Manchester 1994

Program of the first low flow meeting

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Page One    
The History of Closed Circuit Anaesthesia   David White England
Inhalational Agents:   Measuring and Monitoring Paul Beatty England
Minimum Fresh Gas Flows for Non-Absorber Breathing Systems      George Meakin    England
Page Two    
Clinical Experience of Low Flow Anaesthesia Jan Baum Germany
Desflurane:  Pharmacology and Clinical Trials Ronald Jones   England
The Challenge of Designing a Desflurane Vaporiser Lucian Galbenu England
Page Three    
Low Flow Anaesthesia with Desflurane Michael Logan Scotland
Hepatotoxicity of Volatile Agents NO ABSTRACT AVAILABLE Burnell Brown USA
Clinical Trials with Sevoflurane Ian Munday England
Page Four    
Methods of Drug Delivery George Rolly Belgium
Pharmaco-Economics of Drug Delivery Brian Pollard England
 Ultimate Low Flow Anaesthesia  (Poster presentation) Miles Rucklidge England


NOTE WELL.

This meeting was held 9 years ago.  Drug prices and practices have changed.  Many of these abstracts should be read as historical documents.

That said, this meeting includes a very thorough account of the development of the TEC6 vaporiser and much other useful material.

Delegates came from 17 countries to attend this meeting. It was organised by Nigel Harper who prefaced the abstracts booklet with these words.

( His confidence expressed in the last sentence has been borne out.)

 

Fundamental changes in anaesthetic technique tend to gain acceptance over a number of years. It is probable that the 1990s will be remembered as the decade during which low-flow inhalational anaesthesia finally earned widespread and enduring popularity.

What are the factors that have rekindled such enthusiasm for a technique which is almost as old as anaesthesia itself ? First, there can be no doubt that the ability to measure reliably and inexpensively the concentration of the circulating gases and vapours has increased the confidence with which low-flow systems can be used. The spectres of a hypoxic mixture and excessively high or low concentrations of inhalational agents have been exorcised effectively. While the enthusiast may wish to calculate mathematically the desirable concentrations and flows, the availability of suitable monitors has encouraged a pragmatic, practical approach to low-flow anaesthesia.  Second, the introduction of new drugs into anaesthetic practice invariably stimulates discussion regarding their cost effectiveness. Many factors affect the cost-per-case of inhalational agents; nonetheless, regardless of which agent is chosen, low-flow anaesthesia will be less expensive than high-flow anaesthesia.

Against this background of enthusiasm and interest, Low Flow Anaesthesia 1994 was held at the Postgraduate Health Sciences Centre at the Manchester Royal Infirmary in July 1994. This was a truly International meeting: no less than seventeen countries were represented. The excellence of the speakers was matched by the intelligence and eagerness with which delegates took part in discussions; both within the auditorium and in the trade exhibition. To speakers and delegates I should like to extend my gratitude.

I should like to thank those companies who sponsored this event so generously. Having stalled the ball rolling, I am confident that there is a need for an annual international symposium on Low-Flow Anaesthesia.

 

The background of this page is from an engraving of Stephen Hale's apparatus.

 


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