Carbon monoxide re-breathing during low-flow anaesthesia in infants and children

British Journal of Anaesthesia

Volumn 105, Issue 6, 2010, Pages 836-841

  Nasr, V ^a   Emmanuel, J ^a   Deutsch, N ^a   Slack, M ^a   Kanter, J ^a   Ratnayaka, K ^a   Levy, R ^a  

^a GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE AND HEALTH SCIENCES   (United States)

Author keywords

anaesthesia; carbon monoxide; carboxyhaemoglobin; children; closed circuit; infant; ventilation

Indexed keywords

CARBON MONOXIDE; CARBOXYHEMOGLOBIN;

AGE; ANESTHESIA; ARTICLE; CHILD; CLINICAL ARTICLE; CLINICAL EVALUATION; CONCENTRATION (PARAMETERS); EXHALATION; FEMALE; GAS EXCHANGE; GAS FLOW; GENERAL ANESTHESIA; GENERAL PRACTITIONER; HUMAN; INFANCY; INFANT; INSPIRATORY CAPACITY; LUNG MINUTE VOLUME; MALE; OBSERVATIONAL STUDY; PRIORITY JOURNAL; PROSPECTIVE STUDY; REBREATHING;

EID: 78649471964     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aeq271     Document Type: Article

References (32)

1. Coppens MJ, Versichelen LF, Rolly G, Mortier EP, Struys MM. The mechanisms of carbon monoxide production by inhalational agents. Anaesthesia 2006; 61: 462-8
2. Tang CS, Fan SZ, Chan CC. Smoking status and body size increase carbon monoxide concentrations in the breathing circuit during low-flow anaesthesia. Anesth Analg 2001; 92: 542-7
3. Levy RJ, Nasr VG, Rivera O, et al. Detection of carbon monoxide during routine anesthetics in infants and children. Anesth Analg 2010; 110: 747-53
4. Wissing H, Kuhn I, Warnken U, Dudziak R. Carbon monoxide production from desflurane, enflurane, halothane, isoflurane, and sevoflurane with dry soda lime. Anesthesiology 2001; 95: 1205-12
5. Fan SZ, Lin YW, Chang WS, Tang CS. An evaluation of the contributions by fresh gas flow rate, carbon dioxide concentration and desflurane partial pressure to carbon monoxide concentration during low fresh gas flows to a circle anaesthetic breathing system. Eur J Anaesthesiol 2008; 25: 620-6
6. Hayashi M, Takahashi T, Morimatsu H, et al. Increased carbon monoxide concentration in exhaled air after surgery and anaesthesia. Anesth Analg 2004; 99: 444-8
7. Baum JA, Aitkenhead AR. Low-flow anaesthesia. Anaesthesia 1995; 50 (Suppl): 37-44
8. Woehlck HJ. Carbon monoxide rebreathing during low flow anaesthesia. Anesth Analg 2001; 93: 516-7
9. Keijzer C, Perez RS, de Lange JJ. Carbon monoxide production from desflurane and six types of carbon dioxide absorbents in a patient model. Acta Anaesthesiol Scand 2005; 49: 815-8
10. Keijzer C, Perez RS, de Lange JJ. Compound A and carbon monoxide production from sevoflurane and seven different types of carbon dioxide absorbent in a patient model. Acta Anaesthesiol Scand 2007; 51: 31-7
11. Bermudez JA. Investigation of electrochemical carbon monoxide sensor monitoring of anesthetic gas mixtures. Anesthesiology 2003; 99: 1233-5
12. Bonome C, Belda J, Alvarez-Refojo F, et al. Low-flow anaesthesia and reduced animal size increase carboxyhemoglobin levels in swine during desflurane and isoflurane breakdown in dried soda lime. Anesth Analg 1999; 89: 909-16
13. Murray JM, Renfrew CW, Bedi A, et al. Amsorb: a new carbon dioxide absorbent for use in anesthetic breathing systems. Anesthesiology 1999; 91: 1342-8
14. Woehlck HJ, Mei D, Dunning MB III, Ruiz F. Mathematical modeling of carbon monoxide exposures from anesthetic breakdown: effect of subject size, hematocrit, fraction of inspired oxygen, and quantity of carbon monoxide. Anesthesiology 2001; 94: 457-60
15. Adachi T, Hirota K, Hara T, Sasaki Y, Hara Y. Exhaled carbon monoxide levels change in relation to inspired oxygen fraction during general anaesthesia. Anesth Analg 2007; 105: 696-9
16. Hauck H, Neuberger M. Carbon monoxide uptake and the resulting carboxyhemoglobin in man. Eur J Appl Physiol Occup Physiol 1984; 53: 186-90
17. Gravelle H. How much of the relation between population mortality and unequal distribution of income is a statistical artefact? Br Med J 1998; 316: 382-5
18. Carbon Dioxide Absorbent Desiccation Safety Conference Convened by APSF. Available from http://www.apsf.org/resource-center/newsletter/2005/summer/01co2. htm (accessed April 1, 2010).
19. Prockop LD, Chichkova RI. Carbon monoxide intoxication: an updated review. J Neurol Sci 2007; 262: 122-30
20. Gorman D, Drewry A, Huang YL, Sames C. The clinical toxicology of carbon monoxide. Toxicology 2003; 187: 25-38
21. Smithline HA, Ward KR, Chiulli DA, Blake HC, Rivers EP. Whole body oxygen consumption and critical oxygen delivery in response to prolonged and severe carbon monoxide poisoning. Resuscitation 2003; 56: 97-104
22. Chung Y, Huang SJ, Glabe A, Jue T. Implication of CO inactivation on myoglobin function. Am J Physiol Cell Physiol 2006; 290: C1616-24
23. Iheagwara KN, Thom SR, Deutschman CS, Levy RJ. Myocardial cytochrome oxidase activity is decreased following carbon monoxide exposure. Biochim Biophys Acta 2007; 1772: 1112-6
24. Sylvester KP, Patey RA, Rafferty GF, et al. Exhaled carbon monoxide levels in children with sickle cell disease. Eur J Pediatr 2005; 164: 162-5
25. Kaplan M, Vreman HJ, Hammerman C, et al. Combination of ABO blood group incompatibility and glucose-6-phosphate dehydro-genase deficiency: effect on hemolysis and neonatal hyperbiliru-binemia. Acta Paediatr 1998; 87: 455-7
26. Wohlfeil ER, Woehlck HJ, Gottschall JL, Poole W. Increased carboxyhemoglobin from hemolysis mistaken as intraoperative desflurane breakdown. Anesth Analg 2001; 92: 1609-10
27. Moncure M, Brathwaite CE, Samaha E, Marburger R, Ross SE. Car-boxyhemoglobin elevation in trauma victims. J Trauma 1999; 46: 424-7
28. Ehlers M, Labaze G, Hanakova M, McCloskey D, Wilner G. Alarming levels of carboxyhemoglobin in banked blood. J Cardiothorac Vasc Anesth 2009; 23: 336-8
29. Tang CS, Fan SZ, Chan CC. Smoking status and body size increase carbon monoxide concentrations in the breathing circuit during low-flow anesthesia. Anesth Analg 2001; 92: 542-7
30. Patel AP, Moody AJ, Sneyd JR, Handy RD. Carbon monoxide exposure in rat heart: evidence for two modes of toxicity. Biochem Biophys Res Commun 2004; 321: 241-6
31. Dulak J, Jozkowicz A. Carbon monoxide\a 'new' gaseous modulator of gene expression. Acta Biochim Pol 2003; 50: 31-47
32. Woehlck HJ, Dunning M III, Raza T, Ruiz F, Bolla B, et al. Physical factors affecting the production of carbon monoxide from anesthetic breakdown. Anesthesiology 2001; 94: 453-6