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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1989-6-22
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pubmed:abstractText |
Ventilatory characteristics during isoflurane anaesthesia and spontaneous breathing were studied in ten adults during surgery. After premedication with diazepam and induction with thiopental sodium and suxamethonium, 1.2% isoflurane in a 50% mixture of nitrous oxide in oxygen was introduced via a non-rebreathing circuit. Respiratory flow was measured by means of a pneumotachograph, arterial gases were sampled and carbon dioxide elimination and dead-space to tidal volume ratios (VD/VT) calculated. The time axis of one respiratory cycle was divided into 20 equidistant sections and the flow at the end of each section was expressed as a percentage of the maximum flow rate during inspiration and expiration, respectively. In this manner, a relative respiratory flow pattern was constructed. The total ventilation was 5.8 +/- 0.5 1.min-1 (mean +/- s.d.) with a tidal volume of 191 +/- 45 ml and a respiratory rate of 31 +/- 6.min-1. The PaCO2 was 7.2 +/- 0.6 kPa, the carbon dioxide elimination 151 +/- 38 ml (STPD) and VD/VT 0.53 +/- 0.12. The respiratory flow pattern showed early peak flows during both inspiration and expiration. The expiratory flow rate after 90% of the total respiratory cycle time was on average 43% of the maximum expiratory flow rate. The conclusion was that isoflurane seems to have a similar respiratory flow pattern to halothane. The significant hypercarbia that resulted is still acceptable but a lighter anaesthetic level is recommended for routine surgery.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0001-5172
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
331-5
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2497618-Adult,
pubmed-meshheading:2497618-Anesthesia, Inhalation,
pubmed-meshheading:2497618-Carbon Dioxide,
pubmed-meshheading:2497618-Female,
pubmed-meshheading:2497618-Humans,
pubmed-meshheading:2497618-Isoflurane,
pubmed-meshheading:2497618-Male,
pubmed-meshheading:2497618-Middle Aged,
pubmed-meshheading:2497618-Nitrous Oxide,
pubmed-meshheading:2497618-Oxygen,
pubmed-meshheading:2497618-Partial Pressure,
pubmed-meshheading:2497618-Pulmonary Ventilation,
pubmed-meshheading:2497618-Spirometry
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pubmed:year |
1989
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pubmed:articleTitle |
Respiratory flow characteristics during isoflurane/nitrous oxide anaesthesia.
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pubmed:affiliation |
Department of Anaesthesiology and Intensive Care, Ostersund Hospital, Sweden.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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