Why the study?
What is the rate of uptake of sevoflurane during clinical anaesthesia?
What is the rate of uptake of sevoflurane during clinical anaesthesia?
The study quantifies the cumulative uptake of sevoflurane during clinical anaesthesia in a closed breathing system.
First quantification of sevoflurane uptake in closed systems; leaves open validation before guiding anaesthetic practice.
The rate of uptake of sevoflurane during clinical anaesthesia (1.3 MAC) was measured by computer-controlled injection of liquid anaesthetic into a closed breathing system. The cumulative uptake of sevoflurane was 4.8 ml, 7.4 ml, 9.5 ml and 11.5 ml at 30, 60, 90 and 120 min, respectively. The ratio of inspired to end-expired sevoflurane was greater than similar measurements we have made for desflurane in the past, but the absolute rate of sevoflurane uptake was less than the rate of uptake of desflurane in these cases. The rate of uptake was equivalent to 059e-0.32t + 0.039e-0.036t + 0.105e-0.0034t ml.min-1 liquid sevoflurane. Plasma urea and creatinine measured on the first postoperative day were not significantly different from pre-operative values.
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Vagts et al. (1998) studied this question.
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