Heated breathing tubes affect humidity output of circle absorber systems.
STUDY OBJECTIVE: To verify whether the airway climate in circle systems can be improved with heated breathing tubes. DESIGN: Randomized, controlled, prospective clinical study. SETTING: Operating theater of the Department of Maxillofacial Surgery. PATIENTS: 26 adult patients undergoing prolonged anesthesia. INTERVENTIONS: A total of 26 prolonged anesthetics were conducted in adult patients using a minimal fresh gas flow rate (0.6 L/min) and silicon breathing tubes (16 mm internal diameter) containing a heated coil. Group 1 (n = 10 patients) was the control group; breathing tubes were unheated. In Group 2 (n = 10 patients), breathing tubes were heated to 30 degrees C. In Group 3 (n = 6 patients), breathing tubes were heated to 36 degrees C. MEASUREMENTS AND MAIN RESULTS: Humidity and temperature were measured at the Y-piece. Inspiratory temperature on Group 2 was significantly higher than in Group 1. In Group 3, both inspiratory temperature and absolute humidity were significantly higher than in Group 1. After 5 minutes of ventilation, water content and temperature of inspiratory gases were significantly higher in Group 3 than in Group 1. CONCLUSION: Low-flow systems need at least 120 minutes to achieve a satisfactory airway climate. Heated breathing tubes effectively reduce this delay.