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Can We Practise Safe, Simple Closed-Circuit Anaesthesia without Extensive Monitoring or Calculus?

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Book cover Closed-Circuit System and Other Innovations in Anaesthesia

Abstract

In the past, uncertainty regarding the inspiratory concentration during closed-circuit anaesthesia made the clinical application of closed-circuit unpopular. However, the new concepts in uptake of inhalation anaesthetic [1] including (1) uptake is at its peak at the end of functional residual capacity (FRC) wash-in and remains near constant for a given inspired anaesthetic concentration; (2) uptake depends on inspired concentration- if the inspired concentration increases, uptake increases; and (3) large circuit volume and FRC serve as buffers; allowing closedcircuit anaesthesia to be practiced with simplicity and with minimal requirement of monitoring equipment.

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References

  1. Lin CY, Mostert JW, Benson DW (1980) Closed circle systems. A new direction in the practice of anesthesia. Acta Anaesthesiol Scand 24:354–361

    Article  PubMed  CAS  Google Scholar 

  2. Severinghaus JW (1954) Rate of uptake of nitrous oxide in man. J Clin Invest 33:1183–1189

    Article  PubMed  CAS  Google Scholar 

  3. Lowe HJ (1981) The anesthetic continum in low flow and closed system anesthesia. In: Aldrete JA, Lowe HJ, Virtue RW (eds) Closed Circuit Anaesthesia. Grune and Stratton, New York, pp 11–37

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  4. Mapleson WW (1973) Circulation-time models of the uptake of inhalation anaesthetics and data for quantifying them. Br J Anaesth 45:319–334

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  5. Pipper J (1981) Blood-gas equilibration in lungs and pulmonary diffusion capacity. Prog Resp Res 16:115–125

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  6. Eger El (1974) Anesthesia uptake and action. Williams and Wilkins, Baltimore

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© 1986 Springer-Verlag Berlin Heidelberg

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Lin, CY. (1986). Can We Practise Safe, Simple Closed-Circuit Anaesthesia without Extensive Monitoring or Calculus?. In: Droh, R., Spintge, R. (eds) Closed-Circuit System and Other Innovations in Anaesthesia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71328-6_10

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  • DOI: https://doi.org/10.1007/978-3-642-71328-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-16691-7

  • Online ISBN: 978-3-642-71328-6

  • eBook Packages: Springer Book Archive

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