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REVIEW ARTICLE
Year : 2018  |  Volume : 62  |  Issue : 3  |  Page : 166-172

Low-flow anaesthesia – underused mode towards “sustainable anaesthesia”


1 Department of Anaesthesiology, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India
2 Department of Anesthesia, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman

Correspondence Address:
Dr. Madhusudan Upadya
Department of Anaesthesiology, Kasturba Medical College, Manipal University, Mangalore - 575 001, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_413_17

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Any technique that employs a fresh gas flow that is less than the alveolar ventilation can be classified as low-flow anaesthesia. The complexities involved in the calculation of uptake of anaesthetic agents during the closed-circuit anaesthesia made this technique less popular. However, the awareness of the dangers of theatre pollution with trace amounts of the anaesthetic agents and the prohibitively high cost of the new inhalational agents, have helped in the rediscovery of low-flow anaesthesia. Moreover, the time has arrived for each of us, the practicing anaesthesiologists, to move towards the practice of low-flow anaesthesia, to achieve lesser theatre and environmental pollution and also to make anaesthesia more economical. The article also reviews low-flow anaesthesia (LFA) in paediatrics, recent advances such as automated LFA and updates on currently undergoing research to retrieve and reuse anaesthetic agents.


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