A comparison of consumption and recovery profiles according to anaesthetic circuit mode using a new multifunctional closed-circuit anaesthesia system during desflurane anaesthesia: A clinical study

J. Y. Park, Hye Won Shin, S. K. Jeon, Sung Uk Choi, Woon Young Kim, Hye Won Lee, Hae Ja Lim, S. M. Yoon, S. H. Chang

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

This clinical study compared induction time, consumed anaesthetic dose, and haemodynamic and recovery profiles when using a new type of multifunctional anaesthesia machine (Zeus® ) in semiclosed or closed circuit modes. Sixty female patients undergoing gynaecological surgery were randomly assigned to three groups and received desflurane anaesthesia through a semi-closed circuit (SCC) at fresh gas flow rates of 4 l/min (SCC 4 l/min) or 2 l/min (SCC 2 l/min), or through a closed circuit (CC). Anaesthesia was maintained at the minimum alveolar concentration for blocking the adrenergic response to painful stimulus (MACBAR) (4.6% end-tidal desflurane) during each operation. The time required to reach MACBAR was significantly shorter and the dose of desflurane was significantly smaller in the CC group compared with the other groups. There were no differences in haemodynamic and recovery profiles between the groups. It is concluded that the CC mode allowed a faster and more reliable induction, lower anaesthetic consumption and stable haemodynamic and recovery profiles.

Original languageEnglish
Pages (from-to)160-168
Number of pages9
JournalJournal of International Medical Research
Volume38
Issue number1
DOIs
Publication statusPublished - 2010 Jan 1

Fingerprint

Closed-Circuit Anesthesia
Anesthetics
Anesthesia
Hemodynamics
Recovery
Adrenergic Agents
Networks (circuits)
Gynecologic Surgical Procedures
Gases
Clinical Studies
desflurane
Surgery
Flow of gases
Flow rate

Keywords

  • Anaesthesia consumption
  • Closed circuit anaesthesia
  • Desflurane
  • Fresh gas flow
  • Semi-closed circuit anaesthesia

ASJC Scopus subject areas

  • Biochemistry
  • Cell Biology
  • Biochemistry, medical

Cite this

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abstract = "This clinical study compared induction time, consumed anaesthetic dose, and haemodynamic and recovery profiles when using a new type of multifunctional anaesthesia machine (Zeus{\circledR} ) in semiclosed or closed circuit modes. Sixty female patients undergoing gynaecological surgery were randomly assigned to three groups and received desflurane anaesthesia through a semi-closed circuit (SCC) at fresh gas flow rates of 4 l/min (SCC 4 l/min) or 2 l/min (SCC 2 l/min), or through a closed circuit (CC). Anaesthesia was maintained at the minimum alveolar concentration for blocking the adrenergic response to painful stimulus (MACBAR) (4.6{\%} end-tidal desflurane) during each operation. The time required to reach MACBAR was significantly shorter and the dose of desflurane was significantly smaller in the CC group compared with the other groups. There were no differences in haemodynamic and recovery profiles between the groups. It is concluded that the CC mode allowed a faster and more reliable induction, lower anaesthetic consumption and stable haemodynamic and recovery profiles.",
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