A breathing circuit comprising first and second conduits is disclosed,
wherein at least one of the conduits is a non-conventional conduit. A
multilumen unilimb breathing circuit is also disclosed having first and
second conduits, wherein when the proximal ends of said first and second
conduits are each connected to an inlet and outlet fitting, respectively,
movement of the distal end of the first conduit causes a corresponding
movement of the distal end of the second conduit. In an embodiment, inner
and outer flexible conduits are formed of pleated tubing that is axially
extendable and compressible to form a unilimb multilumen respiratory
circuit. The pleating provides for axial extension and contraction. The
multilumen respiratory circuit can provide a variable rebreathing volume.
In an embodiment, at least one tube in a multilumen respiratory conduit
is radially collapsible and radially expandable to a maximum radius for
carrying respiratory gases to and from a patient. Also disclosed are
methods and systems of optimizing utilization of fresh gases during
artificial or assisted ventilation, including administering anesthesia.