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An observation from an online survey: is fresh gas flow used for sevoflurane and desflurane different from isoflurane based anesthesia?

机译:在线调查的观察结果:用于七氟醚和地氟醚的新鲜气体流量与基于异氟烷的麻醉不同吗?

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Minimal uses of fresh gas flow (FGF) during volatile inhalational agents based anesthesia are gaining popularity for many reasons. However, the practice pattern is not uniform. Even the same anesthesiologist uses different FGF for different agents. The present study was aimed to evaluate the variation in the practice pattern of FGF used in context to volatile agents used. With departmental approval, the present study was conducted by reviewing the data of a previously conducted cross-sectional survey. The survey was conducted from January 2018 to May 2018 using SurveyMonkeysup?/sup . Anesthesiologists working in different organizations across India were approached through e-mail and WhatsApp and anonymous responses were collected. The responses which contained FGF data for isoflurane and for at least one of either sevoflurane and/or desflurane were included. A total of 236 eligible responses were analyzed. The FGFs used by different anesthesiologists were very much inconsistent; only 5.1% used FGF 600 mL/min and 19.1% used 600-1000 mL/min consistently for all three agents. There was a significant variation of FGF used for sevoflurane and desflurane as compared to isoflurane. Use of FGF of 1000 mL/min was significantly higher for the desflurane as compared to both isoflurane and sevoflurane. The uses of lower FGF greatly vary both at intrapersonal as well as interpersonal level. The possibility of using FGF 1000 mL/min is significantly higher with desflurane as compared to isoflurane. Volatile anesthetic agent appears to be a factor for the decision making on the use of low flow anesthesia.
机译:由于多种原因,在基于挥发性吸入剂的麻醉期间最少使用新鲜气体流量(FGF)受到欢迎。但是,实践模式并不统一。即使是同一位麻醉师,对于不同的药剂也会使用不同的FGF。本研究旨在评估在使用的FGF的实践模式中所使用的挥发性试剂的变化。经部门批准,本研究是通过回顾先前进行的横断面调查的数据而进行的。该调查于2018年1月至2018年5月使用SurveyMonkey ?进行。通过电子邮件和WhatsApp与在印度各地不同组织工作的麻醉师联系,并收集了匿名回复。包括含有异氟烷和七氟醚和/或地氟醚中至少一种的FGF数据的应答。总共分析了236个合格回应。不同麻醉医生使用的FGFs非常不一致。对于所有三种药物,一致使用的FGF <600 mL / min的仅5.1%,使用600-1000 mL / min的19.1%。与异氟烷相比,用于七氟醚和地氟醚的FGF有显着差异。与异氟烷和七氟醚相比,地氟醚使用<1000 mL / min的FGF明显更高。较低的FGF的使用在人际和人际层面上都有很大差异。与异氟烷相比,地氟醚使用FGF <1000 mL / min的可能性要高得多。挥发性麻醉剂似乎是决定使用低流量麻醉剂的一个因素。

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