Low-flow anaesthesia – Underused mode towards “sustainable anaesthesia”

Madhusudan Upadya, P. J. Saneesh

Research output: Contribution to journalReview articlepeer-review

16 Citations (Scopus)


Any technique that employs a fresh gas flow that is less than the alveolar ventilation can be classified as low-flow anaesthesia. The complexities involved in the calculation of uptake of anaesthetic agents during the closed-circuit anaesthesia made this technique less popular. However, the awareness of the dangers of theatre pollution with trace amounts of the anaesthetic agents and the prohibitively high cost of the new inhalational agents, have helped in the rediscovery of low-flow anaesthesia. Moreover, the time has arrived for each of us, the practicing anaesthesiologists, to move towards the practice of low-flow anaesthesia, to achieve lesser theatre and environmental pollution and also to make anaesthesia more economical. The article also reviews low-flow anaesthesia (LFA) in paediatrics, recent advances such as automated LFA and updates on currently undergoing research to retrieve and reuse anaesthetic agents.

Original languageEnglish
Pages (from-to)166-172
Number of pages7
JournalIndian Journal of Anaesthesia
Issue number3
Publication statusPublished - 01-03-2018

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine


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