
Premedication: Premedication should be selected according to the need of the individual patient, and at the discretion of the anaesthetist. The use of anticholinergic drugs is a matter of choice.
Induction: Anesthesia can be induced in adults and children with Sevoflurane. Dosage should be individualized and titrated to the desired effect according to the patient's age and clinical status. A short acting barbiturate or other intravenous induction agent may be administered followed by inhalation of Sevoflurane. Induction with Sevoflurane may be achieved in oxygen or in combination with oxygen-nitrous oxide mixtures. In adults inspired concentrations of up to 5% Sevoflurane usually produce surgical anesthesia in less than 2 minutes.
In children, inspired concentrations of up to 7% Sevoflurane usually produce surgical anesthesia in less than 2 minutes.
Maintenance: Surgical levels of anesthesia may be sustained with concentration of 0.5-3% Sevoflurane with or without the concomitant use of nitrous oxide.
Elderly: As with other inhalation agents, lesser concentrations of Sevoflurane are normally required to maintain surgical anesthesia. See as previously mentioned for MAC values.
Emergence: Emergence times are generally short following Sevoflurane anaesthesia. Therefore, patients may require early post-operative pain relief.