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Medical Gases Systems

Presented By: Mohamed Salah

Medical Gases Systems Presented By: Mohamed Salah

Presentation Contents.

1) Introduction to Medical Gas Systems.

a. Definition of Medical Gas Systems.

b. The benefit of usage of Medical Gas Systems.

c. Type of Medical Gas Systems.

2) Applicable Codes and Regulations.

3) Designing Medical Gas Systems.

a.Estimating flow requirements. b.Selecting equipment. c.Pipe sizing.

d.Zone valves and alarms.

e.Labeling Medical Gas Systems. f. Material.

Medical Gas Systems

1) Introduction to Medical Gas Systems.

a. Definition of Medical Gas Systems “An assembly of equipment and piping for the distribution of nonflammable medical gasses such as oxygen, compressed air, surgical air, nitrous oxide, medical vacuum, WAGSS, nitrogen and carbon dioxide”.

b. The benefit of the usage of Medical Gas Systems

“A medical gas pipeline system (MGPS) is installed to provide a safe,

convenient and cost-effective system for the provision of medical gases to the clinical and nursing staff at the point-of-use. It reduces the problems associated with the use of gas cylinders such as safety, porterage, storage and noise”.

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for him

Medical Gas Systems

c. Types of Medical Gas Systems.

Medical Gas Systems c. Types of Medical Gas Systems.

Medical Gas Systems

c. Types of Medical Gas Systems.

Oxygen (O2).

Medical Air (MA).

Medical Vacuum (MV).

Nitrous Oxide (N2O).

Nitrogen (N2).

Surgical OR Instrumental Air (IA).

Carbon Dioxide (CO2).

Waste Anesthesia Gas Disposal (WAGD or EVAC) Anaesthetic Scavenging System (AGSS).

Entonox (N2O/O2).

Heliox (HE/O2).

Dental Air (DA).

Dental Vacuum (DV).

Gas

Medical Gas Systems

Oxygen (O 2 )

Oxygen is one of the most extensively used gases for respiratory therapy and life-support .

Oxygen is additionally used in anaesthetic procedures.

Carbon Monoxide Poisoning.

Hyperbaric oxygen therapy.

Carbon Monoxide Poisoning. • Hyperbaric oxygen therapy. • Healing of wounds – pure oxygen speeds up
Carbon Monoxide Poisoning. • Hyperbaric oxygen therapy. • Healing of wounds – pure oxygen speeds up

Healing of wounds pure oxygen speeds up the healing process.

Used at 370 to 420 Kpa.

Used at 55 to 60 psig.

Medical Gas Systems

Medical Air (MA).

Medical Air is mainly used in respiratory therapy as a power

source for patient ventilators, and for blending with

oxygen.

Medical Air is also used as the driving gas for nebulised drugs and chemotherapy agents.

Used at 370 to 420 Kpa.

Used at 50 to 60 psig.

and chemotherapy agents.  Used at 370 to 420 Kpa.  Used at 50 to 60

Medical Air

Side stream Jet Nebuliser

and chemotherapy agents.  Used at 370 to 420 Kpa.  Used at 50 to 60

Medical Gas Systems

Medical Vacuum (MV).

An assembly of central vacuum producing equipment

and a network of piping for patient suction in medical,

medical-surgical, and waste anesthetic gas disposal (WAGD) applications.

Primarily used for patient treatment in surgery,

recovery, and ICU to remove fluids and aid in drainage.

Used at 40 Kpa to 60 Kpa.

Used at 300 mm Hg to 450 mm Hg.

to remove fluids and aid in drainage. • Used at 40 Kpa to 60 Kpa. •

Medical Vacuum

to remove fluids and aid in drainage. • Used at 40 Kpa to 60 Kpa. •

Medical Gas Systems

Nitrous Oxide (N 2 O).

• Possesses a “sweetish” smell.

Nitrous oxide is used for anaesthetic and analgesic purposes, being mixed with medical air, oxygen, and nebulised agents.

being mixed with medical air, oxygen, and nebulised agents. • Used at 370 to 420 Kpa.

Used at 370 to 420 Kpa.

Used at 50 to 60 psig.

with medical air, oxygen, and nebulised agents. • Used at 370 to 420 Kpa. • Used

Nitrous Oxide

Medical Gas Systems

Nitrogen (N 2 ).

Exist as a gas atmospheric temperatures and

pressures.

• Exist as a gas atmospheric temperatures and pressures. • Clear, colorless, and tasteless gas. •

Clear, colorless, and tasteless gas.

Comprises approximately 78% of the earth’s

atmosphere.

Used for pipe joining and pressure testing purposes.

• Used for pipe joining and pressure testing purposes. Nitrogen • Used to power instruments. •

Nitrogen

Used to power instruments.

Used at 1100 to 1275 Kpa.

Used at 160 to 185 psig.

testing purposes. Nitrogen • Used to power instruments. • Used at 1100 to 1275 Kpa. •

Medical Gas Systems

Surgical Air (SA7).

Substitute for nitrogen for powering instruments

unrelated to human respiration (surgical tools,

ceiling arms, etc.).

to human respiration (surgical tools, ceiling arms, etc.). • Medical air and instrument air are distinct

Medical air and instrument air are distinct systems for mutually exclusive applications.

Used at 1100 to 1275 Kpa.

Used at 160 to 185 psig.

systems for mutually exclusive applications. • Used at 1100 to 1275 Kpa. • Used at 160

Instrumental Air

systems for mutually exclusive applications. • Used at 1100 to 1275 Kpa. • Used at 160

Medical Gas Systems

Carbon Dioxide (CO2).

Occasionally used for surgical procedures and

laboratory applications.

Carbon dioxide is used less commonly now as a respiratory stimulant, and for insufflations during

surgery. Pipeline systems for respiratory use have not

been installed in the UK but they are now being

installed for this latter purpose.

UK but they are now being installed for this latter purpose. • Used at 370 to

Used at 370 to 420 Kpa.

Used at 50 to 60 psig.

are now being installed for this latter purpose. • Used at 370 to 420 Kpa. •

Carbon Dioxide

Medical Gas Systems

Waste Anesthesia Gas Disposal (WAGD).

Used to capture and carry away gases vented from the

patient breathing circuit during the normal operation of gas anesthesia or analgesia equipment.

Used at 15 to 20 Kpa.

Used at 114 mm Hg to 152 mm Hg .

operation of gas anesthesia or analgesia equipment. • Used at 15 to 20 Kpa. • Used
operation of gas anesthesia or analgesia equipment. • Used at 15 to 20 Kpa. • Used

Medical Gas Systems

Waste Anesthesia Gas Disposal (WAGD).

Medical Gas Systems • Waste Anesthesia Gas Disposal (WAGD).

Medical Gas Systems

Entonox (N 2 O/O 2 ).

Pipeline systems for a 50% mixture of oxygen and

nitrous oxide are widely installed in the UK for analgesic purposes, particularly in maternity departments.

Used at 370 to 420 Kpa.

Used at 50 to 60 psig.

purposes, particularly in maternity departments. • Used at 370 to 420 Kpa. • Used at 50

Entonox

purposes, particularly in maternity departments. • Used at 370 to 420 Kpa. • Used at 50
purposes, particularly in maternity departments. • Used at 370 to 420 Kpa. • Used at 50

Medical Gas Systems

Heliox (HE/O 2 ).

Helium/oxygen mixture is used to treat patients with

respiratory or airway obstruction and to relieve symptoms and signs of respiratory distress guidance on pipeline systems is now included.

Used at 370 to 420 Kpa.

Used at 50 to 60 psig.

distress guidance on pipeline systems is now included. • Used at 370 to 420 Kpa. •

Heliox 21

distress guidance on pipeline systems is now included. • Used at 370 to 420 Kpa. •

Medical Gas Systems

Dental Air (DA).

Medical Gas Systems • Dental Air (DA). • The dental air supply must not be used

The dental air supply must not be used for this orfor any

purpose other than clinical and dental laboratory

procedures.

Very few dental chairs have their movement operated by compressed air. If the dental chair is to be operated by

compressed air, a dedicated compressor for this purpose

must be provided.

Used at 550 to 600 Kpa.

Used at 80 to 87 psig.

compressor for this purpose must be provided.  Used at 550 to 600 Kpa.  Used

Dental Air

Medical Gas Systems • Dental Vacuum (DV). • Ideally, dental air and vacuum should be

Medical Gas Systems

Dental Vacuum (DV).

Ideally, dental air and vacuum should be supplied from

separate sources via dedicated pipework systems and

the medical and surgical air and vacuum systems should not be used to provide dental air or dental vacuum.

Used at 75 Kpa to 82 Kpa.

Used at 562 mm Hg to 615 mm Hg.

to provide dental air or dental vacuum. • Used at 75 Kpa to 82 Kpa. •

Dental Vacuum

to provide dental air or dental vacuum. • Used at 75 Kpa to 82 Kpa. •