  • Carbon Monoxide / chemistry*
  • Desflurane
  • Ethers / chemistry*
  • Humans
  • Hydrocarbons, Fluorinated / chemistry*
  • Isoflurane / analogs & derivatives*
  • Isoflurane / chemistry
  • Methyl Ethers / chemistry
  • Sevoflurane
  • Temperature

Substances

  • Amsorb
  • Anesthetics, Inhalation
  • Ethers
  • Hydrocarbons, Fluorinated
  • Methyl Ethers
  • Carbon Dioxide
  • Sevoflurane
  • fluoromethyl 2,2-difluoro-1-(trifluoromethyl)vinyl ether
  • Carbon Monoxide
  • Desflurane
  • Isoflurane
  • Calcium Chloride
  • Calcium Hydroxide