Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane
Objective: To find out if the addition of Nitrous Oxide to Sevoflurane significantly reduces induction time and to study the effect of Nitrous Oxide on the frequency of adverse events during induction. Study Design: Quasi-experimental study Place and Duration of Study: Operation Theatre Compl...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Army Medical College Rawalpindi
2023-02-01
|
| Series: | Pakistan Armed Forces Medical Journal |
| Subjects: | |
| Online Access: | https://www.pafmj.org/index.php/PAFMJ/article/view/5913 |
| _version_ | 1797856262347554816 |
|---|---|
| author | Ihtisham Ul Haq Muhammad Umar Zahoor Farhat Afshan Jelani |
| author_facet | Ihtisham Ul Haq Muhammad Umar Zahoor Farhat Afshan Jelani |
| author_sort | Ihtisham Ul Haq |
| collection | DOAJ |
| description |
Objective: To find out if the addition of Nitrous Oxide to Sevoflurane significantly reduces induction time and to study the effect of Nitrous Oxide on the frequency of adverse events during induction.
Study Design: Quasi-experimental study
Place and Duration of Study: Operation Theatre Complex, PAF Hospital Mushaf Sargodha Pakistan from Jul to Sep 2018.
Methodology: One hundred adult indoor patients undergoing elective surgeries were included in the study. Their ages were from 18 to 34yrs, and all fell in ASA I and II category. In Group-A, 43 and Group- B, 57 patients were enrolled. Sevoflurane at a high concentration of 8% was given to all patients for induction. In Group-A, 100% oxygen was used as a vehicle, while in Group-B, 70% Nitrous Oxide and 30% oxygen were used as vehicles. Induction time was measured from switching Sevoflurane to when the patients’ arms fell horizontal. We documented adverse effects, including coughing, laryngospasm,bronchospasm, fall in SpO2 <94%, apnea, excitation (head or limb movements), bradycardia and arrhythmias were documented.
Results: Mean induction time was 59.00±13.00s and 58.00±8.00s in Groups A and B, respectively. The difference was statistically insignificant (p-value=0.874). Similarly, there was no significant difference in adverse events between the two groups.
Conclusion: We concluded that adding Nitrous Oxide has no clinically significant advantage in the induction of anaesthesia with Sevoflurane in adults.
|
| first_indexed | 2024-04-09T20:37:31Z |
| format | Article |
| id | doaj.art-1ee5f64cbe4e487a8a0c972ba8667c9a |
| institution | Directory Open Access Journal |
| issn | 0030-9648 2411-8842 |
| language | English |
| last_indexed | 2024-04-09T20:37:31Z |
| publishDate | 2023-02-01 |
| publisher | Army Medical College Rawalpindi |
| record_format | Article |
| series | Pakistan Armed Forces Medical Journal |
| spelling | doaj.art-1ee5f64cbe4e487a8a0c972ba8667c9a2023-03-30T06:25:23ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-02-0173110.51253/pafmj.v73i1.5913Nitrous Oxide Influence on Induction of Anaesthesia with SevofluraneIhtisham Ul Haq0Muhammad Umar Zahoor1Farhat Afshan Jelani2Armed Forces Hospital Jizan, Kingdom of Saudi ArabiaArmed Forces Hospital Jizan, Kingdom of Saudi ArabiaPakistan Air Force Hospital, Lahore Pakistan Objective: To find out if the addition of Nitrous Oxide to Sevoflurane significantly reduces induction time and to study the effect of Nitrous Oxide on the frequency of adverse events during induction. Study Design: Quasi-experimental study Place and Duration of Study: Operation Theatre Complex, PAF Hospital Mushaf Sargodha Pakistan from Jul to Sep 2018. Methodology: One hundred adult indoor patients undergoing elective surgeries were included in the study. Their ages were from 18 to 34yrs, and all fell in ASA I and II category. In Group-A, 43 and Group- B, 57 patients were enrolled. Sevoflurane at a high concentration of 8% was given to all patients for induction. In Group-A, 100% oxygen was used as a vehicle, while in Group-B, 70% Nitrous Oxide and 30% oxygen were used as vehicles. Induction time was measured from switching Sevoflurane to when the patients’ arms fell horizontal. We documented adverse effects, including coughing, laryngospasm,bronchospasm, fall in SpO2 <94%, apnea, excitation (head or limb movements), bradycardia and arrhythmias were documented. Results: Mean induction time was 59.00±13.00s and 58.00±8.00s in Groups A and B, respectively. The difference was statistically insignificant (p-value=0.874). Similarly, there was no significant difference in adverse events between the two groups. Conclusion: We concluded that adding Nitrous Oxide has no clinically significant advantage in the induction of anaesthesia with Sevoflurane in adults. https://www.pafmj.org/index.php/PAFMJ/article/view/5913Adult inhalational inductionNitrous oxideSevoflurane |
| spellingShingle | Ihtisham Ul Haq Muhammad Umar Zahoor Farhat Afshan Jelani Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane Pakistan Armed Forces Medical Journal Adult inhalational induction Nitrous oxide Sevoflurane |
| title | Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane |
| title_full | Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane |
| title_fullStr | Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane |
| title_full_unstemmed | Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane |
| title_short | Nitrous Oxide Influence on Induction of Anaesthesia with Sevoflurane |
| title_sort | nitrous oxide influence on induction of anaesthesia with sevoflurane |
| topic | Adult inhalational induction Nitrous oxide Sevoflurane |
| url | https://www.pafmj.org/index.php/PAFMJ/article/view/5913 |
| work_keys_str_mv | AT ihtishamulhaq nitrousoxideinfluenceoninductionofanaesthesiawithsevoflurane AT muhammadumarzahoor nitrousoxideinfluenceoninductionofanaesthesiawithsevoflurane AT farhatafshanjelani nitrousoxideinfluenceoninductionofanaesthesiawithsevoflurane |