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Balanced anaesthesia today.

P H Tonner1

  • 1Department of Anaesthesiology and Intensive Care Medicine, University Hospital Schleswig-Holstein, Campus Kiel, Schwanenweg 2 , Kiel D-24 105, Germany. tonner@anaesthesie.uni-kiel.de

Best Practice & Research. Clinical Anaesthesiology
|July 15, 2005
PubMed
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Balanced anesthesia, using combinations like volatile anesthetics (desflurane, sevoflurane) with short-acting opioids, offers a controllable and patient-satisfying approach to ideal anesthesia.

Area of Science:

  • Anesthesiology
  • Pharmacology

Background:

  • The concept of an 'ideal' anesthetic involves safe administration and rapid patient recovery.
  • Balanced anesthesia techniques have evolved with modern anesthetic agents.

Purpose of the Study:

  • To highlight the role of balanced anesthesia in achieving ideal anesthetic conditions.
  • To discuss the contribution of inhalational anesthetics to controllable anesthesia.

Main Methods:

  • Review of current anesthetic techniques and agents.
  • Focus on the pharmacokinetics of desflurane and sevoflurane.
  • Analysis of combining volatile anesthetics with short-acting opioids.

Main Results:

  • Inhalational anesthetics desflurane and sevoflurane offer rapid pharmacokinetics.

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  • Balanced anesthesia, particularly with volatile agents and opioids, provides a well-controllable technique.
  • High patient satisfaction and early recovery are achievable.
  • Conclusions:

    • Balanced anesthesia represents a significant advancement toward the ideal anesthetic.
    • The combination of modern anesthetics and adjuvants enhances anesthetic management and patient outcomes.