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The veterinary surgeon wishes to anaesthetise a 50kg foal.A small circle system will be used.

Calculate the highest fresh gas flow for this patient. show your answer in mls/min and L/min

When using a circle system (fully closed) the higher gas flow rate is used for the first 15 - 20 minutes for denitrogenation.
The flow is then reduced using the lower flow rate with the APL valve semi open.

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Final answer:

The highest fresh gas flow rate for a 50kg foal using a small circle anesthesia system is typically 2-3 times the animal's minute volume initially, equivalent to about 5000-10000 mL/min or 5-10 L/min.

The specific flow rate would depend on clinical circumstances and is reduced after denitrogenation.

Step-by-step explanation:

The question posed refers to the calculation of the highest fresh gas flow rate in milliliters per minute (mls/min) and liters per minute (L/min) for a 50kg foal using a small circle anesthesia system.

In veterinary anesthesia, it is common during the induction phase (the first 15-20 minutes) to use a higher gas flow rate for denitrogenation, a process that involves purging nitrogen from the patient's body by flooding the lungs with oxygen. The question implies that after this initial period, the flow rate is reduced to a lower setting with the Adjustable Pressure Limiting (APL) valve partially open.

However, the actual rate is not specified in the question. Typically, initial flows of 2-3 times the patient's minute volume (which can be roughly estimated at 100-200 ml/kg/min for a horse) may be used, thus for a 50kg foal, this might equate to around 5000-10000 mL/min (5-10 L/min). It's vital to tailor the flow rate to the clinical circumstances and individual patient needs.

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