Open Sim Lab
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Circle-system rebreathing

Educational use only. Not clinically reviewed

47-year-old woman for Laparoscopic cholecystectomy. About 8 simulated minutes.

What you will practise

  • Recognize rebreathing from a raised inspiratory carbon-dioxide baseline while breath delivery continues.
  • Increase fresh-gas flow as a bounded bridge while preparing definitive circuit correction.
  • Replace the exhausted absorbent after assessing the trace, then confirm inspired carbon dioxide clears.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

  • Verbeke D, et al. When to replace a CO2 absorber? Acta Anaesthesiol Belg 2023;74:43-49. DOI 10.56126/74.1.06.
  • Feldman JM. Replacing CO2 Absorbent During Surgery—The Risk of Hypoventilation Continues. APSF Newsletter 2024;39(3).
  • Klein et al. Recommendations for standards of monitoring during anaesthesia and recovery 2021. Anaesthesia 2021;76:1212-23. PMID 34013531.

Every scenario in this module

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.