O O O - DraegerN/AN N/A /A ISO SEVO DES 5% 5% 8% ISO SEVO DES 2.5% 3-3.5% 5-7.5%. Created Date:...
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INDUCTION INITIAL PHASE ONCE THE TARGET MAC VALUE OF 0.8 TO 1 HAS BEEN REACHED CARRIER GASES * From a patient age of > 6 months; All values are clinically-tested orientation values, however in individual cases, they must be adapted according to the individual response by the patient, the performance characteristics of the machines used and the operational requirements. Schematic Procedure* of Minimal-Flow Anaesthesia with Carrier Gases PDF-Nr: PDF-8088 Isoflurane Sevoflurane Desflurane AIR O2 N2O AIR O2 N2O Oxygen: 1 L/min for 1-8 min., 100% Oxygen: 1 L/min, 40% Air: 3 L/min Fresh Gas Flow: 4 L/min Fresh Gas Flow: 4.4 L/min Oxygen: 1.4 L/min, 32% Nitrous Oxide: 3 L/min Oxygen: 100% to 0.25-0.35 L/min NOTE: Change of anesthetic agent concentration Oxygen: 0.3 L/min, 68% Air: 0.2 L/min Fresh Gas Flow: 0.5 L/min Fresh Gas Flow: 0.5 L/min Oxygen: 0.3 L/min, 60% Nitrous Oxide: 0.2 L/min 60-80% 35-40% 30-40% O 2 FRESH GAS FLOW SETTINGS INSPIRATORY OXYGEN CONCENTRATION STABILIZATION (VOL%): VAPORIZER SETTINGS (VOL%): REDUCE FRESH GAS FLOW: INCREASE VAPORIZER SETTINGS (VOL%): Pre-oxygenation with 100% oxygen at 6 L/min for 1-3 minutes with a face mask Intravenous administration of the hypnotic or inhalation induction Analgesia and relaxation (NOTE: Oxygen & Oxygen/Air Mixtures may require 20% higher dosing of induction opioid) Endotracheal intubation or insertion of a larynx mask Connection of patient to the circuit system OXYGEN OXYGEN/ AIR MIXTURE OXYGEN/ NITROUS OXIDE O 2 O 2 N N O DES SEVO ISO 5-6% 12% 5-6% DES SEVO ISO 2.5% 6% 3.5% DES SEVO ISO 1-1.5% 4-6% 2-2.5% DES SEVO ISO N/A N/A N/A DES SEVO ISO 5% 8% 5% DES SEVO ISO 2.5% 5-7.5% 3-3.5%
Transcript of O O O - DraegerN/AN N/A /A ISO SEVO DES 5% 5% 8% ISO SEVO DES 2.5% 3-3.5% 5-7.5%. Created Date:...
INDUCTION
INITIAL PHASE
ONCE THE TARGET MAC VALUE OF 0.8 TO 1 HAS BEEN REACHED
CARRIER GASES
* From a patient age of > 6 months; All values are clinically-tested orientation values, however in individual cases, they must be adapted according to the individual response by the patient, the performance characteristics of the machines used and the operational requirements.
Schematic Procedure* of Minimal-Flow Anaesthesia with Carrier Gases
PD
F-N
r: PD
F-80
88
Isoflurane
Sevoflurane
Desflurane
AIRO2 N2O
AIRO2 N2O
Oxygen:
1L/min for 1-8min.,100%
Oxygen:
1L/min,40%
Air:
3L/min
FreshGas Flow:
4L/min
FreshGas Flow:
4.4L/min
Oxygen:
1.4L/min,32%
NitrousOxide:
3L/min
Oxygen:
100% to 0.25-0.35L/minNOTE: Change of
anesthetic agent concentration
Oxygen:
0.3L/min,68%
Air:
0.2L/min
FreshGas Flow:
0.5L/min
FreshGas Flow:
0.5L/min
Oxygen:
0.3L/min,60%
NitrousOxide:
0.2L/min
60-80% 35-40% 30-40%
O2
FRESH GAS FLOW SETTINGS
INSPIRATORY OXYGEN CONCENTRATION STABILIZATION (VOL%):
VAPORIZER SETTINGS (VOL%):
REDUCE FRESH GAS FLOW:
INCREASE VAPORIZER SETTINGS (VOL%):
Pre-oxygenation with 100% oxygen at 6 L/min for 1-3 minutes with a
face mask
Intravenous administration of the hypnotic or inhalation
induction
Analgesia and relaxation
(NOTE: Oxygen & Oxygen/Air Mixtures may
require 20% higher dosingof induction opioid)
Endotracheal intubation or insertion of a larynx mask
Connection of patient to the circuit system
OXYGEN OXYGEN/AIR MIXTURE
OXYGEN/NITROUS OXIDEO2 O2
NNO
DESSEVOISO
5-6% 12%5-6%
DESSEVOISO
2.5% 6%3.5%
DESSEVOISO
1-1.5% 4-6%2-2.5%
DESSEVOISO
N/A N/AN/A
DESSEVOISO
5% 8%5%DESSEVOISO
2.5% 5-7.5%3-3.5%
