Uptake of isoflurane during clinical anaesthesia. Servo-control of liquid anaesthetic injection into a closed-circuit breathing system.
نویسندگان
چکیده
Twenty-six patients were anaesthetized with isoflurane (Forane) in oxygen using a completely closed-circuit breathing system to which liquid isoflurane was injected. The rate of injection was controlled to maintain the end-tidal concentration at a pre-set value (1.5% = 1.3 MAC). The rate of injection of anaesthetic was recorded and from the data the uptake of anaesthetic by the patient was measured. It was found to average 44.5 ml of vapour at 2 min, 23.7 ml at 10 min and 19.4 ml at 30 min. Attempts were made to correlate the data with anthropometric measurements.
منابع مشابه
Uptake of isoflurane during prolonged clinical anaesthesia.
Recent evidence has suggested that the rate of uptake of inhalational anaesthetic is constant during maintenance of anaesthesia, contrary to the predictions of multi-compartment uptake models. We measured isoflurane uptake using a totally closed anaesthetic system during up to 10 h of stable anaesthesia for maxillo-facial surgery on 12 adult patients. Liquid isoflurane was injected into the sys...
متن کاملQuantitative study of Lowe's square-root-of-time method of closed-system anaesthesia.
Intermittent injection of liquid anaesthetic into a closed breathing system is particularly suitable in countries with limited resources. A method of calculating appropriate times and magnitudes of the injected doses was described by Lowe but the method has never been assessed rigorously. Such an assessment was the purpose of this study. The technique was used in a double-blind, randomized comp...
متن کاملModel-based administration of inhalation anaesthesia. 1. Developing a system model.
This paper is the first of a series of reports on a system model for the administration of inhalation anaesthesia. We present the development and basic testing of the model. It is a multiple-gas model; it covers fresh-gas flow rates from basal to more than total ventilation and includes an actual, not an idealized, circle-absorber breathing system featuring a standing bellows ventilator. Kineti...
متن کاملAnaesthesia Breathing Systems
Anaesthesia Breathing System (formerly known as anaesthesia Breathing Apparatus or Anaesthesia Breathing Circuit) is an interface between the anaesthetic machine and the patient. They evolved over 160 years from the open systems used by Morton to the present day closed systems using carbon dioxide absorbents. The main purpose of these systems is to deliver the required oxygen and anaesthetic ga...
متن کاملEffect of ventilation and cardiac output on the uptake of anaesthetic agents from different breathing systems: a theoretical study.
We have investigated the influences of ventilation and cardiac output on uptake of anaesthetic with different breathing systems, by analysis of simple equations and by computer simulation. Increases in cardiac output and ventilation increased uptake from those systems which provided a constant inspired concentration, but not from completely closed systems with the vaporizer out of the circle (V...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- British journal of anaesthesia
دوره 55 11 شماره
صفحات -
تاریخ انتشار 1983