[Isoflurane. (Comparison with halothane and fentanyl anesthesia)]. 1990

F Incze, and R Kozma, and Z Vámos
Pest Megyei Tanács Semmelweis Kórház-Rendelöintézet, Budapest.

Authors carried out during one and a half year 135 anaesthesias with isoflurane. 104 of them was administered in closed, and 31 in semi-closed system. The results were compared with halothane and fentanyl anaesthesias. After brief review of the literature about isoflurane, authors evaluated their own experiences The most favourable result was the stability of the metabolic acid-base balance. One explanation of this feature is the undisturbed oxygenation of the tissues. The circulation was characterized by mild tachycardia and by transitory decrease of the systolic blood pressure. The circulatory parameters were better in closed system, than in semi-closed one, and within the former system the most stable circulation was achieved either by an empirical syringe-injection administration, or by vaporizer administration using 5 -3,8 -3,4 -3 -2,8 -2,5 -2,3 etc.% dosage schedule. The dose-related respiratory depression was of lesser degree, than with fentanyl, and was equal to that with halothane. It was found an also dose-related saving in muscle relaxants. The blood sugar level increased considerably and more prolonged, than with the control anaesthetics. The high cost of the isoflurane (and of any other inhalational agent) was partly compensated by using it in a closed system. Authors found the isoflurane--based on their own experiences and on the data of the literature--suitable for prolonged and repeated anaesthesias too, but they referred to the circumstances also, which required closer attention.

UI MeSH Term Description Entries
D007530 Isoflurane A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
D002986 Clinical Trials as Topic Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries. Clinical Trial as Topic
D004341 Drug Evaluation Any process by which toxicity, metabolism, absorption, elimination, preferred route of administration, safe dosage range, etc., for a drug or group of drugs is determined through clinical assessment in humans or veterinary animals. Evaluation Studies, Drug,Drug Evaluation Studies,Drug Evaluation Study,Drug Evaluations,Evaluation Study, Drug,Evaluation, Drug,Evaluations, Drug,Studies, Drug Evaluation,Study, Drug Evaluation
D005283 Fentanyl A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078) Phentanyl,Duragesic,Durogesic,Fentanest,Fentanyl Citrate,Fentora,R-4263,Sublimaze,Transmucosal Oral Fentanyl Citrate,R 4263,R4263
D006221 Halothane A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178) 1,1,1-Trifluoro-2-Chloro-2-Bromoethane,Fluothane,Ftorotan,Narcotan
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000769 Anesthesia, Inhalation Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. Insufflation Anesthesia,Anesthesia, Insufflation,Inhalation Anesthesia
D000777 Anesthetics Agents capable of inducing a total or partial loss of sensation, especially tactile sensation and pain. They may act to induce general ANESTHESIA, in which an unconscious state is achieved, or may act locally to induce numbness or lack of sensation at a targeted site. Anesthetic,Anesthetic Agents,Anesthetic Drugs,Anesthetic Effect,Anesthetic Effects,Agents, Anesthetic,Drugs, Anesthetic,Effect, Anesthetic,Effects, Anesthetic

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