We have examined the predictability of inspired isoflurane concentrati
on during low-flow anaesthesia using a to-and-fro breathing system. Tw
enty one adult patients requiring mechanical ventilation of the lungs
during surgery took part in this study. Using a fresh gas flow of 21.m
in(-1), the ratio of inspired isoflurane concentration to isoflurane v
aporizer setting was found to be approximately 4/5th after 5 min of an
aesthesia. The ratio was maintained throughout the procedure, except f
or a few minutes following each change in vaporizer setting.