Feasibility of monitoring liquid volume of sevoflurane consumption using a new model (BR850) of vaporizer with electronic liquid level sensor

Rui LYU; Jing GAO; Congwen YANG; Yi DENG; Yan CHEN; Yang CHEN; Bin YI; Kaizhi LU

doi:10.16016/j.1000-5404.201706079

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Feasibility of monitoring liquid volume of sevoflurane consumption using a new model (BR850) of vaporizer with electronic liquid level sensor

更新时间：2026-01-09

- Feasibility of monitoring liquid volume of sevoflurane consumption using a new model (BR850) of vaporizer with electronic liquid level sensor
- Journal of Third Military Medical University Vol. 39, Issue 22, Pages: 2195-2199(2017)
- 作者机构：
  
  400038 重庆，第三军医大学西南医院手术麻醉科
- 作者简介：
- 基金信息：
  
  the Key Science and Technology Project of Chongqing(CSTC2014yykfB10005)
- DOI：10.16016/j.1000-5404.201706079
  CLC： R197.39;R614;R971.2
- Received：14 June 2017，
  
  Revised：2017-07-20，
  
  Published：30 November 2017
- 稿件说明：
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Rui LYU, Jing GAO, Congwen YANG, et al. Feasibility of monitoring liquid volume of sevoflurane consumption using a new model (BR850) of vaporizer with electronic liquid level sensor[J]. Journal of Third Military Medical University, 2017, 39(22): 2195-2199.
DOI：

Rui LYU, Jing GAO, Congwen YANG, et al. Feasibility of monitoring liquid volume of sevoflurane consumption using a new model (BR850) of vaporizer with electronic liquid level sensor[J]. Journal of Third Military Medical University, 2017, 39(22): 2195-2199. DOI： 10.16016/j.1000-5404.201706079.

摘要

目的

评价新型国产BR850电子挥发罐测量法监测七氟烷消耗量液态体积的效果。

方法

选择本院2016年1月至2017年6月静吸复合全身麻醉下行妇科腔镜手术患者79名，于Boaray700麻醉机上加载国产BR850电子挥发罐。采用测量法测算术中吸入七氟烷的液态体积，并与传统公式法、称重法进行比较，采用线性回归分析两两之间七氟烷消耗量的相关性。

结果

公式法、称重法、测量法测得七氟烷消耗量分别为(33.18±14.06)、(33.87±14.41)、(33.89±14.33)mL，三者两两比较差异均无统计学意义(

0.05)。3种方法两两比较七氟烷消耗量的决定系数

：称重法与公式法为0.977(

0.01)，称重法与测量法为0.992(

0.01)，公式法与测量法为0.970(

0.01)，三者之间均存在正相关。

结论

新型国产BR850电子挥发罐监测术中七氟烷消耗量液态体积与称重法、公式法效果相当，可满足我国精准化医疗的需求。

Abstract

Objective

To test the performance of a new model (BR850) of vaporizer equipped with an electronic liquid level sensor for monitoring the liquid volume of sevoflurane consumption.

Methods

Seventy-nine patients undergoing gynecological laparoscopic surgery under general anesthesia at our hospital between January 2016 and June 2017 were enrolled to evaluate the performance of the BR850 vaporizer loaded on a Boaray700 anesthesia machine. The liquid volume of sevoflurane consumption measured using the electronic liquid level sensor was compared with the measurements calculated using an established formula and derived from weight changes of the vaporizer

and the correlations among the measurements were analyzed.

Results

The mean sevoflurane consumption measured using the formula

by vaporizer weight changes and using the electronic sensor was 33.18±14.06

33.87±14.41

and 33.89±14.33 mL

respectively. The coefficient of determination (R2) of sevoflurane consumption measurements was 0.977 (

0.01) between the weighing method and formula method

0.992 (

0.01) between the weighing method and the electronic method

and 0.970 (

0.01) between the formula method and the electronic method

showing a positive correlation among the measurements using the 3

methods.

Conclusion

Compared with the weighing method and the formula method

the electronic method using a liquid level sensor in the vaporizer yields comparable results for measuring sevoflurane consumption during general anesthesia. This new vaporizer can well meet the demand of precision medical treatment in China.

关键词

Keywords

references

DE HERT S, MOERMAN A. Sevoflurane[J]. F1000Res, 2015, 4(F1000 Faculty Rev): 626. DOI: 10.12688/f1000 research.6288.1.

ATHIRAMAN U, RAVISHANKAR M, JAHAGIRDHAR S. Performance of computer simulated inhalational anesthetic uptake model in comparison with real time isoflurane concentration[J]. J Clin Monit Comput, 2016, 30(6): 791-796. DOI: 10.1007/s10877-015-9776-6.

DEHOUWER A, CARETTE R, DE RIDDER S, et al . Accuracy of inhaled agent usage displays of automated target control anesthesia machines[J ] . J Clin Monit Comput, 2015, 30(5): 539-543. DOI: 10.1007/s10877-015-9746-z.

SHIN H W, YU H N, BAE G E, et al . The effect of fresh gas flow rate and type of anesthesia machine on time to reach target sevoflurane concentration[J ] . BMC Anesthesiol, 2017, 17(1): 10. DOI: 10.1186/s12871-016-0294-y.

HARISSEH R, CHIARI P, VILLEDIEU C, et al . Cyclophilin D modulates the cardiac mitochondrial target of isoflurane, sevoflurane, and desflurane[J ] . J Cardiovasc Pharmacol, 2017, 69(5): 326-334. DOI: 10.1097/FJC.0000000000000479.

PHILIP J H. Using screen-based simulation of inhaled anaesthetic delivery to improve patient care[J]. Br J Anaesth, 2015, 115(Suppl 2): ii89-94. DOI: 10.1093/bja/aev370.

AMIRAV I, LUDER A S, HALAMISH A, et al . Computerized dead-space volume measurement of face masks aplied to simulated faces[J ] . Respir Care, 2015, 60(9): 1247-1251. DOI: 10.4187/respcare.03813.

SKALEC T, GÓRECKA-DOLNY A, ZIELIŃSKI S, et al . Comparison of anaesthetic gas consumption and stability of anaesthesia using automatic and manual control over the course of anaesthesia[J ] . Anaesthesiol IntensiveTher, 2017, 49(1): 34-39. DOI: 10.5603/AIT.2017.0008.

SINGH P M, TRIKHA A, SINHA R, et al . Measurement of consumption of sevoflurane for short pediatric anesthetic procedures: Comparison between Dion's method and Dragger algorithm[J ] . J Anaesthesiol Clin Pharmacol, 2013, 29(4): 516-520. DOI: 10.4103/0970-9185.119160.

BIRO P. Calculation of volatile anaesthetics consumption from agent concentration and fresh gas flow[J]. Acta Anaesthesiol Scand, 2014, 58(8): 968-972. DOI: 10.1111/aas.12374.

AMORNYOTIN S, CHALAYONNAWIN W, KONGPHLAY S. A randomized controlled trial of preprocedure administration of parecoxib for therapeutic endoscopic retrograde cholangiopancreatography[J]. J Pain Res, 2012, 5(default):251.

DENNHARDT N, BOETHIG D, BECK C, et al . Optimization of initial propofol bolus dose for EEG Narcotrend Index-guided transition from sevoflurane induction to intravenous anesthesia in children[J ] . Paediatr Anaesth, 2017, 27(4): 425-432. DOI: 10.1111/pan.13118.

DUAN G, GUO S, ZHAN H, et al . A new real-time method for detecting the effect of fentanyl using the preoperative pressure pain threshold and Narcotrend index: a randomized study in female surgery patients[J ] . Medicine (Baltimore), 2015, 94(1): e316. DOI: 10.1097/MD.0000000000000316.

DI P, SPAGGIARI S, PANNATIER A, et al . Stop using the flotation technique and start weighing salbutamol pressurised metered-dose inhalers without dose counters[J ] . Swiss Medical Weekly, 2015. DOI: 10.4414/smw.2015.14162.

ALTINIŞIK U, ALTINIŞIK H B, ŞIMŞEK T, et al . Evaluation of the approaches of the anaesthesiologists on maintenance of anaesthesia machines[J ] . Turk J Anaesthesiol Reanim, 2016, 44(3): 134-141. DOI: 10.5152/TJAR.2016.80008.

BIRO P, KNESCHKE O, THEUSINGER O M. Accuracy of calculated volatile agent consumption from fresh gas content[J]. Acta Anaesthesiol Scand, 2015, 59(5): 619-624. DOI: 10.1111/aas.12487.

AMAGASA S, TAKAHASHI E, MURATA N. Gas leak due to faulty actuating spindles in a Tec 7 vaporizer[J]. J Anesth, 2014, 28(6): 954. DOI: 10.1007/s00540-014-1825-7.

BIRO P, KNESCHKE O, THEUSINGER O M. Reliability of the volatile agent consumption display in the Draeger Primus TM anesthesia machine[J ] . J Clin Monit Comput, 2015, 29(5): 601-604. DOI: 10.1007/s10877-014-9639-6.

SiNGARAVELU S, BARCLAY P. Automated control of end-tidal inhalation anaesthetic concentration using the GE Aisys Carestation?[J]. Br J Anaesth, 2013, 110(4): 561-566. DOI: 10.1093/bja/aes464.

LURIA I, LAMPOTANG S, SCHWAB W, et al . Automated, real-time fresh gas flow recommendations alter isoflurane consumption during the maintenance phase of anesthesia in a simulator-based study[J ] . Anesth Analg, 2013, 117(5): 1139-1147. DOI: 10.1213/ANE.0b013e3182a08d90.

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