Document Detail


Usefulness of an anesthetic conserving device (AnaConDaTM) in sevoflurane anesthesia.
MedLine Citation:
PMID:  22240619     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: The anesthetic conserving device (AnaConDa) is a disposable vaporizer that can save consumption of inhalational anesthetic used in low sevoflurane concentration. This study was performed to investigate whether AnaConDa when used at high sevoflurane concentration (1.5% to 2.0%) could save sevoflurane consumption and fasten emergence from anesthesia without any adverse effects. METHODS: Thirty patients for ear surgery were equally divided into AnaConDa and control groups. Anesthesia was induced with intravenous anesthetics. After intubation sevoflurane inhalation started by infusion at 25 mL/h in the AnaConDa group and by inhalation of 2.0% (conventional vaporizer setting) in the control group. During anesthesia, end-tidal sevoflurane concentration was kept between 1.5 and 2.0% in both groups. The time to first detection of end-tidal sevoflurane, the time to sevoflurane concentration reached 1.5%, sevoflurane consumption, and emergence time were compared between the two groups. Adverse effects were checked. RESULTS: Sevoflurane consumption was smaller, time to first detection of end-tidal sevoflurane was longer, time to sevoflurane concentration reached 1.5% was longer, emergence time was shorter, and decrease of end-tidal sevoflurane concentration after stop of administration was faster in the AnaConDa group significantly. Clear Water accumulation with no smell in the filter was observed in 12 of 15 patients in the AnaConDa group. CONCLUSION: In general anesthesia with sevoflurane 1.5% to 2.0%, AnaConDa could save sevoflurane consumption and fasten emergence from anesthesia compared to conventional vaporizer, while water accumulation in the filter should be cautioned.
Authors:
T Nishiyama; Y Kohno; M Ozaki; K Koishi
Related Documents :
15291409 - Use of clonidine to decrease intestinal fluid losses in patients with high-output short...
7429119 - Analysis of patients referred to a gastroenterologist practicing in a community hospital.
2496959 - Intestinal adaptation in patients with short bowel syndrome. measurement by calcium abs...
8277179 - Treatment with albendazole for intestinal disease due to enterocytozoon bieneusi in pat...
18218289 - Otc laxative use of sodium picosulfate â results of a pharmacy-based patient survey (c...
10401819 - Surgical approaches to improving intestinal function in the short-bowel syndrome.
14738629 - Laparoscopic excision of very large myomas.
7699379 - Clinical and roentgenographic results of cementless total hip arthroplasty.
3915279 - Peroperative systemic prophylaxis in colorectal surgery.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-12
Journal Detail:
Title:  Minerva anestesiologica     Volume:  -     ISSN:  1827-1596     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375272     Medline TA:  Minerva Anestesiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Anesthesiology and Critical Care, Higashi Omiya General Hospital, 5-18 Higashi Omiya Minuma-ku, - nishit-tky@umin.ac.jp.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Use of pulse pressure variation to estimate changes in preload during experimental acute normovolemi...
Next Document:  The optimal effect site concentration of remifentanil in combination with intravenous midazolam and ...