Clinlcal evaluation of the low-flow enflurane anaesthesia
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DOI:
https://doi.org/10.58600/eurjther.2000-11-1-2-904-archKeywords:
Low-flow anaesthesia, high-flow anaesthesia, enfluraneAbstract
The purpose of this study is to compare clinical effects of the low-flow anaesthesia, a technique recently gained popularity, with the high-flow anaesthesia by using the volatil anaesthetic, enflurane. Sixty patients whose ages ranged from 20 to 53 years, were included in the study. There were 38 female and 22 male patients. The patients were randomly divided into two groups. Low-flow enflurane anaesthesia was used in 30 patients who constituted the first group, and included in the second group is the remaining 30 patients who were administered high- flow enflurane anaesthesia. Heart rate, systolic-diastolic and mean arterial pressures, body temperature, peripheral oxygen saturation (SpO2), tidal volume, respiratory rate, end tidal CO2, inspired oxygen, inspired N2O, inspired volatile anaesthetic concentrations, %vapo- riser/%inspired volatile anaesthetic concentration, and airway pressure of the patients were monitored and evaluated every five minute. Recovery time and early postanaesthetic complications of the groups were compared clinically. Hemodynamic parameters, SpO2, and body temperature of the groups were not significantly different (p>0.05). in conclusion low-flow anaesthesia is advan- tageous when compared to the conventional high-flow anaesthesia, and can be used routinely if the appro- priate monitorisation set-up exists.
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References
Pedersen FM, Nıelsen J, lbsen M. Low-flow isotlurane-nitrous oxide anaesthesia offers substantial economic advantages over high and medium flow isoflurane nitrous oxide anaesthesia. Acta Anaesthesiol Scand 1993; 37:509-512.
Perkins R, Meakin G. Economics of low-flow anaesthesia in children. Anaesthesia 1996; 51:1089- 1092.
Bengtson JP, Sonander H, Stequist O. Comparison of costs of different anaesthetic techniques. ACT A Anaesthesiol Scand 1988; 32:33- 35.
O'Callaghan AC, hawes DW, Ross JAS, White DC, Wloch RT. Uptake of isoflurane during clinical anaesthesia. Br J Anaesth 1983; 55:1061-1065.
Aldrete JA, Krulik D. A postanesthetic recovery score. Anesth Analg 1970; 49:924-933.
Atkinson RS, Rushman GB, Davies NJH. Anaesthetic Equipment. In : Lee's Synopsis of Anaesthesia, 11 th ed. Butterworth-Heinemann Ltd. Oxford, 1993: 108-117.
lgarashi M, Watanabe H, Iwasaki H, Maeda T. Low-flow anestesia with a newly developed anesthetic machine. Anesthesiology 1993; 79: 3A, A453.
Tomatır E, Sabuncu C, Şentürk Y. Minimal Akım Anestezisi Rutin Olarak Kullanılabilir mi ? Türk Anesteziyoloji ve Reanimasyon Mecmuası 1977; 25:257-262.
Özcengiz D, Özbek H. Oksijen ve Klinik Kullanımı. Anestezi El Kitabı Adana, Nobel Tıp Kitabevi 1998; s.209-211.
Olssan J, And Hahn RG. Analysis of ethanol in expired air during low-flow isoflurane. Br J Anaesth 1996; 76:85-89.
Curatolo M, Derıghetti M, Petersen, Felix S. Fuzzylogic control of inspired isoflurane and oxygen concantrations using minimal flow anesthesia. Br J Anaesth 1996; 76:245-250 .
lgarashi M, Watanabe H, lwasaki H, Namiki A. Clinical evaluation of low-flow · sevoflurane anaesthesia for paediatric patients. Acta Anaesthesiol Scand 1999; 43:19-23.
Gowrie -Mohan S, Chakrabarti MK, Lock Wood GG. The estimation of inspired isoflurane concentration in a low-flow system. Anaesthesi?, 1995; 50:706-708
Cotter SM, Petros AJ, Dore CJ, Barber ND, White DC. Low-flow anaestesia. Anaesthesia -F. }91; 46: 1009-1012.
Cravero J, Suida E, Manzi DJ, Rice LJ. Survey of low flow anesthesia use in tlıc United States. Anesthesiology 1996; 85:3A, A995
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