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[Mask induction and one-lung ventilation with sevoflurane]
1Klinik für Anaesthesiologie, Intensivmedizin und Schmerztherapie, Johann Wolfgang Goethe-Universität Frankfurt.
Der Anaesthesist
|January 20, 1999
Summary
Sevoflurane enables rapid mask induction in adults with minimal adverse effects and high acceptance. It is also a suitable anesthetic for patients with reactive airways and for one-lung ventilation due to its bronchodilating properties.
Area of Science:
- Anesthesiology
- Respiratory Medicine
Background:
- Sevoflurane's properties facilitate rapid mask induction in adults.
- Its efficacy in patients with reactive airways and during one-lung ventilation is under review.
Purpose of the Study:
- To evaluate sevoflurane's effectiveness and safety for mask induction in adults.
- To assess sevoflurane's utility in patients with reactive airways and during one-lung ventilation.
Main Methods:
- Review of clinical data and existing literature on sevoflurane use.
- Analysis of induction times, adverse event incidence, and patient acceptance.
- Comparison of sevoflurane's bronchodilating effects and impact on oxygenation during ventilation.
Main Results:
- Mask induction with sevoflurane in adults is rapid (41-178 seconds) with low incidence (2-20%) of adverse effects and high acceptance (88-100%).
- Sevoflurane demonstrates bronchodilating effects comparable to other agents, with minimal airway irritation, making it suitable for reactive airways.
- Sevoflurane may be beneficial for one-lung ventilation due to its bronchodilating effects, potency, and rapid anesthetic depth adjustment.
Conclusions:
- Sevoflurane is well-indicated for mask induction in adult patients.
- Its properties suggest it is a useful anesthetic choice for patients with reactive airways and for one-lung ventilation.