Inhalational induction of anaesthesia in adults: time for a breath of fresh air?

McClelland, Siobhan; Hardman, Jonathan G.

doi:10.1111/j.1365-2044.2007.05343.x

Cited by 6 publications

(4 citation statements)

References 26 publications

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“…8 McClelland stated that in obstetric patients volatile anaesthetic induction can be used in place of intravenous induction. 9 Kirkbride DA et al observed that sevoflurane induction in elderly patients is well tolerated and mean arterial pressure is maintained. 10 In our study difference in heart rate between two groups was statistically significant at 1 min., 2 min.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of sevoflurane induction using continuous tidal volume breaths versus three vital capacity breaths technique in adult patients undergoing elective surgical procedures under general anaesthesia

Manik¹,

Dhama²,

Subhash³

et al. 2020

IJCA

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Introduction: Previous studies have shown stable cardiovascular parameters and minimal airway irritation with sevoflurane induction in adults. Also, time taken for induction is comparable to intravenous drugs. The authors planned to conduct a randomized, control study to compare the effect of continuous tidal volume breaths versus three vital capacity breaths for sevoflurane induction on time taken for induction, haemodynamic parameters and intubating conditions in adult patients undergoing elective surgery under general anaesthesia. Materials and Methods: Sixty patients planned to undergo elective surgical procedures under general anaesthesia were included in study. Patients were divided randomly using sealed opaque envelope method in group 1 and group 2 of thirty patients each. Group 1 patients received continuous tidal volume breath and group 2 patients received three vital capacity breaths. The statistical analysis was done using IBM SPSS Statistics Software Version 15.0. The independent samples Student t-test was used to determine the differences in basic clinical characteristics, mean Arterial Pressure, heart Rate, and intubation time between the two groups. Quantitative data were evaluated by chi square test. Any p value less than 0.05 was considered as significant. Result: Variation in heart rate between two groups was statistically significant at 1 min. (p=0.04), 2 min. (p=0.01) and 3 min. (p=0.004) after start of induction. The time taken for loss of consciousness was significantly less in vital capacity induction group. (p <0.001) Intubating conditions were better in group2 (optimal, good in 90% and 10% participants respectively) as compared to group1 (optimal, good in 76.67% and 23.33% participants respectively). Conclusion: Heart rate and mean arterial pressure remain stable during sevoflurane induction in adult patients using three vital capacity breath or tidal volume breath technique. Intubating conditions are better and time taken to lose consciousness is less with vital capacity breaths.

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Section: Discussionmentioning

confidence: 99%

A comparative study of sevoflurane induction using continuous tidal volume breaths versus three vital capacity breaths technique in adult patients undergoing elective surgical procedures under general anaesthesia

Manik¹,

Dhama²,

Subhash³

et al. 2020

IJCA

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“…Inhalation agents may be preferred for GA induction when spontaneous breathing is desired. In the case of airway obstruction, there is a decreased uptake of the anesthetic and the patient is gradually re-awakened, preventing the occurrence of apnea [15].…”

Section: Figure 3: Conventional Face Mask In the Inverted Positionmentioning

confidence: 99%

Induction of General Anesthesia and Mask Ventilation With a Full-Face Continuous Positive Airway Pressure Mask in a Patient With a Nose Deformity

Bertasi

Gruenbaum

et al. 2020

Cureus

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“…Sevoflurane gas induction is the conventional approach for anesthetic induction in pediatric patients. It also serves multiple functions, including difficult airway management, rapid sequence anesthetic induction, and day-care anesthesia administration [ 1 ]. Inhalational induction has recently emerged as a safer anesthetic technique for elderly people and patients with limited cardiovascular reserve [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Sevoflurane Induction With Snorkel Technique in an Adult With Mask and Needle Phobia

Vaithialingam,

Raju

2024

Cureus

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Snorkel breathing involves mouth breathing into a snorkel tube and is necessary for underwater activities. Anesthesiologists may have difficulty when dealing with adults who have a concomitant face mask and needle fear because both inhalation and intravenous induction cannot be performed. This case report describes a novel use of the snorkel breathing technique for anesthetic gas induction in an adult with face mask fear. A 24-year-old female with mask and needle fear underwent a craniotomy and biopsy of a frontal lesion while under general endotracheal anesthesia. During anesthesia induction, the patient was directed to hold the breathing tube tightly between her lips and breathe via her mouth into it with sevoflurane at 8% dial setting and 6 L/min of fresh gas flow. The snorkel approach was effectively used to induce anesthesia with better patient cooperation, and an intravenous cannula was inserted.

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Inhalational induction of anaesthesia in adults: time for a breath of fresh air?

Cited by 6 publications

References 26 publications

A comparative study of sevoflurane induction using continuous tidal volume breaths versus three vital capacity breaths technique in adult patients undergoing elective surgical procedures under general anaesthesia

A comparative study of sevoflurane induction using continuous tidal volume breaths versus three vital capacity breaths technique in adult patients undergoing elective surgical procedures under general anaesthesia

Induction of General Anesthesia and Mask Ventilation With a Full-Face Continuous Positive Airway Pressure Mask in a Patient With a Nose Deformity

Sevoflurane Induction With Snorkel Technique in an Adult With Mask and Needle Phobia

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