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Anaesth Intensive Care · Feb 2000
Sevoflurane anaesthesia with the Komesaroff vaporizer inside the circle system.
- S S Dhara and E H Liu.
- Department of Anaesthesia, National University Hospital, Singapore, Republic of Singapore.
- Anaesth Intensive Care. 2000 Feb 1;28(1):58-61.
AbstractThis study assessed the safety of sevoflurane anaesthesia using two Komesaroff vaporizers inside the circle with both spontaneous and controlled ventilation. Sevoflurane concentrations were continuously monitored using a mass spectrometer and the anaesthetic depth was easily controlled. Involuntary movements occurred in eight patients and breath-holding occurred in five patients after inhalational induction. With continuous monitoring of sevoflurane concentrations, induction and maintenance of anaesthesia using a vaporizer inside the circle is safe during both controlled and spontaneous ventilation. However the high incidence of involuntary movements may limit the feasibility of induction in spontaneously breathing patients.
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