A comparison between single- and double-breath vital capacity inhalation induction with 8% sevoflurane in children

Summary Background : This study was conducted to determine if a double‐breath (DB) vital capacity (VC) rapid inhalation induction using immediate high‐inspired concentration of sevoflurane is as well tolerated as a single‐breath (SB) technique and if it results in a shorter induction time. Methods :...

Full description

Saved in:
Bibliographic Details
Published in:Pediatric anesthesia 2004-06, Vol.14 (6), p.457-461
Main Authors: Ho, Kok-Yuen, Chua, Wee-Leng, Lim, Serene ST, Agnes, SB NG
Format: Article
Language:English
Subjects:
anaesthesia
anaesthetics
Anesthesia
Anesthesia Recovery Period
Anesthesia, Inhalation - adverse effects
Anesthesia, Inhalation - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Inhalation
Biological and medical sciences
Child
Female
Humans
induction
Inhalation
Male
Medical sciences
Methyl Ethers
Nitrous Oxide
Patient Satisfaction
sevoflurane
Time Factors
Vital Capacity
volatile
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Background : This study was conducted to determine if a double‐breath (DB) vital capacity (VC) rapid inhalation induction using immediate high‐inspired concentration of sevoflurane is as well tolerated as a single‐breath (SB) technique and if it results in a shorter induction time. Methods : A total of 104 children, ASA I‐II, 6 year and above, undergoing elective surgery were randomly assigned to two groups: SB VC inhalation induction or DB VC inhalation induction with 8% sevoflurane in 66% nitrous oxide. The induction time, complications (cough, laryngospasm, breath‐hold, movement, salivation) and level of satisfaction were documented. Results : Induction was significantly faster in the DB group (41 ± 9 s) compared with the SB group (50 ± 14 s). DB inhalation induction was associated with fewer complications (15.4%) than the SB technique (50%). Conclusions : Double‐breath VC inhalation induction with 8% sevoflurane is as well tolerated as a SB technique and results in a faster onset of anaesthesia.
ISSN:1155-5645
1460-9592
DOI:10.1111/j.1460-9592.2004.01237.x