scholarly journals A case with Remarkable Increase in Arterial to End-Tidal Carbon Dioxide Partial Pressure Difference Laparoscopic Total Colectomy

2006 ◽  
Vol 26 (1) ◽  
pp. 82-85 ◽  
Author(s):  
Tomoharu TANAKA ◽  
Hidekatsu FURUTANI ◽  
Tokuya HARIOKA
Keyword(s):  
Carbon Dioxide ◽  
Partial Pressure ◽  
Pressure Difference ◽  
Total Colectomy ◽  
Carbon Dioxide Partial Pressure ◽  
Remarkable Increase ◽  
End Tidal Carbon Dioxide ◽  
End Tidal

Only Carbon Dioxide Absorbents Free of Both NaOH and KOH Do Not Generate Compound A during In Vitro  Closed-system Sevoflurane

2001 ◽  
Vol 95 (3) ◽  
pp. 750-755 ◽  
Author(s):  
Linda F. M. Versichelen ◽  
Marie-Paule L. A. Bouche ◽  
Georges Rolly ◽  
Jan F. P. Van Bocxlaer ◽  
Michel M. R. F. Struys ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Partial Pressure ◽  
Closed System ◽  
Breathing Circuit ◽  
Lithium Hydroxide ◽  
Lung Model ◽  
Carbon Dioxide Partial Pressure ◽  
Compound A ◽  
End Tidal Carbon Dioxide ◽  
End Tidal

Background Insufficient data exist on the production of compound A during closed-system sevoflurane administration with newer carbon dioxide absorbents. Methods A modified PhysioFlex apparatus (Dräger, Lübeck, Germany) was connected to an artificial test lung (inflow at the top of the bellow approximately/= 160 ml/min CO2; outflow at the Y piece of the lung model approximately/= 200 ml/min, simulating oxygen consumption). Ventilation was set to obtain an end-tidal carbon dioxide partial pressure of approximately 40 mmHg. Various fresh carbon dioxide absorbents were used: Sodasorb (n = 6), Sofnolime (n = 6), and potassium hydroxide (KOH)-free Sodasorb (n = 7), Amsorb (n = 7), and lithium hydroxide (n = 7). After baseline analysis, liquid sevoflurane was injected into the circuit by syringe pump to obtain 2.1% end-tidal concentration for 240 min. At baseline and at regular intervals thereafter, end-tidal carbon dioxide partial pressure, end-tidal sevoflurane concentration, and canister inflow (T degrees(in)) and canister outflow (T degrees(out)) temperatures were measured. To measure compound Ainsp concentration in the inspired gas of the breathing circuit, 2-ml gas samples were taken and analyzed by capillary gas chromatography plus mass spectrometry. Results The median (minimum-maximum) highest compound Ainsp concentrations over the entire period were, in decreasing order: 38.3 (28.4-44.2)* (Sofnolime), 30.1 (23.9-43.7) (KOH-free Sodasorb), 23.3 (20.0-29.2) (Sodasorb), 1.6 (1.3-2.1)* (lithium hydroxide), and 1.3 (1.1-1.8)* (Amsorb) parts per million (*P < 0.01 vs. Sodasorb). After reaching their peak concentration, a decrease for Sofnolime, KOH-free Sodasorb, and Sodasorb until 240 min was found. The median (minimum-maximum) highest values for T degrees(out) were 39 (38-40), 40 (39-42), 41 (40-42), 46 (44-48)*, and 39 (38-41) degrees C (*P < 0.01 vs. Sodasorb), respectively. Conclusions With KOH-free (but sodium hydroxide [NaOH]-containing) soda limes even higher compound A concentrations are recorded than with standard Sodasorb. Only by eliminating KOH as well as NaOH from the absorbent (Amsorb and lithium hydroxide) is no compound A produced.

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