Selection of inhalation anaesthetic when low-flow anaesthesia with automated control
- Authors: Gorban V.I1, Shchegolev A.V1, Aleksanin S.S1, Levshankov A.I1
-
Affiliations:
- Issue: Vol 337, No 12 (2016)
- Pages: 18-23
- Section: Articles
- URL: https://journals.eco-vector.com/0026-9050/article/view/73791
- DOI: https://doi.org/10.17816/RMMJ73791
- ID: 73791
Cite item
Full Text
Abstract
A comparative evaluation of low-flow (0,5 l/min) and inhalation anaesthesia with sevoflurane and desfluranom with automated control of the concentration of inhaled anaesthetic on the exhale (Et-control), with the use of advanced monitoring in 76 patients operated on for the pathology of the spine and spinal cord is given. It was found that when using continuous measuring the achievement of the target concentration of the anaesthetic sevoflurane is faster in the group. Total consumption of desflurane was two times higher. Hemodynamic, SPI index were stable at all stages of the operation in both groups.
Full Text
About the authors
V. I Gorban
Email: ms.gorban@inbox.ru
A. V Shchegolev
Email: alekseischegolev@gmail.com
S. S Aleksanin
A. I Levshankov
Email: anlev@inbox.ru
References
- Волчков В.А., Кубынин А.Н., Шиганов М.Ю. Севофлуран: пособие для врачей анестезиологов-реаниматологов и клинических фармакологов. - СПб, 2012. - 24 с.
- Левшанков А.И., Щеголев А.В., Фаизов И.И. Наиболее информативные показатели мониторинга при ингаляционной анестезии с минимальным и метаболическим газотоками // Вестн. интенсив. терапии. - 2013. - № 5. - С. 39-42.
- Лихванцев В.В., Ситников А.В., Субботин В.В. Современная общая анестезия с использованием парообразующих анестетиков // Вестн. интенсив. терапии. - 1997. - № 1/2. - С. 51-57.
- Лихванцев В.В., Субботин В.В., Ситников А.В. Некоторые этические и клинико-финансовые аспекты современной анестезиологии // Вестн. интенсив. терапии. - 1999. - № 1. - С. 12.
- Мощев Д.А., Лубнин А.Ю. Применение десфлурана в анестезиологии // Анестезиол. и реаниматол. - 2014. - № 1. - С. 63-65.
- Baum J. Low Flow Anaesthesia // Anaesthesist. - 1994. - Vol. 43, N 3. - P. 194-210.
- Lortat-Jacob B., Billard V., Buschke W. Assessing the clinical or pharmaco-economical benefit of target controlled desflurane delivery in surgical patients using the Zeus anaesthesia machine // J. Anaesthesia. - 2009. - Vol. 64. - P. 1229-1235.
- Potdar N.P., Kamat L.L., Save M.P. Cost efficiency of target-controlled inhalational anаesthesia // J. Anaesthesiol. Clin. Pharmacol. - 2014. - Vol. 30. - P. 222-227.
- Rohm K.D., Piper S.N., Suttner S. Early recovery, cognitive function and costs of a desflurane inhalational vs. a total intravenous anaesthesia regimen in long-term surgery // Acta Anaesthesiol. Scand. - 2006. - Vol. 50. - P. 14-18.
- Singaravelu S., Barclay P. Automated control of end-tidal inhalation anaesthetic concentration using the GE Aisys Carestation // Brit. J. Anaesth. - 2013. - Vol. 110, N 4. - P. 561-566.
- Tarek El. Hor, Van Der Linden Ph., De Hert S. Impact of Entropy Monitoring on Volatile Anаesthetic Uptake // Anаesthesiology. - 2013. - Vol. 118, N 4. - P. 868-873.