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Intravenous anaesthetic-hypnotic drugs Propofol Pentothal ...

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25/11/2010<br />

Titration of <strong>anaesthetic</strong> depth<br />

(actual clinical practice)<br />

Inhaled <strong>anaesthetic</strong>s :<br />

VAPOR (vol%) ---- Inspired conc. ----- Endtidal conc. ----- drug<br />

effect<br />

<strong>Intravenous</strong> <strong>anaesthetic</strong>s :<br />

( “MAC” on line)<br />

Dose (mg/kg) --------????????? --------?????????? ------- drug<br />

effect<br />

Need for calculated (estimated) concentrations<br />

t 1/2 k e0 and time to peak effect<br />

Drug t 1/2 k e0 (min) Time to peak effect<br />

(min)<br />

<strong>Propofol</strong> 2.4 1.6 - 2.2<br />

Thiopental 1.5 1.7<br />

Midazolam 4.0 2.8<br />

Etomidate 1.5 2.0<br />

3

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