Sevoflurane degradation by soda lime in a circle breathing system

Anaesthesia. 1996 Jul;51(7):622-6. doi: 10.1111/j.1365-2044.1996.tb07842.x.

Abstract

Sevoflurane is degraded by soda lime to a vinyl ether commonly referred to as compound A. We measured the concentration of compound A in the circle breathing system of 31 patients receiving sevoflurane anaesthesia. Inspiratory and expiratory gas samples were analysed using gas chromatography and flame ionisation detection. The end-tidal sevoflurane concentration and soda lime temperature were recorded. The peak compound A concentration ranged between 10 to 32 ppm in the inspiratory limb and 7 to 26 ppm in the expiratory limb. There was a positive correlation between the peak compound A concentration and the end-tidal sevoflurane concentration (r2 = 0.545, p < 0.0001) and the soda lime temperature (r2 = 0.301, p = 0.0014). We conclude that the end-tidal concentration of sevoflurane and the temperature of the soda lime are important variables in determining concentration of compound A in a circle system.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anesthesia, Closed-Circuit*
  • Anesthetics, Inhalation / administration & dosage
  • Anesthetics, Inhalation / chemistry*
  • Calcium Compounds*
  • Drug Administration Schedule
  • Ethers / administration & dosage
  • Ethers / chemistry*
  • Humans
  • Hydrocarbons, Fluorinated / chemistry
  • Methyl Ethers*
  • Oxides*
  • Sevoflurane
  • Sodium Hydroxide*
  • Temperature

Substances

  • Anesthetics, Inhalation
  • Calcium Compounds
  • Ethers
  • Hydrocarbons, Fluorinated
  • Methyl Ethers
  • Oxides
  • Sevoflurane
  • soda lime
  • Sodium Hydroxide
  • fluoromethyl 2,2-difluoro-1-(trifluoromethyl)vinyl ether