Anesthetic drugs & techniques

The Probability Distribution of Times to Awakening From Sevoflurane Anesthesia, Among a Homogeneous Group of Cases With the Same Age-Adjusted Minimum Alveolar Concentration Fraction

Anesth AnalgPublished Retrospective cohort study

Authors' conclusion

A homogeneous patient population had a log-normal distribution of extubation times.

Study context

Population
Homogeneous group: oral surgery extractions by 1 surgeon, sevoflurane anesthesia with 0.3 minimum alveolar concentration (MAC) fraction at surgery end, without trainees, N2O, BIS monitor or NMB reversalfrom 182,374 GA cases
Participants
48 participants
Outcome
Probability distribution of extubation times (hypothesised log-normal)
Methodological detailscomputer simulation (Gas Man)
  • Computer simulation (Gas Man)

Main finding

As reported in the abstract

Distribution of extubation times
Extubation times followed a log-normal distribution (Shapiro-Wilk W = 0.98)
P = .68

Observational data: associations, not effects.

Further findings

Simulated awakening times (Gas Man)

Expected awakening times would appear to be a log-normal distribution, assuming patients differ solely in their awakening threshold of vessel-rich group sevoflurane concentration

Original publication

The Probability Distribution of Times to Awakening From Sevoflurane Anesthesia, Among a Homogeneous Group of Cases With the Same Age-Adjusted Minimum Alveolar Concentration Fraction. Anesth Analg. Published 28 February 2025. doi:10.1213/ane.0000000000007438

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