Oxford Miniature Vaporiser output with reversed gas flows

This study was undertaken to investigate and calibrate the isoflurane output of an Oxford Miniature Vaporiser (OMV) draw-over vaporiser with reversed gas flows. Plenum or Boyles type machines have gas flowing left to right through the apparatus. Draw over anaesthesia systems, in contrast, traditionally have the carrier gas, air plus oxygen, flowing right to left through the vaporiser. There are a number of variations in the external design of the OMV vaporiser: 1) a back bar mounted draw-over vaporiser with 23-mm taper and left to right gas flow, 2) the Tri-Service with 22-mm taper and left to right gas flow, and 3) the traditional draw-over OMV with right to left gas flow with a variety of tapers. Non-uniformity leads to a variety of possible connections. The predictable output of the OMV vaporiser assumes the correct direction of gas flows for the device. There are many second hand right to left OMV vaporisers for sale to developing countries where the nuances of vaporiser orientation add unnecessarily to the desired simplicity of anaesthesia. A simple calibration scale for reversed gas flows through the OMV vaporiser would be useful.