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[Inhalation induction anesthesia: special indications or a routine procedure?]

V V Likhvantsev, A V Mironenko, O A Grebenchikov

    Khirurgiia
    |October 1, 2013
    PubMed

    Insights

    Sevoflurane inhalation anesthesia, with or without fentanyl, offers safe and effective induction for major surgeries. This method enables rapid tracheal intubation, potentially becoming a standard for anesthetic induction.

    Area of Science:

    • Anesthesiology
    • Surgical Procedures

    Background:

    • Induction anesthesia is critical for long-lasting major surgeries.
    • Evaluating different anesthetic induction methods is essential for patient safety and surgical efficiency.

    Purpose of the Study:

    • To analyze the efficacy, safety, and expediency of various induction anesthesia techniques.
    • To determine the optimal anesthetic protocol for major surgeries.

    Main Methods:

    • Utilizing sevoflurane inhalation anesthesia in various concentrations.
    • Administering fentanyl in combination with sevoflurane.
    • Employing nimbex for muscle relaxation to facilitate tracheal intubation.

    Main Results:

    • Combined sevoflurane and fentanyl allowed effective induction and tracheal intubation within 3-4 minutes.
    • Sevoflurane monoinduction provided adequate analgesia only after 7-9 minutes, delaying safe intubation.
    • Inhalation induction with sevoflurane demonstrated favorable safety and efficacy profiles.

    Conclusions:

    • Inhalation induction with sevoflurane, particularly in combination with fentanyl, is a safe and effective method for major surgeries.
    • This technique facilitates rapid tracheal intubation, improving surgical expediency.
    • Sevoflurane-based inhalation induction may serve as a standard anesthetic method.

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