Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Annals of Biomedical...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Annals of Biomedical Engineering
Article . 1978 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
versions View all 2 versions
addClaim

A pharmacokinetic model of closed-circuit inhalation anesthesia

Authors: I S, Goldberg; J W, Mostert; E F, Lanzl; H J, Lowe;

A pharmacokinetic model of closed-circuit inhalation anesthesia

Abstract

A mathematical model consisting of six well-mixed tissue compartments was used for prediction of an anesthetic dose rate designed to maintain a constant arterial halothane concentration during closed-circuit anesthesia with halothane and nitrous oxide. Metabolism of anesthetics was not considered they were regarded as inert. Calculated rates of vapor were administered to provide a predicted level of anesthesia in 20 normal individuals during elective surgery. Arterial blood samples of these individuals were obtained periodically and analyzed for halothane to determine the relevance of the model to clinical anesthesia. The calculated dosage schedule was shown to predict clinical findings with acceptable accuracy in these patients. The assumption that arterial anesthetic concentration reflects instantaneous equilibration with cell receptors where anesthetics exert their effect in the brain was thus found to be justified by the clinical trial. In addition, we used the calculated anesthetic dosage schedule, which applies to a typical patient anesthetized under total-rebreathing conditions, as an input for an analog computer representing the six-compartment model, and we investigated effects of deviations between the predicted parameter values and actual clinical values of fat-to-muscle ratios and respiratory parameters upon the anesthetic levels obtained. The computer analysis suggests that respiratory factors such as lung shunts and dead space have little effect on patient response to closed-circuit anesthesia, in contrast to the effects observed in association with nonrebreathing techniques.

Keywords

Pharmacology, Nitrous Oxide, Respiratory Dead Space, Models, Biological, Drug Administration Schedule, Pulmonary Alveoli, Kinetics, Computers, Analog, Humans, Tissue Distribution, Anesthesia, Inhalation, Halothane, Lung

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    8
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
8
Average
Top 10%
Average
Upload OA version
Are you the author of this publication? Upload your Open Access version to Zenodo!
It’s fast and easy, just two clicks!