2008, Number 3
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Rev Mex Anest 2008; 31 (3)
Bolus of sevoflurane: induction, maintenance and recovery in ambulatory orthopedic surgery
García-Olivera GÁ, Guevara-Ortigoza MP, Aguirre-Reyes MH, Pérez-Hernández E
Language: Spanish
References: 12
Page: 184-190
PDF size: 53.74 Kb.
ABSTRACT
Objective: To demonstrate sevoflurane´s usefulness as a general anesthetic for orthopedic ambulatory surgery.
Material and methods: We include 50 patients from 18 to 65 years old, they underwent to removal of ostheosynthesis material, capture and application of skin allograft, shoulder mobilization, wrist tunnel liberation, closed reduction of the shoulder and pulley release. Heart rate, blood pressure and hemoglobin oxygen saturation were measured at 5, 10, 15, 20, 30 minutes. Statistical analysis with analysis of variance and t Student.
Results: The induction were measured with loss of command response: 62 seconds, loss of eye lash reflex: 79 seconds, and press loss in 100 seconds. The maintenance showed haemodynamic stability. This was mostly reflected in the heart rate. The Emersion was observed in 7.71 minutes.
Conclusions: Due to its characteristics, sevoflurane is the most suitable inhaled anesthetic for handling patients on orthopedic ambulatory surgery. Obtained cardiovascular stability evidence is benefic and it covers security requirements for the ambulatory patient.
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