Effects of inhaled anaesthetic agents on the oxygen dissociation curve: An updated discussion.

IF 1 Q3 SURGERY
Journal of perioperative practice Pub Date : 2025-10-01 Epub Date: 2025-02-24 DOI:10.1177/17504589251320809
Amarjeet Kumar, Manjunath N
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引用次数: 0

Abstract

The oxygen dissociation curve is a critical concept in understanding how oxygen is transported in the blood and delivered to tissues. In anaesthesia, inhaled anaesthetic agents are the fundamental tools for managing anaesthesia during surgical procedures. These agents, such as desflurane, isoflurane, and sevoflurane, are known for effects on the central nervous system and cardiovascular stability. However, their impact on haemoglobin's oxygen-binding capacity, represented by shifts in the oxygen dissociation curve, can have significant effects on patient care. This discussion explores the interactions between inhaled anaesthetic agents and the oxygen dissociation curve, focusing on how these drugs alter haemoglobin's affinity for oxygen and the potential clinical consequences of such interactions. Clinical implications: oxygen dissociation curve shifts are crucial in patient management, especially in populations with compromised pulmonary function or those undergoing extensive surgeries. Anaesthesia providers must consider these effects when optimising oxygen delivery and anaesthetic depth.

吸入麻醉剂对氧解离曲线的影响:最新讨论。
氧解离曲线是理解氧气如何在血液中运输并输送到组织的关键概念。在麻醉中,吸入麻醉剂是外科手术过程中管理麻醉的基本工具。这些药物,如地氟烷、异氟烷和七氟烷,已知对中枢神经系统和心血管稳定性有影响。然而,它们对血红蛋白氧结合能力的影响,以氧解离曲线的变化为代表,可以对患者护理产生重大影响。本文探讨了吸入麻醉剂与氧解离曲线之间的相互作用,重点是这些药物如何改变血红蛋白对氧的亲和力以及这种相互作用的潜在临床后果。临床意义:氧解离曲线移位在患者管理中至关重要,特别是在肺功能受损或接受广泛手术的人群中。麻醉提供者在优化供氧和麻醉深度时必须考虑这些影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of perioperative practice
Journal of perioperative practice Nursing-Medical and Surgical Nursing
CiteScore
1.60
自引率
0.00%
发文量
59
期刊介绍: The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.
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