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Classification and Characteristics of Mapleson Circuits

Mapleson circuits are classified based on their configuration and required fresh gas flows during spontaneous and controlled ventilation. Class A circuits require very high fresh gas flows that are difficult to predict during controlled ventilation. Class B and C circuits require 2-2.5 times the minute ventilation in fresh gas flow for both spontaneous and controlled ventilation. Class D circuits require 2-3 times minute ventilation for spontaneous ventilation and 1-2 times for controlled ventilation. Class E circuits require 2-3 times minute ventilation for spontaneous ventilation and 3 times for controlled ventilation with an I:E ratio of 1:2.

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121 views2 pages

Classification and Characteristics of Mapleson Circuits

Mapleson circuits are classified based on their configuration and required fresh gas flows during spontaneous and controlled ventilation. Class A circuits require very high fresh gas flows that are difficult to predict during controlled ventilation. Class B and C circuits require 2-2.5 times the minute ventilation in fresh gas flow for both spontaneous and controlled ventilation. Class D circuits require 2-3 times minute ventilation for spontaneous ventilation and 1-2 times for controlled ventilation. Class E circuits require 2-3 times minute ventilation for spontaneous ventilation and 3 times for controlled ventilation with an I:E ratio of 1:2.

Uploaded by

peter singal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Classification and Characteristics of Mapleson Circuits

Required Fresh Gas Flows


Mapleson
Class

Other
Names

Magill
attachment

Configuration1

Spontaneous

Controlled

Comments

Equal to minute ventilation


(
80 mL/kg/min)

Very high and difficult to predict

Poor choice during controlled ventilation. Enclosed


Magill system is a modification that improves efficiency.
Coaxial Mapleson A (Lack breathing system) provides
waste-gas scavenging.

2 x minute ventilation

22 x minute ventilation

Waters' toand-fro

2 x minute ventilation

22 x minute ventilation

Bain circuit

23 x minute ventilation

12 x minute ventilation

Bain coaxial modification: fresh gas tube inside


breathing tube

Ayre's Tpiece

23 x minute ventilation

3 x minute ventilation
(I:E =1:2)

Exhalation tubing should provide a larger volume


than tidal volume to prevent rebreathing.
Scavenging is difficult.

JacksonRees'
modificatio
n

23 x minute ventilation

2 x minute ventilation

A Mapleson E with a breathing bag connected to


the end of the breathing tube to allow controlled
ventilation and scavenging.

FGI, fresh gas inlet; APL, adjustable pressure-limiting (valve).

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