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BJA Advance Access published online on January 22, 2004

British Journal of Anaesthesia, doi:10.1093/bja/aeh077
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted September 26, 2003

Short Communication

Minimum alveolar concentration (MAC) of xenon in intubated swine

K. E. Hecker 1*, N. Horn 1, J. H. Baumert 1, S. M. Reyle-Hahn 2, N. Heussen 3, R. Rossaint 1

1 Department of Anaesthesiology, Klinikum der RWTH Aachen, Pauwelsstr. 30, D-52074 Aachen, Germany
2 Department of Anaesthesiology and Intensive Care, Waldkrankenhaus Berlin, Germany
3 Department of Medical Statistics, Klinikum der RWTH Aachen, Pauwelsstr. 30, D-52074 Aachen, Germany

* To whom correspondence should be addressed. E-mail: klaus.hecker{at}post.rwth-aachen.de.


   Abstract

Background. The minimum alveolar concentration (MAC) is a traditional index of the hypnotic potency of an inhalational anaesthetic. To investigate the anaesthetic as well as the unwanted effects of xenon (Xe) in a swine model, it is useful to know MACXe.

Methods. The study was performed using ten swine (weight 27.8-35.4 kg) anaesthetized with halothane and Xe 0, 15, 30, 40, 50 and 65% in oxygen. With each Xe concentration, various concentrations of halothane were administered in a step-by-step design. For each combination, a supramaximal pain stimulus (claw clamp) was applied and the appearance of a withdrawal reaction was recorded. The MACXe with halothane was calculated using a logistic regression model.

Results. During stable ventilation, haemodynamics and temperature, MACXe value was determined as 119 vol. % (95% confidence limits 103-135).

Conclusion. MACXe in swine was calculated by extrapolation of a logistic regression model. Its theoretical value is 119 vol. %.

Br J Anaesth 2004

Keywords: Keywords: anaesthesia, closed circuit; anaesthetics volatile; pharmacology


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