Use of isoflurane in closed circuit. Measurement of anesthetic uptake. 1984

J A Ross, and A C O'Callaghan, and D W Hawes, and R T Wloch, and D C White

A totally closed circuit is described into which a liquid volatile anesthetic is injected by a servomechanism to maintain end-tidal anesthetic concentration at a constant preset level during positive pressure ventilation. This equipment has been used to measure the uptake of isoflurane, at an end-tidal concentration of 1.55% (1.3 MAC) in the first half hour of anesthesia in 26 patients undergoing elective surgery. The rate of uptake was found to be rapid initially but became constant after 15 minutes. Uptake varied considerably, the standard deviation of the rate of uptake being approximately one third of the mean at any one time. The total uptake of isoflurane at 30 minutes was correlated with 5 anthropometric variables, body surface area, body weight, body weight 3/4, fat free body mass and fat body mass. Significant (P less than .01) correlations were found with the first four of these, the best being with surface area (correlation coefficient 0.629). No anthropometric variable provided a correlation on which anesthetic dose could be reliably predicted and we therefore conclude that administration of isoflurane in a closed circuit is best controlled in response to direct in-circuit analysis. Methods based on anthropometric variables will be inaccurate.

UI MeSH Term Description Entries
D007530 Isoflurane A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
D008297 Male Males
D008738 Methyl Ethers A group of compounds that contain the general formula R-OCH3. Ethers, Methyl
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009929 Organ Size The measurement of an organ in volume, mass, or heaviness. Organ Volume,Organ Weight,Size, Organ,Weight, Organ
D001830 Body Surface Area The two dimensional measure of the outer layer of the body. Area, Body Surface,Areas, Body Surface,Body Surface Areas,Surface Area, Body,Surface Areas, Body
D001835 Body Weight The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms. Body Weights,Weight, Body,Weights, Body
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000273 Adipose Tissue Specialized connective tissue composed of fat cells (ADIPOCYTES). It is the site of stored FATS, usually in the form of TRIGLYCERIDES. In mammals, there are two types of adipose tissue, the WHITE FAT and the BROWN FAT. Their relative distributions vary in different species with most adipose tissue being white. Fatty Tissue,Body Fat,Fat Pad,Fat Pads,Pad, Fat,Pads, Fat,Tissue, Adipose,Tissue, Fatty

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