Pediatric Anesthesia Digital Handbook
Department of Anesthesiology
Division of Pediatric Anesthesia
Tufts Medical Center
Boston, Massachusetts
United States of America

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    • Pediatric OR Setup HOME >
      • STEP-2 PEDI OR SETUP - BREATHING CIRCUIT
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      • Fundamentals of Perioperative Fluid Therapy
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SETUP HOME

OR SETUP - NEONATAL SETUP CONSIDERATIONS

A. Configure a Standard Pediatric Circuit

​The Standard Pediatric Breathing Circuit is extendable up to 60 inches, and comes with a 1L (default) latex free reservoir bag. It comes with either 1 or 2 BV (Bacterial/Viral) Filter(s). If your circuit kit comes with a single BV filter, please attach it to the expiratory limb of your circuit. Our pediatric circuits do not come standard with a HME filter. HME filters should be used with caution in infants and younger children since they have the potential to increase ETCO2, increase dead space, and increase resistance to flow.

1L reservoir bag should be use for ages 6 months to 6 yrs (under 25-30Kg)
2L reservoir bag should be used for older children and pre teen (between 30-50 kg)
3L adult reservoir bag should be used for older teenagers and young adults (over 50 kg)

B. Perform the Leak Test

Once the circuit is properly assembled and attached, perform the leak test as prescribed for your workstation.

C. Neonatal Breathing Circuit

The Neonatal Breathing Circuit is a stiffer fixed length circuit with very low compliance. The neonatal circuit comes with a 0.5L (default) reservoir bag. The Y connector is designed to minimize anatomical dead space. The neonatal circuit does not come with a BV filter. A HME filter attachment is available for this circuit. The HME filter must be used with caution in
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Tufts Children's Hospital
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TCH/BCH Transition Page
American Board of Anesthesiology (ABA)
American Society of Anesthesiologists (ASA)
Society for Pediatric Anesthesia (SPA)
Accreditation Council for Graduate Medical Education
ASA Guidelines, Statements and Practice Advisories
Malignant Hyperthermia Association of the United States
ERAS PDWS
AnesthesiaHub - The Central Resource of Anesthesiology

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Copyright © 2014. Aman Kalra, MD. Clinical Associate Professor of Anesthesiology, Department of Anesthesiology and Perioperative Medicine (Author, Illustrator and Web Designer)
800 Washington Street, Box 298, Tufts Medical Center, Boston, MA 02111. USA
LAST UPDATED February 26th, 2022