The comparison of the effects of low and high flow desflurane anesthesia on hemodynamic effects and anesthetic gas consumption [Düşük ve yüksek akimli desfluran anestezisinin hemodinamiye ve anestezik gaz tüketimine etkilerinin karşilaş tirilmasi]

We investigated the effects of desflurane anesthesia with high and low fresh gas flows on hemodynamic stability and desflurane consumption. After obtaining ethical comittee approval, 60 patients in the ASA risk groups I-II were included in the study. After anesthesia induction, the anesthesia maintenance was performed during the first 10 minutes with 4,4 L min -1 fresh gas flow and desflurane (4-6%) in all cases. The fresh gas flow was reduced to 1 L min-1 after 10 minutes whereas it was maintained as 4,4 L min-1 in Group N after the randomization of the patients into two groups. Heart rate (HR), mean arterial pressure (MAP), peripheral O2 saturation (SPO2), inspiratory desflurane (FiDes), expiratory desflurane (ETDes), inspiratory O2 (FiO 2), inspiratory CO2 (FiCO2), expiratory O 2 (ETO2), inspiratory N2O (FiN2O), expiratory N2O (ETN2O), end-tidal CO2 concentrations (ETCO2) and peak airway pressure (Pplateau) values were measured and recorded at 0., 2., 5., 7. and 10. minutes after intubation and every 5 minutes in first 60 minutes and every 15 minutes later on. The total amounts of fentanyl, desflurane, N2O and O2 were also recorded. There were no significant differences between the groups in terms of HR, MAP, FiDes, ETDes, ETCO2, Pplateau and total fentanyl consumption. The O2, N2O and desflurane consumptions of Group N were lower than those of Group N. (p<0.05) The desflurane consumption was 78 mL h-1 in group N and 26 mL h-1 in Group D. The hourly reduction rate of desflurane consumption was 67% in Group D. According to our results, we conclude that desflurane has provided an efficient anesthesia depth, hemodynamic stability and safe respiratory parameters in low flow anesthesia. Moreover, the low flow anesthesia with desflurane reduces the anesthetic costs when compared with high flow anesthesia by decreasing the total consumption of anesthetic gases.

Yazar Çukdar, Gamze
Turan Özkoçak, Işıl
Ayoğlu, Hilal
Hancı, Volkan
Yurtlu, Serhan
Özer, Yetkin
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/7879
Konu Başlıkları Anesthetic gases consumption
Cost
Desflurane
Low-flow anesthesia
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
Dergi Cilt Bilgisi 36
Dergi Sayısı 4
Sayfalar 222 - 229
Yayın Yılı 2008
Eser Adı
[dc.title]
The comparison of the effects of low and high flow desflurane anesthesia on hemodynamic effects and anesthetic gas consumption [Düşük ve yüksek akimli desfluran anestezisinin hemodinamiye ve anestezik gaz tüketimine etkilerinin karşilaş tirilmasi]
Yazar
[dc.contributor.author]
Çukdar, Gamze
Yazar
[dc.contributor.author]
Turan Özkoçak, Işıl
Yazar
[dc.contributor.author]
Ayoğlu, Hilal
Yazar
[dc.contributor.author]
Hancı, Volkan
Yazar
[dc.contributor.author]
Yurtlu, Serhan
Yazar
[dc.contributor.author]
Özer, Yetkin
Yayın Yılı
[dc.date.issued]
2008
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
We investigated the effects of desflurane anesthesia with high and low fresh gas flows on hemodynamic stability and desflurane consumption. After obtaining ethical comittee approval, 60 patients in the ASA risk groups I-II were included in the study. After anesthesia induction, the anesthesia maintenance was performed during the first 10 minutes with 4,4 L min -1 fresh gas flow and desflurane (4-6%) in all cases. The fresh gas flow was reduced to 1 L min-1 after 10 minutes whereas it was maintained as 4,4 L min-1 in Group N after the randomization of the patients into two groups. Heart rate (HR), mean arterial pressure (MAP), peripheral O2 saturation (SPO2), inspiratory desflurane (FiDes), expiratory desflurane (ETDes), inspiratory O2 (FiO 2), inspiratory CO2 (FiCO2), expiratory O 2 (ETO2), inspiratory N2O (FiN2O), expiratory N2O (ETN2O), end-tidal CO2 concentrations (ETCO2) and peak airway pressure (Pplateau) values were measured and recorded at 0., 2., 5., 7. and 10. minutes after intubation and every 5 minutes in first 60 minutes and every 15 minutes later on. The total amounts of fentanyl, desflurane, N2O and O2 were also recorded. There were no significant differences between the groups in terms of HR, MAP, FiDes, ETDes, ETCO2, Pplateau and total fentanyl consumption. The O2, N2O and desflurane consumptions of Group N were lower than those of Group N. (p<0.05) The desflurane consumption was 78 mL h-1 in group N and 26 mL h-1 in Group D. The hourly reduction rate of desflurane consumption was 67% in Group D. According to our results, we conclude that desflurane has provided an efficient anesthesia depth, hemodynamic stability and safe respiratory parameters in low flow anesthesia. Moreover, the low flow anesthesia with desflurane reduces the anesthetic costs when compared with high flow anesthesia by decreasing the total consumption of anesthetic gases.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
tur
Konu Başlıkları
[dc.subject]
Anesthetic gases consumption
Konu Başlıkları
[dc.subject]
Cost
Konu Başlıkları
[dc.subject]
Desflurane
Konu Başlıkları
[dc.subject]
Low-flow anesthesia
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1304-0871
İlk Sayfa Sayısı
[dc.identifier.startpage]
222
Son Sayfa Sayısı
[dc.identifier.endpage]
229
Dergi Adı
[dc.relation.journal]
Turk Anesteziyoloji ve Reanimasyon Dernegi Dergisi
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
36
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/7879
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
16
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 09:00
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Tıklayınız
desflurane anesthesia minutes consumption inspiratory expiratory groups pressure fentanyl hemodynamic stability recorded patients anesthetic Pplateau consumptions between significant amounts differences results decreasing compared reduces Moreover parameters respiratory efficient provided conclude According reduction hourly intubation performed
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