Target‐controlled inhalation induction with sevoflurane in children: a prospective pilot study

Fritsch, Nicolas; Nouette‐Gaulain, Karine; Bordes, M.; Semjen, F.; Meymat, Y.; Cros, A. M.

doi:10.1111/j.1460-9592.2008.02802.x

Cited by 19 publications

(11 citation statements)

References 21 publications

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“…For 3-15 years old group, inhalational induction was more frequently performed in academic hospitals than in nonacademic institutions (91% vs 77%, P < 0.05, n = 194). Six percent [3][4][5][6][7][8][9] (n = 196) of the anesthetists surveyed never used inhalational induction whatever the agegroup.…”

Section: Resultsmentioning

confidence: 99%

“…In daily pediatric anesthesia practice, age-related physiological specificities widen the range of clinical situations in which respiratory management is involved. Besides, technical features offered by anesthesia ventilators such as pressure support ventilation (PSV) (1) and target-controlled inhalation anesthesia can be applied to pediatric anesthesia (2,3). The impact of technical and knowledge evolutions on current practice can be evaluated by questionnaire surveys (4).…”

Section: Introductionmentioning

confidence: 99%

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An ADARPEF survey on respiratory management in pediatric anesthesia

Fesseau¹,

Alacoque

Larcher³

et al. 2014

Pediatric Anesthesia

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An ADARPEF survey on respiratory management in pediatric anesthesia

Fesseau¹,

Alacoque

Larcher³

et al. 2014

Pediatric Anesthesia

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“…Sevoflurane has been used widely as inhalation induction agent for pediatric and adults anesthesia 1-3, in which requiring a high fresh gas flow to be used to rapidly increase the circuit anesthetic concentration. Compound-A production during induction may be dependent on the rate of fresh gas flow and the concentration of sevoflurane used.…”

Section: Discussionmentioning

confidence: 99%

Sofnolime with Different Water Content Causes Different Effects in Two Sevoflurane Inhalational Induction Techniques with Respect to the Output of Compound-A

Liu¹,

Li²,

Sun³

et al. 2012

Int. J. Med. Sci.

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Objective: During sevoflurane anesthesia with Sofnolime for CO2 absorption, the factors affecting the production of compound A (a chemical is nepherotoxic) are still not clear. This study is designed to investigate the effects of different fresh gas flow during induction, the vital capacity induction (VCI) vs. the tidal volume breath induction (TBI) on the compound-A production with a fresh Sofnolime or a dehydrated Sofnolime using a simulated lung model.Method: The experiments were randomly divided into four groups: group one, VCIf, vital capacity fresh gas inflow with fresh Sofnolime; group two, TBIf, tidal volume breath fresh gas inflow with fresh Sofnolime; group three, VCId, vital capacity fresh gas inflow with dehydrated Sofnolime, and group four, TBId, tidal volume breath fresh gas inflow with dehydrated Sofnolime. The inspired sevoflurane was maintained at 8%, the concentrations of compound-A were assayed using Gas-spectrum technique, and Sofnolime temperatures were monitored at 1-min intervals throughout the experiment.Results: The mean and maximum concentrations of compound A were significantly higher in the vital capacity group than the tidal volume breath group (P<0.01). At the beginning of anesthesia maintenance, the compound-A concentration in group VCIf was 36.28±6.13 ppm, which was significantly higher than the 27.32±4.21 ppm observed in group TBIf (P<0.01). However, these values decreased to approximately 2 ppm in the dehydrated Sofnolime groups. Sofnolime temperatures increased rapidly in the dehydrated Sofnolime groups but slowly in the fresh Sofnolime groups.Conclusion: With fresh Sofnolime, vital capacity induction increased compound-A production in the circuit system compared with tidal volume breath induction. However, with dehydrated Sofnolime, the effects of the two inhalation induction techniques on compound-A output were not significantly different.

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“…During the process of acquiring of an anesthesia ventilator, the user should also look at several modalities for delivering volatile anaesthetic administration: the possibility of target-controlled inhalation that can lead to reduction in gas and halogenated anesthetics consumption without hemodynamic effects [11][12][13][14]; the wash-in time for halogenated anesthetics agents [15] or the ability to function with very low fresh gas flow.…”

Section: Key Elements To Not Forget During a Process For Acquisition mentioning

confidence: 99%

How to choose an anesthesia ventilator?

Coisel

Millot

Carr

et al. 2014

Annales Françaises d'Anesthésie et de Réanimation

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Target‐controlled inhalation induction with sevoflurane in children: a prospective pilot study

Abstract: The Felix AInOC allows TCII to be performed satisfactorily in children. Manual inhalation induction induced a higher number of adjustments and overdosages.

Cited by 19 publications

References 21 publications

An ADARPEF survey on respiratory management in pediatric anesthesia

An ADARPEF survey on respiratory management in pediatric anesthesia

Sofnolime with Different Water Content Causes Different Effects in Two Sevoflurane Inhalational Induction Techniques with Respect to the Output of Compound-A

How to choose an anesthesia ventilator?

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