Table 3.
Functional consideration | Non-rebreathing circuit (NRC) | Rebreathing circuit (circle system) |
---|---|---|
Rebreathing potential | No rebreathing of exhaled gases | Rebreathing exhaled oxygen and inhalant |
Mechanism for preventing rebreathing of CO2 | High oxygen flow rates move exhaled CO2 along the expiratory limb away from the patient | Functional CO2 absorbent and one-way valves |
Conservation of body heat | High flow rates of oxygen may lead to increased loss of body heat | Lower flow rates of oxygen and rebreathing of exhaled gases may help to conserve body heat |
Resistance to breathing | Minimal | Resistance is caused by CO2 absorbent and one-way valves |
Equipment dead space | Minimal | Minimized by using a pediatric Y circuit |
Time taken for a change in anesthetic depth | Short, due to small circuit volume and higher oxygen flow rates | Longer, due to larger circuit volume and lower oxygen flow rates |
Optimal circuit based on patient size:
✜ Very small cat (<3 kg; 6.6 lb): NRC
✜ Small to medium cat (3–6 kg; 6.6–13.2 lb): NRC or rebreathing circuit
✜ Large cat (>6 kg; 13.2 lb): NRC or rebreathing circuit