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R.W.D. Nickalls, W.W. Mapleson  British Journal of Anaesthesia 

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1 Age-related iso-MAC charts for isoflurane, sevoflurane and desflurane in man† 
R.W.D. Nickalls, W.W. Mapleson  British Journal of Anaesthesia  Volume 91, Issue 2, Pages (August 2003) DOI: /bja/aeg132 Copyright © 2003 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Iso-MAC chart for isoflurane (age ≥1 yr). The iso-MAC curves are drawn for MAC (0.6–1.6) using Equation 3 (adapted from Mapleson).5 The dots on the iso-MAC curves are to help alignment. The left-hand ordinate scale indicates the end-expired isoflurane concentration when using oxygen 100%. The two right-hand ordinate scales indicate the end-expired isoflurane concentration when using nitrous oxide 50 and 67% in oxygen. The vertical shifts for the nitrous oxide 50 and 67% scales are 0.56 and 0.75 respectively (see Appendix). For a given age and MAC, the associated end-expired isoflurane concentration is read from the appropriate ordinate scale. For example, a MAC of 1.2 for a 60-yr-old patient using isoflurane and nitrous oxide 67% in oxygen requires an end-expired isoflurane concentration of ∼0.5%. British Journal of Anaesthesia  , DOI: ( /bja/aeg132) Copyright © 2003 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Iso-MAC chart for sevoflurane (age ≥1 yr). The vertical shifts for the nitrous oxide 50 and 67% scales are 0.86 and 1.16 respectively (see Fig. 1 legend for details and interpretation). British Journal of Anaesthesia  , DOI: ( /bja/aeg132) Copyright © 2003 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Iso-MAC chart for desflurane (age ≥1 yr) The vertical shifts for the nitrous oxide 50 and 67% scales are 3.15 and 4.22 respectively (see Fig. 1 legend for details and interpretation). British Journal of Anaesthesia  , DOI: ( /bja/aeg132) Copyright © 2003 British Journal of Anaesthesia Terms and Conditions


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