Take home messages from Desflurane course:
  • Use the Rule of 24 (e.g. 4L FGF x 6% Des, 3L FGF x 8% Des)
  • To avoid sympathetic stimulation increase Des in steps of 1%
  • May be advantageous in procedures > 2hrs (and obese/ elderly patients)
  • Reportedly faster return of airway reflexes and not as much “hang over”
  • Try not to manipulate airway during emergence as higher risk of laryngospasm

Further Reading