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All Journal E-Jurnal Medika Udayana Bali Journal of Anesthesiology Syntax Literate: Jurnal Ilmiah Indonesia Hearty : Jurnal Kesehatan Masyarakat Bioscientia Medicina : Journal of Biomedicine and Translational Research PREPOTIF : Jurnal Kesehatan Masyarakat Neurologico Spinale Medico Chirurgico Jurnal Kesehatan Tambusai Bioscientia Medicina : Journal of Biomedicine and Translational Research Journal of Anesthesiology and Clinical Research Journal of Global Pharma Technology Jurnal Anestesi dan Terapi Intensif Udayana Jurnal Anestesiologi dan Terapi Intensif
Adinda Putra Pradhana
Department Of Anesthesiology And Intensive Care, Faculty Of Medicine, Udayana University, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Journal : Journal of Global Pharma Technology

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Comparison between Low Flow and High Flow Sevoflurane Isocapnic Technique to Achieve Early Recovery after Surgery (ERAS) Adinda Putra Pradhana
Journal of Global Pharma Technology Volume 11 Issue 01.
Publisher : Journal of Global Pharma Technology

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Abstract

Objective. The purpose of this study was to compare recovery time between low flow and high flow sevoflurane isocapnic anesthesia techniques, as well as the total consumption of sevoflurane.Design. This study was an observational single-blind randomized trialSetting. Operating room.Patients. Total 40 patients from both gender, 18 to 60 years old, BMI 18.5-29.99 kg/m2 with physical status ASA I or II, that scheduled for elective surgery under general anesthesia approximately between 3-5 hours were selected for this study.Intervention. Selected patients divided randomly into two groups (n=20 each). First group was given low flow sevoflurane, delivered with initial flow 6 L/min until MAC 0.9 or expiration level of sevoflurane 2.2 vol% then reduced flow to 0.5 L/min; second group with high flow technique  4L/min after induction.Measurement. The duration of operation, duration of anesthesia, time reaching of BIS 75, eye-opening with command, extubation, moving into the recovery room and when reaching Modified Aldrete score 10.Main Results: Based on statistics, sample characteristics, hemodynamic conditions, length of anesthesia and number of fentanyl were not significantly different. There was a significant difference on post anesthesia recovery time between low flow and high flow anesthesia time BIS 75: 1.7 (± 0.801) vs 7.05 (± 3.956), p<0.001, eye-opening time: 5.45 (± 3.82) vs. 14.86 (± 7.945 ), p<0.001, extubation time: 5.8 (± 2.783) vs. 15.29 (± 8.776), p<0.001, moving into recovery room: 15.35 (± 5.133) vs. 23.52 (± 12.213), p=0.021, time reaching modified aldrete 10: 8.95 (± 4.211) vs. 29 (± 18,091), p<0.001).Conclusion: Recovery time after general anesthesia using low flow sevoflurane isocapnic anesthesia technique is faster than the high flow anesthesia technique with less sevoflurane consumption.
Co-Authors Agus Roy Rusli Hamid Amin, Yusuf Sidang Andi Irawan Andi Kusuma Wijaya, Andi Cahyono, Ardy Wibowo Christopher Ryalino Cynthia Dewi Sinardja Demoina, I Gede Patria Deni Salmon Dewa Ayu Karunia Dewi Dewa Ayu Mas Shintya Dewi Dwipayana, I Made Agus Yudha Eric Makmur, Eric Eva Dharma Yanti Farha, Nabilla Hartawan, IGAG Utara Heryana, Kadek Agus I Dewa Made Sukrama I Gede Budiarta I Gusti Agung Gede Utara Hartawan I Gusti Ngurah Mahaalit Aribawa I Gusti Putu Sukrana Sidemen I Ketut Sinardja I Made Darma Junaedi, I Made I Made Dwi Pramana I Made Gede Widnyana I Putu Agus Surya Panji I Wayan Aryabiantara, I Wayan I Wayan Suranadi Kadek Agus Heryana Putra, Kadek Agus Kamaswari, Ida Ayu Dwi Kapitan, Titin Agustin Ketut Wibawa Nada Labobar, Otniel Adrians Made Widnyana Made Wiryana Mahaalit, I Gusti Ngurah Mauritius Septa Murti, Dede Taruna Kreisnna Nada, I Ketut Wibawa Nantha Kusuma, Putu Eka Narakusuma, I Putu Fajar Ni Nyoman Sri Budayanti Ni Putu Novita Pradnyani, Ni Putu Novandi Kurniawan Pande Nyoman Kurniasari, Pande Pontisomaya Parami Prisca Oriana Sutanto Putra, Putu Enggi Pradana Putu Kurniyanta Putu Pramana Suarjaya Raka-Sudewi A. A. Rapa, Fransiscus Braveno Senapathi, Tjokorda Gede Agung Sonni Soetjipto, Sonni Sumanti, Alan F. A. Supono, Benny Suwardana, Muhammad Bayu Syamsuddin, Johanis Bosco Troy Tjokorda Gde Agung Senapathi Yadikusumo, Andrian