A comparison of vital capacity breath and tidal breathing techniques for induction of anaesthesia with high sevoflurane concentrations in nitrous oxide and oxygen

Yurino, Masaki; Kimura, Hiroyuki

doi:10.1111/j.1365-2044.1995.tb04605.x

Cited by 104 publications

(65 citation statements)

References 5 publications

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“…A vitalcapacity single-breath induction is possible with sevoflurane because of its lack of pungency and has been shown to be faster than a tidal breathing technique [7]. A possible advantage of using an inhalational induction is the convenience of using one agent and the absence of the time lag between intravenous induction and uptake of the volatile agent.…”

Section: Discussionmentioning

confidence: 99%

Comparison of sevoflurane and propofol with rocuronium for modified rapid‐sequence induction of anaesthesia

et al. 1999

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SummaryWe compared the use of sevoflurane and propofol with three different doses of rocuronium for modified rapid-sequence induction of anaesthesia. One hundred and forty adult patients were randomly allocated to have a rapid-sequence intravenous induction with propofol 2-3 mg.kg ¹1 (group P) or an inhalational induction with sevoflurane 8% in oxygen, using a vital capacity technique (group S). Following loss of the eyelash reflex, cricoid pressure was applied and 20 patients in each group were administered rocuronium 0.3 (groups P/0.3 and S/0.3), 0.45 (groups P/0.45 and S/0.45) or 0.6 (groups P/0.6 and S/0.6) mg.kg ¹1. An additional 10 patients in each group received only saline placebo in place of the muscle relaxant (groups P/Saline and S/Saline). Laryngoscopy was started 60 s later and intubating conditions evaluated by a blinded anaesthetist according to a standard scoring system. Intubating conditions were acceptable in one patient and no patient, respectively, following induction with sevoflurane and propofol without the muscle relaxant. The conditions were acceptable in 30, 55 and 90% of subjects with sevoflurane induction, and in 45, 80 and 90% of subjects with propofol induction following 0.3, 0.45 and 0.6 mg.kg ¹1 of rocuronium, respectively (no significant difference for each dose of rocuronium). The present study shows that intubating conditions during a rapid-sequence induction using rocuronium 0.6 mg.kg ¹1 following induction of anaesthesia with sevoflurane or propofol are similar.

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Section: Discussionmentioning

confidence: 99%

Comparison of sevoflurane and propofol with rocuronium for modified rapid‐sequence induction of anaesthesia

et al. 1999

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“…Both provide safe anaesthesia and have the advantages of offering rapid emergence compared with conventional anaesthesia, together with a reduction in the number of drugs required for induction and maintenance. 7,8 Although both techniques are commonly used, to the authors' knowledge there are few reports comparing TIVA using propofol and remifentanil and VIMA using sevoflurane alone without the use of additional intra-operative analgesic agents. This prospective, randomized study compared the effects of these two anaesthesia techniques on peri-operative anaesthetic profiles from induction to recovery, and on immunological and neurohormonal responses to anaesthesia and surgical stress.…”

Section: Stress Hormone Responses and Characteristics Of Two Anaesthementioning

confidence: 99%

Comparison of Stress Hormone Response, Interleukin-6 and Anaesthetic Characteristics of Two Anaesthetic Techniques: Volatile Induction and Maintenance of Anaesthesia using Sevoflurane versus Total Intravenous Anaesthesia using Propofol and Remifentanil

et al. 2009

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This prospective randomized study compared the effects of two types of anaesthesia on peri-operative anaesthetic profiles from induction to recovery and on immunological and neurohormonal responses to anaesthesia and surgical stress. Forty patients were assigned to undergo either volatile induction and maintenance of anaesthesia (VIMA) with sevoflurane or total intravenous anaesthesia (TIVA) with propofol and remifentanil. Plasma adrenaline, noradrenaline, cortisol, glucose and interleukin-6 (IL-6) levels were measured at baseline, induction, incision and extubation. TIVA produced a significantly lower intubation score, shorter time to intubation and faster waking time than VIMA, but recovery profiles did not differ. Adrenaline, noradrenaline, cortisol and glucose levels were significantly lower with TIVA than VIMA, but there was no difference in IL-6 levels between the two groups.TIVA with propofol and remifentanil may be preferable to VIMA with sevoflurane alone because it leads to smoother, more rapid induction, more rapid awakening and lower stress responses to surgical stimuli.

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“…Sevoflurane's low blood:gas solubility and lack of pungency allow the inhalation of high concentrations which permits a rapid rise in the ratio of its fractional alveolar to inspired concentration [4]. Conventionally, inhalational induction in adults is administered with low concentrations of an anaesthetic, gradually increasing the inspired concentration to minimise coughing and breathholding, while deepening anaesthesia [5,6].…”

mentioning

confidence: 99%

Induction characteristics with 3% and 8% sevoflurane in adults: an evaluation of the second stage of anaesthesia and its haemodynamic consequences

2000

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SummaryThe second stage of anaesthesia was examined during 3 and 8% sevoflurane induction to see if any shortening of its duration was at the expense of cardiovascular stability. Fourteen volunteers underwent consecutive, randomly ordered inductions. Pupil size, skin sympathetic activity, plasma catecholamines, blood pressure and heart rate were measured. Eight per cent sevoflurane produced significantly shorter times to loss of consciousness (mean 68 s (SD 18) vs. mean 150 s (SD38)) and durations of second stage (mean 58 s (SD 38) vs. mean 91 s (SD 46)). Blood pressure, heart rate and sympathetic nerve responses were the same in both groups. Compared with baseline, skin sympathetic activity was greatest during pre-oxygenation (not significant) and unaltered during second stage. Both groups showed significantly increased plasma norepinephrine and heart rate and decreased blood pressure from baseline. Eight per cent sevoflurane induction produced a shorter second stage than 3% with equal cardiovascular stability and the same sympathetic response.

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A comparison of vital capacity breath and tidal breathing techniques for induction of anaesthesia with high sevoflurane concentrations in nitrous oxide and oxygen

Abstract: Summary

Cited by 104 publications

References 5 publications

Comparison of sevoflurane and propofol with rocuronium for modified rapid‐sequence induction of anaesthesia

Comparison of sevoflurane and propofol with rocuronium for modified rapid‐sequence induction of anaesthesia

Comparison of Stress Hormone Response, Interleukin-6 and Anaesthetic Characteristics of Two Anaesthetic Techniques: Volatile Induction and Maintenance of Anaesthesia using Sevoflurane versus Total Intravenous Anaesthesia using Propofol and Remifentanil

Induction characteristics with 3% and 8% sevoflurane in adults: an evaluation of the second stage of anaesthesia and its haemodynamic consequences

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