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Miller's Anesthesia proven WRONG by Dr Stan! What REALLY happens to volatile washout with changes in cardiac output

Anaesthesia Coffee Break

English - February 19, 2021 06:00 - 37 minutes - 26 MB - ★★★★★ - 2 ratings
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Here is our deep dive into what exactly occurs to volatile washout in an anaesthetised person if cardiac output changes. Out of the textbooks we reviewed, only MILLER'S ANESTHESIA (thought by many to be the bible of anaesthesia) comments on exactly what occurs!

In this episode we reveal what Dr Stan discovered by running his very own transparent simulations using Gasman.

https://www.gasmanweb.com

The cardiac output/washout analysis begins at approx 9mins 30seconds.


Our parameters for wash-in and washout analysis

Time
30mins vs 6 hrs 

Cardiac output
1L/min vs 10L/min

Minute ventilation 
1L/min vs 10L/min

Volatile
isoflurane at 2% at fresh gas flow fo 2L/min

Patient weight 
70kg




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Disclaimer:

 The information contained in this podcast is for medical practitioner education only. It is not and will not be relevant for the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 

The medical information is provided “as is” without any representations or warranties, express or implied. 

The presenter makes no representations or warranties in relation to the medical information on this video. 

You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.

You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’

 Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing

 The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.

 The information presented here does not represent the views of any hospital or ANZCA.

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