A vacuum pump is a device that removes gas molecules from a sealed volume in order to leave behind a partial vacuum. The first vacuum pump was invented in 1650 by Otto von Guericke, and was preceded by the suction pump, which dates to antiquity.
Mechanical ventilation, or assisted ventilation, is the medical term for artificial ventilation where mechanical means are used to assist or replace spontaneous breathing. This may involve a machine called a ventilator, or the breathing may be assisted manually by a suitably qualified professional, such as an anesthesiologist, respiratory therapist, or paramedic, by compressing a bag valve mask device.
Oxygen therapy, also known as supplemental oxygen, is the use of oxygen as a medical treatment. This can include for low blood oxygen, carbon monoxide toxicity, cluster headaches, and to maintain enough oxygen while inhaled anesthetics are given. Long-term oxygen is often useful in people with chronically low oxygen such as from severe COPD or cystic fibrosis. Oxygen can be given in a number of ways including nasal cannula, face mask, and inside a hyperbaric chamber.
An anaesthetic machine or anesthesia machine is a medical device used to generate and mix a fresh gas flow of medical gases and inhalational anaesthetic agents for the purpose of inducing and maintaining anaesthesia.
A backflow prevention device is used to protect potable water supplies from contamination or pollution due to backflow.
In electronics, desoldering is the removal of solder and components from a circuit board for troubleshooting, repair, replacement, and salvage.
A relief valve or pressure relief valve (PRV) is a type of safety valve used to control or limit the pressure in a system; pressure might otherwise build up and create a process upset, instrument or equipment failure, or fire. The pressure is relieved by allowing the pressurised fluid to flow from an auxiliary passage out of the system. The relief valve is designed or set to open at a predetermined set pressure to protect pressure vessels and other equipment from being subjected to pressures that exceed their design limits. When the set pressure is exceeded, the relief valve becomes the "path of least resistance" as the valve is forced open and a portion of the fluid is diverted through the auxiliary route. The diverted fluid is usually routed through a piping system known as a flare header or relief header to a central, elevated gas flare where it is usually burned and the resulting combustion gases are released to the atmosphere. As the fluid is diverted, the pressure inside the vessel will stop rising. Once it reaches the valve's reseating pressure, the valve will close. The blowdown is usually stated as a percentage of set pressure and refers to how much the pressure needs to drop before the valve reseats. The blowdown can vary from roughly 2–20%, and some valves have adjustable blowdowns.
A gas cylinder or tank is a pressure vessel for storage and containment of gases at above atmospheric pressure. High-pressure gas cylinders are also called bottles. Inside the cylinder the stored contents may be in a state of compressed gas, vapor over liquid, supercritical fluid, or dissolved in a substrate material, depending on the physical characteristics of the contents. A typical gas cylinder design is elongated, standing upright on a flattened bottom end, with the valve and fitting at the top for connecting to the receiving apparatus.
The Pin Index Safety System, or PISS, is a means of connecting high pressure cylinders containing medical gases to a regulator or other utilization equipment. It uses geometric features on the valve and yoke to prevent mistaken use of the wrong gas. This system is widely used worldwide for anesthesia machines, portable oxygen administration sets, and inflation gases used in surgery.
Custody Transfer in the oil and gas industry refers to the transactions involving transporting physical substance from one operator to another. This includes the transferring of raw and refined petroleum between tanks and tankers; tankers and ships and other transactions. Custody transfer in fluid measurement is defined as a metering point (location) where the fluid is being measured for sale from one party to another. During custody transfer, accuracy is of great importance to both the company delivering the material and the eventual recipient, when transferring a material.
Following is a list of instruments used in the practice of anesthesia:
Flexible suction hose, not to be confused with hard suction hose in U.S., is a specific type of fire hose used in drafting operations, when a fire engine uses a vacuum to draw water from a portable water tank, pool, or other static water source. It is built to withstand vacuum, rather than pressure, abrasion, and heat. Conversely, hard suction is capable of withstanding up to 200 PSIG, as well as vacuum. In the United States, it is standard equipment according to the National Fire Protection Association standards for fire engines. It is used in both structural and wildland firefighting throughout the world, and is made in various diameters and connection types.
Certified in Neonatal Pediatric Transport (C-NPT) is the designation for a paramedic, physician, respiratory therapist, neonatal nurse, nurse practitioner, nurse, or physician assistant who has earned certification from the National Certification Corporation in neonatal and pediatric transport. This certificate of added qualification was rolled out in 2009. National Certification Corporation utilizes Applied Measurement Professionals to administer its tests.
A Thorpe tube flowmeter is an instrument used to directly measure the flow rate of a gas in medical instruments. It consists of a connection to a gas source, a needle valve opened and closed by turning an attached dial for control of flow rate, a float resting in a clear tapered tube, and an outlet port. It is primarily used in health care institutions during delivery of medical gases, often in conjunction with other devices such as pressure gauges or pressure reducing valves.
The American Standard Safety System, or ASSS, is a connection system for gas cylinders with a volume exceeding 25 cubic feet. The connections differ in thread type and size, right and left handed threading, internal and external threading, and nipple-seat design. This variability reduces the risk of errors such as administering the wrong gas to a patient, or utilizing equipment calibrated for one gas with another. However, as there are only 26 connections for the 62 gases and mixtures recognized by the CGA, connections are not unique.
Indirect calorimetry calculates heat that living organisms produce by measuring either their production of carbon dioxide and nitrogen waste, or from their consumption of oxygen. Indirect calorimetry is the method by which the type and rate of substrate utilization, and energy metabolism are estimated in vivo starting from gas exchange measurements. This technique provides unique information, is noninvasive, and can be advantageously combined with other experimental methods to investigate numerous aspects of nutrient assimilation, thermogenesis, the energetics of physical exercise, and the pathogenesis of metabolic diseases.
Work of breathing (WOB) is the energy expended to inhale and exhale a breathing gas. It is usually expressed as work per unit volume, for example, joules/litre, or as a work rate (power), such as joules/min or equivalent units, as it is not particularly useful without a reference to volume or time. It can be calculated in terms of the pulmonary pressure multiplied by the change in pulmonary volume, or in terms of the oxygen consumption attributable to breathing. In a normal resting state the work of breathing constitutes about 5% of the total body oxygen consumption. It can increase considerably due to illness or constraints on gas flow imposed by breathing apparatus, ambient pressure, or breathing gas composition.
Inhalation sedation is a form of conscious sedation where an inhaled drug should:
- Depress the central nervous system (CNS) to an extent that allows operative treatment to be carried out with minimal physiological and psychological stress
- Modify the patient's state of mind such that communication is maintained and the patient can respond to verbal command
- Carry a margin of safety wide enough to render the unintended loss of consciousness and loss of protective reflexes unlikely.
