Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-26T16:06:59.502Z Has data issue: false hasContentIssue false
  • English
  • Français

A comparison of waste gas concentrations during xenon or nitrous oxide anaesthesia

Published online by Cambridge University Press:  01 September 2008

M. Coburn ,
J.-H. Baumert ,
A. Zühlsdorff ,
M. Hein ,
M. Fries  and
R. Rossaint
M. Coburn*
Affiliation:
University Hospital Aachen of the RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
J.-H. Baumert
Affiliation:
University Hospital Aachen of the RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
A. Zühlsdorff
Affiliation:
University Hospital Aachen of the RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
M. Hein
Affiliation:
University Hospital Aachen of the RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
M. Fries
Affiliation:
University Hospital Aachen of the RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
R. Rossaint
Affiliation:
University Hospital Aachen of the RWTH Aachen, Department of Anaesthesiology, Pauwelsstrasse 30, D-52074 Aachen, Germany
*
Correspondence to: Mark Coburn, Department of Anaesthesiology, University Hospital Aachen of the RWTH Aachen, Pauwelsstrasse 30, D-52074 Aachen, Germany. E-mail: [email protected]; Tel: +49 241 8088179; Fax: +49 241 8082406
Get access

Summary

Background and objective

The aim of this study was to compare waste gas concentrations during xenon or nitrous oxide anaesthesia.

Methods

A total of 64 patients were included in this study. Gas concentrations were measured with a mass spectrometer during anaesthesia. The probes were taken beside the patient’s head and thorax and at a height of 180 cm above and at the floor level.

Results

In both groups, waste gas concentrations peak after intubation and extubation. Waste gas levels during xenon anaesthesia are low compared with nitrous oxide.

Conclusions

The low waste gas levels of xenon seem to be beneficial compared to nitrous oxide.

Keywords

ANAESTHETICS INHALATIONALXENONNITROUS OXIDEAIR POLLUTION INDOOR
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 25 , Issue 9 , September 2008 , pp. 748 - 751
Copyright
Copyright © European Society of Anaesthesiology 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Baum, VC. When nitrous oxide is no laughing matter: nitrous oxide and pediatric anesthesia. Paediatr Anaesth 2007; 17: 824–830.CrossRefGoogle ScholarPubMed
2.Myles, PS, Leslie, K, Silbert, B, Paech, MJ, Peyton, P. A review of the risks and benefits of nitrous oxide in current anaesthetic practice. Anaesth Intensive Care 2004; 32: 165–172.CrossRefGoogle ScholarPubMed
3.Sanders, RD, Maze, M. Xenon: from stranger to guardian. Curr Opin Anaesthesiol 2005; 18: 405–411.CrossRefGoogle ScholarPubMed
4.Rossaint, R, Reyle-Hahn, M, Schulte Am Esch, J et al. Multicenter randomized comparison of the efficacy and safety of xenon and isoflurane in patients undergoing elective surgery. Anesthesiology 2003; 98: 6–13.CrossRefGoogle ScholarPubMed
5.Coburn, M, Kunitz, O, Baumert, JH et al. Randomized controlled trial of the haemodynamic and recovery effects of xenon or propofol anaesthesia. Br J Anaesth 2005; 94: 198–202.CrossRefGoogle ScholarPubMed
6.Wappler, F, Rossaint, R, Baumert, J et al. Multicenter randomized comparison of xenon and isoflurane on left ventricular function in patients undergoing elective surgery. Anesthesiology 2007; 106: 463–471.CrossRefGoogle ScholarPubMed
7.Liede, DR. CRC Handbook of Chemistry and Physics, 87th edn. Cleveland, Ohio: Chemical Rubber Company, 2006.Google Scholar
8.Goto, T, Suwa, K, Uezono, S, Ichinose, F, Uchiyama, M, Morita, S. The blood-gas partition coefficient of xenon may be lower than generally accepted. Br J Anaesth 1998; 80: 255–256.CrossRefGoogle ScholarPubMed
9.Reinelt, H, Schirmer, U, Marx, T, Topalidis, P, Schmidt, M. Diffusion of xenon and nitrous oxide into the bowel. Anesthesiology 2001; 94: 475–477.CrossRefGoogle Scholar