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The mechanisms of carbon monoxide production by inhalational agents
Open accessAbstract
Summary: Carbon monoxide can be formed when volatile anaesthetic agents such as desflurane and sevoflurane are used with anaesthetic breathing systems containing carbon dioxide absorbents. This review describes the possible chemical processes involved and summarises the experimental and clinical evidence for the generation of carbon monoxide. We emphasise the different conditions that were used in the experimental work, and explain some of the features of the clinical reports. Finally, we provide guidelines for the prevention and detection of this complication.
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“In general, anesthesia systems and their components can be safely used with FGFs ≤ 1 L·min-1 under the following conditions: 1) little systemic leakage; 2) mandatory measurement of inspiratory and expiratory concentration of oxygen, carbon dioxide, and inhalational anesthetics; and 3) presence of an integrated carbon dioxide absorber.”
From A call for immediate climate action in anesthesiology: routine use of minimal or metabolic fresh gas flow reduces our ecological footprint (2023) · cites this paper as [50]
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Inhalational anesthesia vs total intravenous anesthesia (TIVA) for pediatric anesthesia
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Anesthesia-Related Carbon Monoxide Exposure: Toxicity and Potential Therapy
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Carbon monoxide re-breathing during low-flow anaesthesia in infants and children
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Carbon monoxide and anesthesia-induced neurotoxicity
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Metadata
- Authors
- Coppens, M. J., Versichelen, L. F. M., Rolly, G., Mortier, E. P., & Struys, M. M. R. F.
- Affiliations
- Ghent University Hospital (BE)
- Corresponding author
- Coppens, M. J.
- Venue
- Anaesthesia
- Publisher
- Wiley
- Published
- 2006-03-28
- Volume
- 61
- Issue
- 5
- Pages
- 462-468
- ISSN
- 0003-2409 (ISSN-L)
- 1365-2044
- OpenAlex
- W2032826125
- Cited by
- 38
- References
- 31
- Citations by year
- 2024: 2 · 2023: 4 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 2 · 2014: 2 · 2012: 4
- FWCI
- 0.44
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Anaesthesia (publishedVersion)
- PubMed (publishedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Biomedical and Chemical Research
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
- Keywords
- carbon monoxide production, inhalational anesthetics, desflurane, sevoflurane, CO2 absorbents, anaesthetic breathing systems, anesthesia complications
- MeSH terms
- Absorption, Sevoflurane, Desflurane, Adolescent, Anesthesia, Closed-Circuit, Animals, Carbon Monoxide, Child, Preschool, Female, Humans, Isoflurane, Male, Methyl Ethers, Middle Aged, Oxides, Sodium Hydroxide, Swine, Gas Scavengers, Calcium Compounds, Anesthetics, Inhalation
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