Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults

Introduction: The aims of this randomised study were to compare the induction characteristics of sevoflurane using vital capacity breath technique to that of tidal breathing technique in adults undergoing day-care surgery, and to compare patients’ acceptance of these two techniques. Methods: Sixty...

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Main Authors: Lim, K. Y., Wong, Wai Hong, P. Shanmugam, Suresh Kumar, Ibrahim, Noor Airini
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2009
Online Access:http://psasir.upm.edu.my/id/eprint/7630/1/Comparison%20Between%20the%20Effects%20of%20High%20Sevoflurane%20Concentration%20during%20Induction%20of%20Anasesthesia%20Using%20Vital%20Capacity%20Breath%20and%20Tidal%20Breathing%20Techniques%20in%20Adults.pdf
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author Lim, K. Y.
Wong, Wai Hong
P. Shanmugam, Suresh Kumar
Ibrahim, Noor Airini
author_facet Lim, K. Y.
Wong, Wai Hong
P. Shanmugam, Suresh Kumar
Ibrahim, Noor Airini
author_sort Lim, K. Y.
collection UPM
description Introduction: The aims of this randomised study were to compare the induction characteristics of sevoflurane using vital capacity breath technique to that of tidal breathing technique in adults undergoing day-care surgery, and to compare patients’ acceptance of these two techniques. Methods: Sixty ASA I and II adult patient undergoing day-care surgery were randomly allocated to receive either the vital capacity breath or tidal breathing technique for induction of anaesthesia with 7.5% sevoflurane in nitrous oxide and oxygen. Haemodynamic changes, induction characteristics and patients acceptance were compared. Results: The mean time for induction was significantly faster with the vital capacity breath technique. There were no significant differences in haemodynamic changes and oxygenation during induction between these two groups. There was significant increase in incidence of excitatory movement in patient receiving the tidal breathing technique. Either technique was found to be acceptable by most of the patients studied. Conclusion: The vital capacity breath technique appears to be better tolerated with shorter onset time and less movement during induction of anaesthesia. As it is well accepted by the patients and has a stable haemodynamic profile, its use should be encouraged.
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spelling upm.eprints-76302015-10-07T08:41:09Z http://psasir.upm.edu.my/id/eprint/7630/ Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults Lim, K. Y. Wong, Wai Hong P. Shanmugam, Suresh Kumar Ibrahim, Noor Airini Introduction: The aims of this randomised study were to compare the induction characteristics of sevoflurane using vital capacity breath technique to that of tidal breathing technique in adults undergoing day-care surgery, and to compare patients’ acceptance of these two techniques. Methods: Sixty ASA I and II adult patient undergoing day-care surgery were randomly allocated to receive either the vital capacity breath or tidal breathing technique for induction of anaesthesia with 7.5% sevoflurane in nitrous oxide and oxygen. Haemodynamic changes, induction characteristics and patients acceptance were compared. Results: The mean time for induction was significantly faster with the vital capacity breath technique. There were no significant differences in haemodynamic changes and oxygenation during induction between these two groups. There was significant increase in incidence of excitatory movement in patient receiving the tidal breathing technique. Either technique was found to be acceptable by most of the patients studied. Conclusion: The vital capacity breath technique appears to be better tolerated with shorter onset time and less movement during induction of anaesthesia. As it is well accepted by the patients and has a stable haemodynamic profile, its use should be encouraged. Faculty of Medicine and Health Sciences, Universiti Putra Malaysia 2009 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/7630/1/Comparison%20Between%20the%20Effects%20of%20High%20Sevoflurane%20Concentration%20during%20Induction%20of%20Anasesthesia%20Using%20Vital%20Capacity%20Breath%20and%20Tidal%20Breathing%20Techniques%20in%20Adults.pdf Lim, K. Y. and Wong, Wai Hong and P. Shanmugam, Suresh Kumar and Ibrahim, Noor Airini (2009) Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults. Malaysian Journal of Medicine and Health Sciences, 5 (2). pp. 19-26. ISSN 1675-8544 http://www.medic.upm.edu.my/dokumen/FKUSK1_MJMHS_2009V05N2_OP03.pdf
spellingShingle Lim, K. Y.
Wong, Wai Hong
P. Shanmugam, Suresh Kumar
Ibrahim, Noor Airini
Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
title Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
title_full Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
title_fullStr Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
title_full_unstemmed Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
title_short Comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
title_sort comparison between the effects of high sevoflurane concentration during induction of anasesthesia using vital capacity breath and tidal breathing techniques in adults
url http://psasir.upm.edu.my/id/eprint/7630/1/Comparison%20Between%20the%20Effects%20of%20High%20Sevoflurane%20Concentration%20during%20Induction%20of%20Anasesthesia%20Using%20Vital%20Capacity%20Breath%20and%20Tidal%20Breathing%20Techniques%20in%20Adults.pdf
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