anestesia inhalatoria, técnicas y evidencia

INDUCCIÓN

INDUCCIÓN SEGÚN CAPACIDAD VITAL

CONECTOR SIBI

BAJOS FLUJOS y RECUPERACIÓN

PERMEABILIZACIÓN DE LAVÍA AÉREA

Anestesia InhalatoriaTécnicas y evidencia

INDUCCIÓN

Pregunta: ¿En pacientes adultos para cirugía ambulatoria, la inducción con sevoflurane es mejor que con propofol?

INDUCCIÓN

Time to loss of consciousness in seconds

INDUCCIÓN

Incidence of apnea during anesthetic induction. Sevoflurane was associated with less apnea during induction.

INDUCCIÓN

Induction complications (oxygen desaturation, laryngospasm, coughing, patient movement).

INDUCCIÓN

Time to successful laryngeal mask airway insertion in seconds (s).

INDUCCIÓN

Successful insertion of laryngeal mask airway on first attempt.

INDUCCIÓN

Patient dissatisfaction with induction technique.

INDUCCIÓN

Postoperative nausea. Patients induced with propofol had less nausea.

INDUCCIÓN

Postoperative vomiting. Patients induced with propofol had less vomiting.

INDUCCIÓN

Postoperative nausea when the same maintenance anesthesia (sevoflurane)

was used for both groups.

INDUCCIÓN

Postoperative vomiting when the same maintenance anesthesia (sevoflurane) was used for both groups.

INDUCCIÓN

Sevoflurane and propofol had similar efficacy for anesthetic induction. However, for routine outpatient surgery, propofol may still be the preferred induction anesthetic because of its favorable induction

of anesthesia characteristics, high patient satisfaction, and less frequent incidence of postoperative nausea and vomiting.

Pregunta: ¿En pacientes adultos para cirugía ambulatoria, la inducción con capacidad vital es mejor que la con respiraciónespontánea?

The data show that there is no statistical or clinical difference between the two induction techniques. Patient acceptance of

both techniques was similarly high. When the time taken to prime the anaesthetic breathing system is taken into consideration,

the vital capacity technique is more expensive for induction of anaesthesia. These results therefore question the need for the

vital capacity induction technique with sevoflurane 8%.

Implications: A vital capacity induction with sevoflurane produced a faster loss of consciousness and had side effects, recovery times,

and patient satisfaction similar to that of a propofol induction in adults undergoing ambulatory surgery.

Pregunta: ¿En pacientes adultos para cirugía ambulatoria, la intubación es mejor con sevoflurane que con anestesia intravenosa?

We conclude that sevoflurane vital capacity breath induction compares favorably with IV propofol induction for LMA insertion

in adults. However, prolonged jaw tightness after the sevoflurane induction of anesthesia may delay LMA insertion. Implications: In this randomized, controlled trial, we compared the ease of insertion of the laryngeal mask airway in adults after induction

of anesthesia with either a sevoflurane vital capacity breath technique or propofol IV. We conclude that sevoflurane

compares favorably with propofol, although prolonged jaw tightness may delay laryngeal mask airway insertion.

Pregunta: ¿En pacientes con VIMA el uso del conectorSIBI tiene más ventajas que la oclusión manual para el prellenado Y El evitar el escape del anestésico en la sala de cirugía?

CONECTOR SIBI

Pregunta: ¿En pacientes con VIMA el uso del conectorSIBI tiene más ventajas que la oclusión manual para el prellenado Y el evitar el escape del anestésico en la sala de cirugía?

CONECTOR SIBI

Pregunta: ¿En anestesia ambulatoria, cuál de los siguientes Anestésicos tiene mejor perfil en la recuperación: sevoflurane ó propofol ?

anestesia inhalatoria, técnicas y evidencia

Education