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Published in: Journal of Clinical Monitoring and Computing 5/2018

01-10-2018 | Commentary

Carbon dioxide absorbents: does it matter which one you use?

Author: Jeffrey M. Feldman

Published in: Journal of Clinical Monitoring and Computing | Issue 5/2018

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Excerpt

More than 20 years ago, it became apparent that carbon dioxide absorbents had the potential to interact with potent anesthetic agents producing carbon monoxide, Compound A and reducing the concentration of anesthetic agent [1, 2]. This observation led to a reformulation of absorbents to reduce or eliminate the highly reactive strong bases KOH and NaOH in an effort to prevent the interaction with anesthetic vapors. These newer formulations were studied and shown to have limited, if any, potential to produce CO or Compound A, but the penalty was a slightly reduced ability to absorb CO2 [3]. Since that time there has been very little published on CO2 absorbents despite the appearance on the market of a variety of formulations. For the practitioner, it can be a challenge to determine the optimal absorbent to select. Fortunately, Hendrickx et al. have provided new data that sheds light on the absorptive capacity of CO2 absorbent products and also on the challenges of quantifying the performance differences between the various products. …
Literature
1.
go back to reference Fang ZX, Eger EI, Laster MJ, et. al. Carbon monoxide production from degradation of desflurane, isoflurane, halothane and sevoflurane by soda lime and baralyme. Anesth Analg. 1995;80:1187–93.PubMed Fang ZX, Eger EI, Laster MJ, et. al. Carbon monoxide production from degradation of desflurane, isoflurane, halothane and sevoflurane by soda lime and baralyme. Anesth Analg. 1995;80:1187–93.PubMed
2.
go back to reference Morio M, Fujii K, et al. Reaction of sevoflurane and its degradation products with soda lime. Anesthesiology. 1992;77:1155–64.CrossRefPubMed Morio M, Fujii K, et al. Reaction of sevoflurane and its degradation products with soda lime. Anesthesiology. 1992;77:1155–64.CrossRefPubMed
3.
go back to reference Neumann MA, Laster MJ, et al. The elimination of sodium and potassium hydroxides from dessicated soda lime diminishes degradation of desflurane to carbon monoxide and sevoflurane to compound a but does not compromise carbon dioxide absorption. Anesth Analg. 1999;89:768–73.CrossRefPubMed Neumann MA, Laster MJ, et al. The elimination of sodium and potassium hydroxides from dessicated soda lime diminishes degradation of desflurane to carbon monoxide and sevoflurane to compound a but does not compromise carbon dioxide absorption. Anesth Analg. 1999;89:768–73.CrossRefPubMed
4.
go back to reference Hendrickx JFA, DeRidder SPAJ, et al. In vitro performance of prefilled CO2 absorbers with the Aisys. J Clin Monit Comput. 2016;30:193–202.CrossRefPubMed Hendrickx JFA, DeRidder SPAJ, et al. In vitro performance of prefilled CO2 absorbers with the Aisys. J Clin Monit Comput. 2016;30:193–202.CrossRefPubMed
6.
go back to reference Knolle E, Heinze G, Gilly H. Small carbon monoxide formation in absorbents does not correlate with small carbon dioxide absorption. Anesth Analg. 2002;96:650–5.CrossRef Knolle E, Heinze G, Gilly H. Small carbon monoxide formation in absorbents does not correlate with small carbon dioxide absorption. Anesth Analg. 2002;96:650–5.CrossRef
Metadata
Title
Carbon dioxide absorbents: does it matter which one you use?
Author
Jeffrey M. Feldman
Publication date
01-10-2018
Publisher
Springer Netherlands
Published in
Journal of Clinical Monitoring and Computing / Issue 5/2018
Print ISSN: 1387-1307
Electronic ISSN: 1573-2614
DOI
https://doi.org/10.1007/s10877-018-0100-0

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