A3 Sevoflurane Vital Capacity Induction Compared With Propofol Intravenous Induction for Adult Ambulatory Anesthesia

Philip, Beverly K.; Lombard, Lisa L.; Roaf, Edward R.; Drager, Leslie; Calalang, Ignatius; Philip, James H.

doi:10.1097/00000542-199709001-00003

Cited by 4 publications

(6 citation statements)

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“…pital and clinic setting has grown significantly over the last 10 years and is projected to continue to grow rapidly (239).…”

Section: Cost-containment Issuesmentioning

confidence: 99%

“…Like sevoflurane, its popularity results from its ability to facilitate a rapid, smooth induction and fast recovery, with a low incidence of postoperative adverse effects (54,59,135,241). In many studies, the time course to induction with sevoflurane has been comparable to that of propofol (104,239). Some studies have indicated that induction of anesthesia with sevoflurane took 30 to 60 sec longer than with propofol, depending on the end point measured and the concentration of sevoflurane used (202,307).…”

Section: Mask Induction Maintenance and Recoverymentioning

confidence: 99%

“…This focus has brought about changes in surgical procedures and has also facilitated the rapid growth of ambulatory surgery. The percentage of the people undergoing ambulatory surgery both in a hos-pital and clinic setting has grown significantly over the last 10 years and is projected to continue to grow rapidly (239).…”

Section: Cost-containment Issuesmentioning

confidence: 99%

“…Similarly, the maintenance cost for 1.0 MAC of sevoflurane and 67% nitrous oxide at 3 L/min for 1 h was $8. 35, compared to $20.00 for 1 h of maintenance with propofol plus opioids, sedatives, and muscle relaxants (239). Another study compared only the amount of anesthetic consumed and determined that the cost, in US$, for sevoflurane/nitrous oxide was $0.56/min vs. $0.68/min and $0.63/min for propofol/alfentanil and propofol/remifentanil, respectively (119).…”

Section: Cost-containment Issuesmentioning

confidence: 99%

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Sevoflurane: Approaching the Ideal Inhalational Anesthetic A Pharmacologic, Pharmacoeconomic, and Clinical Review

2001

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Sevoflurane is a safe and versatile inhalational anesthetic compared with currently available agents. Sevoflurane is useful in adults and children for both induction and maintenance of anesthesia in inpatient and outpatient surgery. Of all currently used anesthetics, the physical, pharmacodynamic, and pharmacokinetic properties of sevoflurane come closest to that of the ideal anesthetic (200). These characteristics include inherent stability, low flammability, non-pungent odor, lack of irritation to airway passages, low blood:gas solubility allowing rapid induction of and emergence from anesthesia, minimal cardiovascular and respiratory side effects, minimal end-organ effects, minimal effect on cerebral blood flow, low reactivity with other drugs, and a vapor pressure and boiling point that enables delivery using standard vaporization techniques. As a result, sevoflurane has become one of the most widely used agents in its class.

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“…pital and clinic setting has grown significantly over the last 10 years and is projected to continue to grow rapidly (239).…”

Section: Cost-containment Issuesmentioning

confidence: 99%

Section: Mask Induction Maintenance and Recoverymentioning

confidence: 99%

Section: Cost-containment Issuesmentioning

confidence: 99%

Section: Cost-containment Issuesmentioning

confidence: 99%

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Sevoflurane: Approaching the Ideal Inhalational Anesthetic A Pharmacologic, Pharmacoeconomic, and Clinical Review

2001

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“…Philip et al . [5], however, showed that sevoflurane–nitrous oxide induction was faster than propofol induction. To date, these comparisons have been made using clinical end‐points that may not be definite.…”

mentioning

confidence: 99%

Comparison of sevoflurane–nitrous oxide anaesthesia with the conventional intravenous–inhalational technique using bispectral index monitoring

2001

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SummaryNinety-one patients were randomly allocated to one of two groups. Group A was induced with a single vital capacity breath of 6% (end-tidal) sevoflurane in nitrous oxide±oxygen (2 : 1 l.min 21 ), whereas group B was induced with intravenous fentanyl 1 mg.kg 21 1 propofol 2 mg.kg 21 followed by nitrous oxide±oxygen (2 : 1 l.min 21 ) and sevoflurane. Induction was considered to have been achieved when the bispectral index value decreased to below 70. Mean induction time in group A (95.2 s, 95% CI 88.5±101.9 s) was longer than group B (70.3 s, 95% CI 66.3±74.3 s; p , 0.0001). Mild coughing was more common in group A, but relative hypotension was more common in group B. There was no difference in the emergence times. Thirty minutes after emergence, there was no difference in the incidence of adverse effects, with the exception of essentially mild abdominal pain which was more frequent in group A.

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Oral midazolam and oral butorphanol premedication

2005

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A3 Sevoflurane Vital Capacity Induction Compared With Propofol Intravenous Induction for Adult Ambulatory Anesthesia

Cited by 4 publications

References 1 publication

Sevoflurane: Approaching the Ideal Inhalational Anesthetic A Pharmacologic, Pharmacoeconomic, and Clinical Review

Sevoflurane: Approaching the Ideal Inhalational Anesthetic A Pharmacologic, Pharmacoeconomic, and Clinical Review

Comparison of sevoflurane–nitrous oxide anaesthesia with the conventional intravenous–inhalational technique using bispectral index monitoring

Oral midazolam and oral butorphanol premedication

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