The anesthetic conserving device compared with conventional circle system used under different flow conditions for inhaled anesthesia.

Abstract:

UNLABELLED:The Anesthetic Conserving Device (ACD) is a high-flow anesthesia system closed to volatile anesthetics only. We compared the ACD with a circle system under different fresh gas flow (FGF) conditions. Eighty-one patients undergoing major surgery were randomly allocated to receive sevoflurane from a circle circuit combined either with the ACD placed at the Y-piece (n = 41) or with a vaporizer (n = 40). The FGF was set to 8 L/min in the ACD system, where the circle circuit served as a nonrebreather. In the conventional circle system without ACD, the vaporizer was supplied with 1-, 1.5-, 3-, and 6-L/min FGFs. We compared the ACD with the circle system under the four FGFs in terms of sevoflurane dosing, sevoflurane consumption, humidification efficiency, and environmental pollution. The ACD and the low-flow circle system (1.5- and 1-L/min FGFs) resulted in the smallest sevoflurane consumption. The increase in inspired sevoflurane concentration was faster with the circle system than with the ACD only with FGFs > or =3 L/min. The removal of ACD from the circuit allowed the fastest washout of sevoflurane. Respiratory gas humidification was always adequate. Sevoflurane ambient concentration with the ACD was 1-70 ppb. The ACD is a valid and simple alternative to low-flow systems. IMPLICATIONS:The Anesthetic Conserving Device (ACD) is a new device for anesthetic vapor delivery. We demonstrated that the ACD reduces anesthetic consumption and environmental pollution similarly to a low-flow circle system, offering advantages such as simplicity, no toxicity from compounds produced in the absorber, and potential cost savings.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Tempia A,Olivei MC,Calza E,Lambert H,Scotti L,Orlando E,Livigni S,Guglielmotti E

doi

10.1213/01.ane.0000050558.89090.95

subject

Has Abstract

pub_date

2003-04-01 00:00:00

pages

1056-61, table of contents

issue

4

eissn

0003-2999

issn

1526-7598

journal_volume

96

pub_type

临床试验,杂志文章,随机对照试验
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    doi:10.1213/ANE.0000000000001865

    authors: Thiele RH

    更新日期:2017-06-01 00:00:00

  • Prepared endotracheal tubes: are they a potential source for pathogenic microorganisms?

    abstract:UNLABELLED:Prepared endotracheal tubes (PETTs) are frequently used for unanticipated difficult intubation, but their storage time is highly variable and institution-dependent. We sought to determine first, if open, unused PETTs are a potential source of pathogenic microorganisms, and second, if PETTs can provide a medi...

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    doi:10.1213/01.ane.0000082241.56353.97

    authors: Rasic NF,Friesen RM,Anderson B,Hoban SA,Olson N,Kress J

    更新日期:2003-10-01 00:00:00

  • Serotonergic activity in man as a function of pain, pain mechanisms, and depression.

    abstract::Lumbar cerebrospinal fluid levels of 5-hydroxyindoleacetic acid, which are used as indicators of central nervous system serotonergic neuronal activity, were significantly higher in 67 patients with chronic pain and in 32 patients with acute pain (23.6 +/- 3.3 and 23.1 +/- 3.8, respectively) than in 30 patients (8.8 +/...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Ghia JN,Mueller RA,Duncan GH,Scott DS,Mao W

    更新日期:1981-12-01 00:00:00

  • Methadone for the induction of anesthesia: plasma histamine concentration, arterial blood pressure, and heart rate.

    abstract:UNLABELLED:Despite the widespread use of methadone for the treatment of acute and chronic pain, the hemodynamic effects of methadone administered by IV bolus have not been studied. We compared the hemodynamic effects of an IV bolus of methadone 20 mg with those of fentanyl 10 microg/kg for the induction of anesthesia i...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1213/01.ane.0000114085.20751.20

    authors: Bowdle TA,Even A,Shen DD,Swardstrom M

    更新日期:2004-06-01 00:00:00

  • Role of intracellular Ca2+ pools in the effects of halothane and isoflurane on vascular smooth muscle contraction.

    abstract::We examined the effect of halothane and isoflurane on contraction in the vascular smooth muscle of rat thoracic aorta simultaneously with the cytosolic Ca2+ levels ([Ca2+]i). Isolated spiral strips of rat thoracic aorta were suspended for isometric tension recordings in physiologic salt solution. The [Ca2+]i was measu...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/00000539-199406000-00006

    authors: Tsuchida H,Namba H,Seki S,Fujita S,Tanaka S,Namiki A

    更新日期:1994-06-01 00:00:00

  • Adding fentanyl 0.0002% to epidural bupivacaine 0.125% does not delay gastric emptying in laboring parturients.

    abstract::Previous studies have shown that bolus doses of fentanyl (50 and 100 micrograms) with epidural bupivacaine delay gastric emptying by up to 45 min. We studied the effect of the addition of small-dose fentanyl to epidural bupivacaine infusions on gastric emptying during labor. The acetaminophen absorption technique was ...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199603000-00032

    authors: Zimmermann DL,Breen TW,Fick G

    更新日期:1996-03-01 00:00:00

  • The pain visual analog scale: is it linear or nonlinear?

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000539-199912000-00038

    authors: Myles PS,Troedel S,Boquest M,Reeves M

    更新日期:1999-12-01 00:00:00

  • A comparison of the effect on dispersion of repolarization of age-adjusted MAC values of sevoflurane in children.

    abstract:BACKGROUND:QT interval prolongation is associated with torsades des pointes (TdP), but is a poor predictor of drug torsadogenicity. Susceptibility to TdP arises from increased transmural dispersion of repolarization (TDR) across the myocardial wall, rather than QT interval prolongation per se. TDR can be measured on th...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/01.ane.0000252417.23986.6e

    authors: Whyte SD,Sanatani S,Lim J,Booker PD

    更新日期:2007-02-01 00:00:00

  • Pharmacokinetics of lidocaine in nonpregnant and pregnant ewes.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Santos AC,Pedersen H,Morishima HO,Finster M,Arthur GR,Covino BG

    更新日期:1988-12-01 00:00:00

  • The intrathecally administered kappa-2 opioid agonist GR89696 and interleukin-10 attenuate bone cancer-induced pain through synergistic interaction.

    abstract:BACKGROUND:Although bone cancer-related pain is one of the most disruptive symptoms in patients with advanced cancer, patients are often refractory to pharmacological treatments; thus, more effective treatments for bone cancer pain are needed. We evaluated the analgesic efficacy of and interaction between intrathecal G...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

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    authors: Kim WM,Jeong CW,Lee SH,Kim YO,Cui JH,Yoon MH

    更新日期:2011-10-01 00:00:00

  • Resveratrol regulates N-methyl-D-aspartate receptor expression and suppresses neuroinflammation in morphine-tolerant rats.

    abstract:BACKGROUND:In the present study, we examined the effects and mechanisms of the Chinese herb resveratrol on attenuation of morphine tolerance in rats. METHODS:Male Wistar rats were implanted with 2 intrathecal catheters; one catheter was connected to a mini-osmotic pump, used for either morphine (15 μg/h) or saline (1 ...

    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0b013e31825da0fb

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    更新日期:2012-10-01 00:00:00

  • Lack of Analgesic Effect Induced by Ropivacaine Wound Infiltration in Thyroid Surgery: A Randomized, Double-Blind, Placebo-Controlled Trial.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1213/ANE.0000000000001041

    authors: Miu M,Royer C,Gaillat C,Schaup B,Menegaux F,Langeron O,Riou B,Aubrun F

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    pub_type: 杂志文章

    doi:10.1213/00000539-197511000-00015

    authors: Carden E,Browder JP,Fischer ND

    更新日期:1975-11-01 00:00:00

  • A cryogenic machine for selective recovery of xenon from breathing system waste gases.

    abstract:BACKGROUND:Xenon has many characteristics that make it very attractive as an anesthetic and therapeutic drug. Unfortunately, the supply of xenon is fixed, and therefore reclamation and recovery from even the most efficient breathing circuits is desirable. We built and evaluated a cryogenic device to recover xenon from ...

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    pub_type: 杂志文章

    doi:10.1213/01.ane.0000278148.56305.72

    authors: Dingley J,Mason RS

    更新日期:2007-11-01 00:00:00

  • Onset, intensity of blockade and somatosensory evoked potential changes of the lumbosacral dermatomes after epidural anesthesia with alkalinized lidocaine.

    abstract::The onset and intensity of blockade of the lumbosacral dermatomes after epidural anesthesia with alkalinized lidocaine were investigated in a randomized, double-blind study in 26 patients. Control subjects (n = 13) received 20 mL of 1.37% lidocaine (1.5% lidocaine plus 1 mL saline per 10 mL lidocaine) with added 1:200...

    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Benzon HT,Toleikis JR,Dixit P,Goodman I,Hill JA

    更新日期:1993-02-01 00:00:00

  • Promoting a Restrictive Intraoperative Transfusion Strategy: The Influence of a Transfusion Guideline and a Novel Software Tool.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:10.1213/ANE.0000000000002704

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    更新日期:2018-09-01 00:00:00

  • Differential suppression of intracranial self-stimulation, food-maintained operant responding, and open field activity by paw incision and spinal nerve ligation in rats.

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    pub_type: 杂志文章

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    authors: Ewan EE,Martin TJ

    更新日期:2014-04-01 00:00:00

  • The effect of fresh gas flow and anesthetic technique on the ability to control acute hemodynamic responses during surgery.

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:1998-09-01 00:00:00

  • Ionized hypocalcemia after fresh frozen plasma administration to thermally injured children: effects of infusion rate, duration, and treatment with calcium chloride.

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Coté CJ,Drop LJ,Hoaglin DC,Daniels AL,Young ET

    更新日期:1988-02-01 00:00:00

  • Isoflurane has a greater margin of safety than halothane in swine with and without major surgery or critical coronary stenosis.

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    journal_title:Anesthesia and analgesia

    pub_type: 杂志文章

    doi:

    authors: Roberts SL,Gilbert M,Tinker JH

    更新日期:1987-06-01 00:00:00

  • Heparin induces release of phospholipase A(2) into the splanchnic circulation.

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    pub_type: 临床试验,杂志文章

    doi:10.1097/00000539-200009000-00005

    authors: Kern H,Johnen W,Braun J,Frey B,Rüstow B,Kox WJ,Schlame M

    更新日期:2000-09-01 00:00:00

  • The influence of the tonsillar gag on efficacy of seal, anatomic position, airway patency, and airway protection with the flexible laryngeal mask airway: a randomized, cross-over study of fresh adult cadavers.

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    journal_title:Anesthesia and analgesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000539-199907000-00032

    authors: Brimacombe JR,Keller C,Gunkel AR,Pühringer F

    更新日期:1999-07-01 00:00:00

  • The feasibility of patient-controlled paravertebral analgesia for major breast cancer surgery: a prospective, randomized, double-blind comparison of two regimens.

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    pub_type: 杂志文章,随机对照试验

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    更新日期:2008-08-01 00:00:00

  • Pharmacologic basis of responses to midazolam in the isolated, cross-perfused, canine right atrium.

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    doi:

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    更新日期:2001-02-01 00:00:00

  • Computed tomography-estimated specific gravity of noncontused brain areas as a marker of severity in human traumatic brain injury.

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    pub_type: 杂志文章

    doi:10.1213/01.ane.0000237401.22688.22

    authors: Degos V,Lescot T,Zouaoui A,Hermann H,Préteux F,Coriat P,Puybasset L

    更新日期:2006-11-01 00:00:00

  • The effects of plasma and brain magnesium concentrations on lidocaine-induced seizures in the rat.

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    pub_type: 杂志文章

    doi:10.1097/00000539-199612000-00016

    authors: Kim YJ,McFarlane C,Warner DS,Baker MT,Choi WW,Dexter F

    更新日期:1996-12-01 00:00:00