Article Data

  • Views 1439
  • Dowloads 135

Review

Open Access

Low flow, minimal flow and closed circuit system inhalational anesthesia in modern clinical practice

  • MARCO VECIL1
  • CRISTINA DI STEFANO1
  • FRANCESCA ZORZI1
  • MASSIMILIANO SALTARINI 1
  • AMATO DE MONTE1

1,Department of Anesthesia and Intensive Care Azienda Ospedaliero-Universitaria Santa Maria della Misericordia Piazzale Santa Maria della Misericordia

DOI: 10.22514/SV31.022008.7 Vol.3,Issue S1,February 2008 pp.33-36

Published: 01 February 2008

*Corresponding Author(s): AMATO DE MONTE E-mail: demonte.amato@aoud.sanita.fvg.it

Abstract

Low, minimal flow and closed circuit anesthesia has been pursued since the beginning of the history of anesthesia. For many decades this form of anesthesia has been restricted to devoted enthusiasts and those very fond of gas kinetics. For most clinicians, selecting a fresh flow gas higher than 3-5 L/min was widely accepted as a routine anesthesia technique. The introduction onto the market of new volatile agents as well as advanced anesthesia machines accompanied by highly reliable monitoring systems, made minimal flow or closed system anesthesia feasible on a daily basis. Clinical, cultural, environmental, pharmacological, technological and economic reasons, force the modern anesthesiologist to reconsider the role of minimal flow and closed circuit volatile anesthesia, in clinical practice. This paper analyses the main advantages offered by these anesthesia techniques. 

Keywords

anesthesia, low flow, minimal flow, closed circuit, body temperature, humidification

Cite and Share

MARCO VECIL,CRISTINA DI STEFANO,FRANCESCA ZORZI,MASSIMILIANO SALTARINI ,AMATO DE MONTE. Low flow, minimal flow and closed circuit system inhalational anesthesia in modern clinical practice. Signa Vitae. 2008. 3(S1);33-36.

References

1. Baum JA. Low flow anaesthesia. Butterworth Heinemann Ed. Oxford 2001.

2. Baxter AD. Low and minimal flow inhalational anaesthesia. Can J Anaesth 1997,44: 643-53.

3. Shober P, Loer SA. Closed system anaesthesia–historical aspects and recent developments. Eur J Anaesthesiol 2006;23(11):914-20.

4. Cravero J, Suida E, Manzi DJ, Rice Lj. Survey of low flow anesthesia use in the United States. Anesthesiology 1996;85:A995.

5. Tohmo H, Antila H. Increase in the use of rebreeding gas flow system and in the utilization of low flow fresh gas flows in Finnish anaesthetic practise from 1995 to 2002. Acta Anaesthesiol Scand 2005;49(3)328-30.

6. Schober P, Loer SA. An innovative anaesthesia machine: the closed system. Curr Opin Anaesthesiol 2005;18:640-4.

7. Schindler AW, Scheeren TWL, Picker O, Doehn M, Tarnow J. Accuracy of feedback controlled oxygen delivery into a closed anaesthesia circuit for measurement of oxygen consumption. Br J Anaesth 2003;90:281-90.

8. Kleemann PP. The climatisation of aesthetic gases under conditions of high flow to low flow. Acta Anaesth 1990;41;189-200.

9. Ernst E, Spain JA. Closed circuit and high flow systems: examining alternatives. In: Brown BR, Calkins JM, Sunders RJ, editors. Future anesthesia delivery systems. Contemporary anesthesia practice. Philadelphia: FA Davis Comp; 1984. p. 11-38.

10. Versichelen L, Rolly G, Vermeulen H. Accumulation of foreign gases during closed-system anaesthesia. Br J Anaesth 1996;76:668-72.

11. Korman B, Mapleson WW. Concentration and second gas effects: can the accepted explanation be improved? Br J Anaesth 1997; 78:618-25.

12. Wissing H, Kuhn I, Kessler P. Das waerme-feuchte-profil des Physioflex. Anesthesist 1997;46:201-6.

13. Stuys MM, Kalmar AF, De Baedemaeker LE. Time course of inhaled anaesthetic drug delivery using a new multifunctional closed-circuit anaesthesia ventilator. In vitro comparison with a classical anaesthesia machine. Br J Anaesth 2005;94:306-17.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time

Conferences

Top