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The estimation of inspired desflurane concentration in a low-flow system
Authors:S. GOWRIE-MOHAN  V. MURALITHARAN  G. G. LOCKWOOD
Affiliation:S. Gowrie-Mohan, MB, BS, FRCA, Senior Registrar, V. Muralitharan, MB, BS, FFARCSI, Senior Registrar, G.G. Lockwood, BSc, MB, BS, FRCA, Senior Lecturer, Department of Anaesthesia, Hammersmith Hospital, Du Cane Road, London W12 OHS.
Abstract:We have examined the predictability of inspired desflurane concentration during low-flow anaesthesia using a to-and-fro breathing system. Twenty-two adult patients requiring mechanical ventilation of the lungs during surgery took part in the study. Using a fresh gas flow of 1 l.min1, the ratio of inspired desflurane concentration to desflurane vaporizer setting was found to be approximately 0.75 after 9 min of anaesthesia and at 2 l.min1 fresh gas flow the ratio was approximately 0.9 after 2 min of anaesthesia. These ratios were maintained throughout the procedure, except for a few minutes following each change in vaporizer setting.
Keywords:Anaesthetics, volatile    desflurane. Equipment    breathing systems, closed
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