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[Simple, practical closed-circuit anesthesia].

Authors: C Y, Lin;

[Simple, practical closed-circuit anesthesia].

Abstract

The practice of closed-circuit anesthesia provides many advantages, including conservation of body heat and airway humidity, hemodynamic stability, minimization of operating room as well as environmental pollution, and a saving of up to 90% in consumption of anesthetics. However, the misunderstanding of the theory of the uptake of inhalation anesthetics has hampered the clinical practice of closed-circuit anesthesia. With proper recognition of the existence of the functional residual capacity and the alveolar membrane, a new concept of uptake of inhalation anesthetics has been developed: (1) uptake is dependent on the inspired concentration; (2) the functional residual capacity is a part of the anesthetic circuitry; and (3) uptake should be represented by 1-FA/FI. This physiologic and common-sense approach to understanding the processes of uptake of inhalation anesthetics greatly facilitates the practice of closed-circuit anesthesia. This new approach not only provides for a simple calculation of the minute to minute requirement for anesthetic vapors, depending on the desired inspired anesthetic concentration, but also enables one to practice closed-circuit anesthesia easily and safely with the currently existing anesthetic equipment.

Related Organizations
Keywords

Pulmonary Alveoli, Anesthesia, Closed-Circuit, Anesthetics, Inhalation, Humans

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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!
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Average
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