Anesthesia Clinical Trial
Official title:
1-1-8 Wash-in for Sevoflurane Low Flow Anesthesia
The investigators propose a new wash-in technique for sevoflurane low flow anesthesia with
fresh gas flow of O2:N2O or O2:air 1:1 L/min with sevoflurane 8%.
The objective of this study is to identify time to achieve alveolar concentration of
sevoflurane at 1, 1.5, 2, 2.5, 3, and 3.5%
The benefits of low flow anesthesia are economic, less pollution, more heat and humidity
preservation but it requires appropriate wash-in phase. The current wash-in protocols for
sevoflurane are complicated and time consuming. The investigators propose a new 1-1-8
sevoflurane wash-in protocol which is more simple and predictable.
The objective of this study is to identify time to achieve alveolar concentration of
sevoflurane at 1, 1.5, 2, 2.5, 3, and 3.5% with 1-1-8 wash-in protocol.
All patients will receive iv propofol 2 mg/kg as induction agent and succinyl choline 1.5
mg/kg for intubation. Then the ventilation will be controlled to achieve end-tidal CO2 30-35
mmHg with O2:N2O or O2:air 1:1 L/min with sevoflurane 8%. Time to achieve alveolar
concentration of sevoflurane at 1, 1.5, 2, 2.5, 3, and 3.5% will be recorded and analyzed.
After that, the concentration of sevoflurane and anesthetic technique will be adjusted to
requirement of anesthesiologist.
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