Authors: I. Herold; M. Bednář; M. Rosický; L. Piskač; J. Nováček Authors‘ workplace: ARO, Klaudiánova nemocnice, Mladá Boleslav, primář MUDr. Ivan Herold, CSc. Published in: Anest. intenziv. Med., , 1999, č. 1, s. 11-13 Category:
The paper summarizes our first experience with VIMA technique of sevoflurane anaesthesia. 12 patients scheduled for minor surgical, orthopedicor trauma surgery were induced with VIMA – tidal breath induction technique with sevoflurane. During induction, there was observed apnoea in 3patients, excitatory phenomenons in 2 patients and cough (once) during laryngeal mask insertion. The loss of consciousness assessed as a lack ofeye-lash reflex was observed after 95,6±30 secs. The insertion of laryngeal mask was possible after 190,2±66,6 secs after the beginning of sevofluraneadministration. After 42,1±28,5 mins of anaesthesia duration, the recovery was standard with times to laryngeal mask removal 423,1±173 secs,eye-opening 454,5±173 secs and orientation 514±196 sec. VIMA technique is simple and safe technique of general anaesthesia. It is well tolerated bypatients. Anaesthesia is preferentially maintained using low-flow technique.
Key words: inhalation anaesthesia – VIMA – sevoflurane – recovery form anaesthesia – laryngeal mask airway
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