• Br J Anaesth · Jan 1994

    Overpressure isoflurane at caesarean section: a study of arterial isoflurane concentrations.

    • A McCrirrick, G H Evans, and T A Thomas.
    • Sir Humphry Davy Department of Anaesthesia, Bristol Royal Infirmary.
    • Br J Anaesth. 1994 Jan 1;72(1):122-4.

    AbstractIn this study we have measured arterial concentrations of isoflurane obtained during Caesarean section in two groups of patients. Patients in group 1 received 1% isoflurane throughout operation, whilst those in group 2 received 2% isoflurane for the first 5 min, 1.5% for the next 5 min and 0.8% thereafter. We found that arterial isoflurane concentrations were significantly greater in group 2 than in group 1 (ANOVA, P < 0.05). Isoflurane concentrations greater than 30 micrograms ml-1 were achieved rapidly in most patients in both groups, but there was a large scatter of results. The isoflurane concentration at which awareness or recall may occur is not known, but an "overpressure" technique as described for patients in group 2 may result in fewer patients being at risk of awareness.

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