吸入的麻醉

IF 0.3 Q4 ANESTHESIOLOGY

Anaesthesia and Intensive Care Medicine Pub Date : 2024-12-01 DOI:10.1016/j.mpaic.2024.09.003

Zahra Essackjee, Joseph Sebastian

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引用次数: 0

摘要

吸入麻醉是通过使用挥发性药物进行的，早于静脉麻醉的使用。挥发性药物可用于诱导和维持麻醉；代理的选择依赖于对每个代理的物理特性的理解。本文介绍了这些特性，包括血：气系数、油：气系数、最小肺泡浓度（MAC）和饱和蒸气压（SVP）。然后讨论吸入麻醉给病人的输送和麻醉监测的深度，以及汽化器的功能。最后，讨论了包括氧化亚氮在内的吸入剂对环境的影响，并参考了提出的未来剂氙。

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Inhalational anaesthesia

Inhalational anaesthesia is conducted via the use of volatile agents and predates the use of intravenous anaesthesia. Volatile agents can be used to induce and maintain anaesthesia; the choice of agent relies on an understanding of the individual physical properties of each agent. This article describes these properties including the blood: gas coefficient, oil: gas coefficient, minimum alveolar concentration (MAC) and saturated vapour pressure (SVP). Delivery of inhalational anaesthesia to the patient and depth of anaesthesia monitoring is then discussed together with vaporizer function. Lastly, there is a discussion of the environmental impact of inhalational agents including nitrous oxide with reference to the proposed future agent xenon.

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来源期刊

Anaesthesia and Intensive Care Medicine ANESTHESIOLOGY-

CiteScore

0.50

自引率

0.00%

发文量

152

期刊介绍： Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.