Anaes · Measurement & monitoring physics
The gas laws
Also known as Gas laws · Boyle's law · Charles's law · Ideal gas equation · Dalton's law · Henry's law
Anaesthesia is the science of gases under pressure — the contents of a cylinder, the volume in a breathing system, the partial pressures that drive uptake and diffusion, and the physics of altitude and hyperbaric therapy all obey the gas laws. The framework rests on six exam-critical ideas. First, the ideal-gas assumption: a gas is a cloud of point molecules in random motion exerting a pressure by collision with the walls, and its state is summarised by the four variables pressure (P), volume (V), temperature (T) and amount (n). Second, BOYLE'S LAW holds that at constant temperature the pressure of a fixed mass of gas is inversely proportional to its volume (P times V is constant) — the basis of how a gas is compressed into a cylinder and how a squeeze-bag ventilator works. Third, CHARLES'S LAW holds that at constant pressure the volume is proportional to the absolute temperature (V divided by T constant), and GAY-LUSSAC'S LAW that at constant volume the pressure is proportional to the absolute temperature — together explaining why a gas warms as it is compressed and cools as it expands. Fourth, AVOGADRO'S HYPOTHESIS — equal volumes of different gases at the same temperature and pressure contain equal numbers of molecules — links the amount of gas to its volume and defines the mole and the molar volume at STP (22.4 litres per mole). Fifth, these combine into the UNIVERSAL (IDEAL) GAS EQUATION, PV equals nRT (where R is the universal gas constant, 8.314 joules per mole per kelvin), from which any one variable can be found given the other three. Sixth, two mixture laws govern the behaviour of gas mixtures: DALTON'S LAW, that the total pressure of a gas mixture is the sum of the partial pressures of its individual gases (so the partial pressure of oxygen in air is 21 percent of the total), and HENRY'S LAW, that the amount of a gas dissolved in a liquid is proportional to its partial pressure — the basis of oxygen and anaesthetic uptake by the blood and of decompression sickness. Real gases deviate from ideal behaviour at high pressure or low temperature; nitrous oxide, whose critical temperature is above room temperature, liquefies in the cylinder and so shows a constant pressure (its saturated vapour pressure) until the liquid is exhausted, unlike oxygen which remains gaseous and shows a pressure proportional to its contents. Built on the partial-pressure-of-oxygen primer (Hoecker 2026), the hyperbaric-physics review (Jones 2024), the hypobaric-oxygenator physics study (Chotimol 2025), the nitrous-oxide-piped-supply-loss report (Hirata 2026), the greener-nitrous-oxide report (Yadav 2026), the chronic-hypoxaemia study (Ricco 2026), the decompression-sickness-at-altitude report (Ben-Ari 2026), the pulse-oximetry review (Moon 2026), the anaesthesia-cylinder review (Srivastava 2013), the gas-supply-system review (Das 2013), the hyperbaric-oxygen review (Sen 2021), the airway-biophysics review (O'Grady 1997), and the dysbarism overview (Savioli 2022).
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- BOYLE'S LAW (constant temperature): pressure is inversely proportional to volume — P times V is constant. This is how a gas is compressed into a cylinder and how a squeeze-bag and a bellows ventilator work.
- CHARLES'S LAW (constant pressure): volume is proportional to ABSOLUTE temperature (kelvin). GAY-LUSSAC'S LAW (constant volume): pressure is proportional to absolute temperature. Temperature must be in kelvin.
- AVOGADRO: equal volumes of gas at the same temperature and pressure contain equal numbers of molecules. One mole of any ideal gas occupies 22.4 litres at STP (0 degrees C, 101.325 kPa).
- The UNIVERSAL GAS EQUATION PV equals nRT combines all the gas laws (R = 8.314 J per mol per K). Use it to find any one variable from the other three.
- DALTON'S LAW: total pressure of a mixture equals the sum of the partial pressures of its gases. The partial pressure of oxygen in air is 0.21 times the total pressure (so it falls with altitude). HENRY'S LAW: the amount of gas dissolved in a liquid is proportional to its partial pressure — the basis of gas uptake by blood and of decompression sickness.
- NITROUS OXIDE has a critical temperature ABOVE room temperature, so it LIQUEFIES in the cylinder and shows a CONSTANT pressure (its saturated vapour pressure, about 52 bar) until the liquid runs out — its cylinder pressure therefore does NOT indicate its contents. Oxygen stays gaseous and its pressure IS proportional to contents.
Meet the patient
It is 2am and the pipeline oxygen alarm sounds mid-induction. The technician wheels over a size E oxygen cylinder reading 137 bar and a nitrous oxide cylinder reading its usual steady pressure. The registrar asks how long the oxygen will last, and whether the nitrous oxide cylinder is half full.[9]
Both questions are gas-law questions in disguise. The oxygen contents come straight from Boyle. The nitrous oxide question is the one that catches every trainee — because it co-exists as liquid and vapour at room temperature, and the gauge is lying to you.[9]
References13ShowHide
- [1]Hoecker RN. Partial Pressure of Oxygen 2026.PMID 29630271
- [2]Jones MW, et al. Hyperbaric Physics 2024.PMID 28846268
- [3]Chotimol P, et al. Hypobaric type oxygenators - physics and physiology Perfusion, 2025.PMID 38323543
- [4]Hirata M, et al. Substantial nitrous oxide loss from a centrally piped hospital supply system: single-centre quantitative analysis Br J Anaesth, 2026.PMID 42135090
- [5]Yadav K, et al. Reducing Nitrous Oxide Utilization as Part of a Greener Anesthesia Program: Outcomes from a Tertiary Care Center Ann Afr Med, 2026.PMID 41943509
- [6]Ricco GMG, et al. Prevalence, Clinical and Functional Determinants of Chronic Hypoxemia and Respiratory Failure in Patients with Stable COPD J Clin Med, 2026.PMID 42355773
- [7]Ben-Ari O, et al. Decompression Sickness; Not Only in Divers: Altitude as a Risk Factor Isr Med Assoc J, 2026.PMID 42345225
- [8]Moon K, et al. Pulse Oximetry-A Perioperative Perspective Diagnostics (Basel), 2026.PMID 42351472
- [9]Srivastava U. Anaesthesia gas supply: gas cylinders. Indian J Anaesth, 2013.PMID 24249883
- [10]Das S, et al. The anaesthesia gas supply system. Indian J Anaesth, 2013.PMID 24249882
- [11]Sen S, et al. Therapeutic effects of hyperbaric oxygen: integrated review. Med Gas Res, 2021.PMID 33642335
- [12]O'Grady K, et al. Biophysics of airflow within the airway: a review. J Otolaryngol, 1997.PMID 9106088
- [13]Savioli G, et al. Dysbarism: An Overview of an Unusual Medical Emergency. Medicina (Kaunas), 2022.PMID 35056412