Figure 5-16
The uptake (in milliliters per minute) resulting from
the application of the constants calculated by Yasuda and colleagues[11]
[12]
from their measurements in human volunteers.
The application assumes that the alveolar concentration equals the minimum alveolar
concentration (MAC). Uptake is a function of MAC and solubility of the anesthetic
in blood and tissues. The fivefold higher MAC for desflurane compared with isoflurane
is offset by a threefold lower solubility, producing less than a twofold difference
in uptake at any time. Uptake for all anesthetics initially declines rapidly as
a function of the rate at which the vessel-rich tissue group equilibrates. Further
decline after 5 to 10 minutes is a function of the approach to equilibration of the
muscle group.