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Signa vitae : journal for intesive care and emergency medicine, Vol. 3 No. Suppl. 1, 2008.

Review article

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

MARCO VECIL ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
CRISTINA DI STEFANO ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
FRANCESCA ZORZI ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
MASSIMILIANO SALTARINI ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy
AMATO DE MONTE ; Department of Anesthesia and Intensive Care, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Piazzale Santa Maria della Misericordia, Udine 33100, Italy

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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

Hrčak ID:

20358

URI

https://hrcak.srce.hr/20358

Publication date:

1.2.2008.

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