Comparison of enflurane, halothane, and isoflurane for diagnostic and therapeutic procedures in children with malignancies.

Abstract:

:The authors performed a randomized, prospective trial comparing enflurane, halothane, and isoflurane (each administered with nitrous oxide) to establish which inhaled anesthetic produced the fewest complications and the most rapid induction of anesthesia for children undergoing general anesthesia for diagnostic procedures as oncology outpatients. Sixty-six children, ranging from 8 months to 18 years, underwent a total of 124 anesthetics. Induction of anesthesia (time from placement of facemask to beginning of skin preparation) was faster with halothane (2.7 +/- 1.0 min, mean +/- SD, n = 46) than with enflurane (3.2 +/- 0.8 min, n = 43) or isoflurane (3.3 +/- 1.2 min, n = 35). Emergence from anesthesia (time from completion of the procedure to spontaneous eye opening) was more rapid with enflurane (4.7 +/- 4.4 min) than with halothane (6.2 +/- 4.5 min) or isoflurane (6.2 +/- 3.9 min). Total time from the start of procedure until discharge was longer with isoflurane (25.1 +/- 6.8 min) than with enflurane (21.5 +/- 8.6 min) or halothane (22.3 +/- 7.6 min). During induction, the incidence of laryngospasm was greatest with isoflurane (23%) and the incidence of excitement least with halothane (13%). During the maintenance of, emergence from, and recovery from anesthesia, coughing occurred most frequently with isoflurane. During the recovery period, headache occurred most frequently with halothane (9%); there were no significant differences in the incidence of nausea, vomiting, hunger, or depressed effect. The authors conclude that the rapid induction and minimal airway-related complications associated with halothane anesthesia make it an excellent anesthetic agent for pediatric patients undergoing short diagnostic procedures.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Fisher DM,Robinson S,Brett CM,Perin G,Gregory GA

doi

10.1097/00000542-198512000-00015

subject

Has Abstract

pub_date

1985-12-01 00:00:00

pages

647-50

issue

6

eissn

0003-3022

issn

1528-1175

journal_volume

63

pub_type

临床试验,杂志文章,随机对照试验
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    pub_type: 杂志文章,随机对照试验

    doi:10.1097/00000542-200604000-00009

    authors: Sorgenfrei IF,Norrild K,Larsen PB,Stensballe J,Ostergaard D,Prins ME,Viby-Mogensen J

    更新日期:2006-04-01 00:00:00

  • Thermoregulatory and anesthetic-induced alterations in the differences among femoral, radial, and oscillometric blood pressures.

    abstract:BACKGROUND:A decrease in radial artery blood pressure relative to central arterial blood pressure is commonly associated with the rewarming phase of cardiopulmonary bypass. Decreased hand vascular resistance has been suggested as a possible mechanism. Although decreased blood viscosity due to hemodilution may contribut...

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    pub_type: 杂志文章

    doi:10.1097/00000542-199412000-00016

    authors: Hynson JM,Sessler DI,Moayeri A,Katz JA

    更新日期:1994-12-01 00:00:00

  • Astrocytes Protect against Isoflurane Neurotoxicity by Buffering pro-brain-derived Neurotrophic Factor.

    abstract:BACKGROUND:Isoflurane induces cell death in neurons undergoing synaptogenesis via increased production of pro-brain-derived neurotrophic factor (proBDNF) and activation of postsynaptic p75 neurotrophin receptor (p75). Astrocytes express p75, but their role in neuronal p75-mediated cell death remains unclear. The author...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000824

    authors: Stary CM,Sun X,Giffard RG

    更新日期:2015-10-01 00:00:00

  • Stability of pseudocholinesterase in stored blood.

    abstract::No significant change in pseudocholinesterase levels was observed in random specimens of whole blood stored for as long as 30 days. Levels in plasma anticoagulated with heparin or ethylenediaminetetraacetic acid declined only slightly. Therefore, massive transfusions do not contraindicate succinylcholine administratio...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197605000-00014

    authors: Lanks KW,Sklar GS

    更新日期:1976-05-01 00:00:00

  • Length-dependent regulation of left ventricular function in coronary surgery patients.

    abstract:BACKGROUND:Load-dependent impairment of left ventricular (LV) function was observed after leg elevation in a subgroup of coronary surgery patients. The present study investigated underlying mechanisms by comparing hemodynamic effects of an increase in LV systolic pressures with leg elevation to effects of a similar inc...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199908000-00011

    authors: De Hert SG,Gillebert TC,Ten Broecke PW,Moulijn AC

    更新日期:1999-08-01 00:00:00

  • Cardiorespiratory effects of positive end-expiratory pressure during progressive tidal volume reduction (permissive hypercapnia) in patients with acute respiratory distress syndrome.

    abstract:BACKGROUND:In patients with acute respiratory distress syndrome (ARDS), the ventilatory approach is based on tidal volume (VT) of 10-15 ml/kg and positive end-expiratory pressure (PEEP). To avoid further pulmonary injury, decreasing VT and allowing PaCO2 to increase (permissive hypercapnia) has been suggested. Effects ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199510000-00010

    authors: Ranieri VM,Mascia L,Fiore T,Bruno F,Brienza A,Giuliani R

    更新日期:1995-10-01 00:00:00

  • Density detection in dependent left lung region using transesophageal echocardiography.

    abstract:BACKGROUND:Densities in dependent lung regions worsen oxygenation in patients with acute respiratory distress syndrome. Identification of these densities requires examination using computed tomography (CT). In this study, the authors evaluated the use of transesophageal echocardiography (TEE) to estimate densities in t...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200105000-00017

    authors: Tsubo T,Sakai I,Suzuki A,Okawa H,Ishihara H,Matsuki A

    更新日期:2001-05-01 00:00:00

  • Nitrous oxide diffusion and the second gas effect on emergence from anesthesia.

    abstract:BACKGROUND:Rapid elimination of nitrous oxide from the lungs at the end of inhalational anesthesia dilutes alveolar oxygen, producing "diffusion hypoxia." A similar dilutional effect on accompanying volatile anesthetic agent has not been evaluated and may impact the speed of emergence. METHODS:Twenty patients undergoi...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e318209367b

    authors: Peyton PJ,Chao I,Weinberg L,Robinson GJ,Thompson BR

    更新日期:2011-03-01 00:00:00

  • Obesity decreases perioperative tissue oxygenation.

    abstract:BACKGROUND:Obesity is an important risk factor for surgical site infections. The incidence of surgical wound infections is directly related to tissue perfusion and oxygenation. Fat tissue mass expands without a concomitant increase in blood flow per cell, which might result in a relative hypoperfusion with decreased ti...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200402000-00015

    authors: Kabon B,Nagele A,Reddy D,Eagon C,Fleshman JW,Sessler DI,Kurz A

    更新日期:2004-02-01 00:00:00

  • Anesthetic influence on arteriolar diameters and tissue oxygen tension in hemorrhaged rats.

    abstract::Arteriolar diameters and tissue oxygen tensions were measured in the cremaster muscles of 68 hemorrhaged rats which were anesthetized with either intramuscular ketamine, 125 mg/kg, plus 30 mg/kg supplements as needed, or enflurane, 2.2% inspired. Animals breathed room air, or room air plus enflurane, throughout the ex...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198209000-00006

    authors: Longnecker DE,Ross DC,Silver IA

    更新日期:1982-09-01 00:00:00

  • Bacterial reduction by cell salvage washing and leukocyte depletion filtration.

    abstract:BACKGROUND:Blood conservation techniques are being increasingly used because of the increased cost and lack of availability of allogeneic blood. Cell salvage offers great blood savings opportunities but is thought to be contraindicated in a number of areas (e.g., blood contaminated with bacteria). Several outcome studi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200309000-00021

    authors: Waters JH,Tuohy MJ,Hobson DF,Procop G

    更新日期:2003-09-01 00:00:00

  • Factor VII levels and international normalized ratios in the early phase of warfarin therapy.

    abstract:BACKGROUND:Factor VII is the most affected clotting factor during the early phase of warfarin therapy. An international normalized ratio (INR) of more than 1.4 is considered unsafe for epidural catheter placement or removal, according to the American Society of Regional Anesthesia and Pain Medicine. The authors tested ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181ca6cfc

    authors: Benzon HT,Avram MJ,Benzon HA,Kirby-Nolan M,Nader A

    更新日期:2010-02-01 00:00:00

  • Coronary vascular resistance during halothane anesthesia.

    abstract::To study the effect of halothane on the coronary circulation, the circumflex diastolic coronary vascular resistance was measured in the working heart and total mean coronary resistance (TCR) in the isolated nonworking heart of the dog during administration of 100 per cent oxygen and during administration of 2--3 per c...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197704000-00002

    authors: Domenech RJ,Macho P,Valdes J,Penna M

    更新日期:1977-04-01 00:00:00

  • Halothane and isoflurane increase pulmonary artery endothelial cell sensitivity to oxidant-mediated injury.

    abstract::Volatile anesthetics inhibit phagocytic cell function, yet little is known about their effects on target tissues or on the target tissue response to stimulated phagocytes. Experiments were performed to determine how exposure to halothane and isoflurane changes rat pulmonary artery endothelial cell (RPAEC) viability in...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199106000-00015

    authors: Shayevitz JR,Varani J,Ward PA,Knight PR

    更新日期:1991-06-01 00:00:00

  • Lack of nonshivering thermogenesis in infants anesthetized with fentanyl and propofol.

    abstract:BACKGROUND:Sweating, vasoconstriction, and shivering have been observed during general anesthesia. Among these, vasoconstriction is especially important because-once triggered-it minimizes further hypothermia. Surprisingly, the core-temperature plateau associated with vasoconstriction appears to preserve core temperatu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199704000-00006

    authors: Plattner O,Semsroth M,Sessler DI,Papousek A,Klasen C,Wagner O

    更新日期:1997-04-01 00:00:00

  • Heparinase I (neutralase) reversal of systemic anticoagulation.

    abstract:BACKGROUND:Protamine causes multiple adverse reactions. Heparinase I, a specific enzyme that inactivates heparin, is a possible alternative to protamine. In this study, the authors examined the efficacy of heparinase I to reverse heparin-induced anticoagulation in vitro and compared heparinase I to protamine as an anta...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199608000-00016

    authors: Michelsen LG,Kikura M,Levy JH,Lee MK,Lee KC,Zimmermann JJ,Szlam F

    更新日期:1996-08-01 00:00:00

  • Efficacy of tactile-guided reversal from cisatracurium-induced neuromuscular block.

    abstract:BACKGROUND:Because tactile evaluation is the most common form of clinical neuromuscular monitoring, this study examines the relative efficacy of antagonizing residual block at different levels of recovery of the tactile train-of-four (TOF) response. METHODS:Anesthesia was induced in 64 adults with 2-5 microg/kg fentan...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200201000-00013

    authors: Kirkegaard H,Heier T,Caldwell JE

    更新日期:2002-01-01 00:00:00

  • Anesthesia for creation of a forearm fistula in patients with endstage renal failure.

    abstract::The effects of local infiltration anesthesia, brachial plexus blockade, isoflurane, or halothane anesthesia on blood flow through the brachial artery and through a newly created forearm arteriovenous fistula (AVF) were compared in 36 patients with endstage renal failure. Brachial artery blood flow was measured at two ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198906000-00005

    authors: Mouquet C,Bitker MO,Bailliart O,Rottembourg J,Clergue F,Montejo LS,Martineaud JP,Viars P

    更新日期:1989-06-01 00:00:00

  • Carcinogen bioassay of enflurane in mice.

    abstract::A carcinogen bioassay of enflurane was performed in Swiss/ICR mice. Two groups of weanling mice, each of 125 males and 125 females, were exposed to eigher a maximum tolerated dose of enflurane, 3000 ppm (0.3 per cent v/v) or compressed air for 4 hs per day, 5 days per week. After 52 weeks exposure, 25 males and 25 fem...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198201000-00003

    authors: Baden JM,Egbert B,Mazze RI

    更新日期:1982-01-01 00:00:00

  • The common inhalational anesthetic isoflurane induces apoptosis via activation of inositol 1,4,5-trisphosphate receptors.

    abstract:BACKGROUND:Isoflurane induces cell apoptosis by an unknown mechanism. The authors hypothesized that isoflurane activates inositol 1,4,5-trisphosphate (IP3) receptors on the endoplasmic reticulum (ER) membrane, causing excessive calcium release, triggering apoptosis. METHODS:The authors determined isoflurane-induced cy...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/01.anes.0000299435.59242.0e

    authors: Wei H,Liang G,Yang H,Wang Q,Hawkins B,Madesh M,Wang S,Eckenhoff RG

    更新日期:2008-02-01 00:00:00

  • Differential effects of propofol and sevoflurane on ischemia-induced ventricular arrhythmias and phosphorylated connexin 43 protein in rats.

    abstract:BACKGROUND:The effects of anesthetics on ischemia-induced ventricular arrhythmias remain poorly studied. This study investigated the effects of propofol and sevoflurane on the survival rate and morbidity as a result of ventricular arrhythmias, and defined a possible mechanism for the arrhythmogenic properties of anesth...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e318190b537

    authors: Hirata N,Kanaya N,Kamada N,Kimura S,Namiki A

    更新日期:2009-01-01 00:00:00

  • The influence of isoflurane on the vascular reflex response to lung inflation in dogs.

    abstract::Positive pressure ventilation can affect hemodynamic stability by neuroreflex-mediated activity. Inhalational anesthesia is known to attenuate the arterial baroreflex function; however, little information is known about the effect of volatile anesthetics on the lung inflation reflex. The influence of isoflurane on sta...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199206000-00017

    authors: Cheng EY,Kay J,Hoka S,Bosnjak ZJ,Coon RL,Kampine JP

    更新日期:1992-06-01 00:00:00

  • Postoperative nausea and vomiting. Its etiology, treatment, and prevention.

    abstract::In a recent editorial, Kapur described perioperative nausea and vomiting as "the big 'little problem' following ambulatory surgery."257 Although the actual morbidity associated with nausea is relatively low in health outpatients, it should not be considered an unavoidable part of the perioperative experience. The avai...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/00000542-199207000-00023

    authors: Watcha MF,White PF

    更新日期:1992-07-01 00:00:00

  • Safety and efficacy of the cyclooxygenase-2 inhibitors parecoxib and valdecoxib after noncardiac surgery.

    abstract:BACKGROUND:Valdecoxib and its intravenous prodrug parecoxib are reported to increase thromboembolic risk after coronary artery bypass grafting. The authors conducted a randomized trial to examine their safety and analgesic efficacy in patients recovering from major noncardiac surgical procedures. METHODS:The trial was...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/00000542-200603000-00020

    authors: Nussmeier NA,Whelton AA,Brown MT,Joshi GP,Langford RM,Singla NK,Boye ME,Verburg KM

    更新日期:2006-03-01 00:00:00

  • Mechanism of myocardial protection by isoflurane. Role of adenosine triphosphate-regulated potassium (KATP) channels.

    abstract:BACKGROUND:The mechanism of the protective actions of volatile anesthetics in ischemic myocardium has not been clearly elucidated. The role of myocardial adenosine triphosphate-regulated potassium (KATP) channels in isoflurane-induced enhancement of recovery of regional contractile function after multiple brief occlusi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199610000-00015

    authors: Kersten JR,Schmeling TJ,Hettrick DA,Pagel PS,Gross GJ,Warltier DC

    更新日期:1996-10-01 00:00:00

  • Characterization of the postconditioning effect of dexmedetomidine in mouse organotypic hippocampal slice cultures exposed to oxygen and glucose deprivation.

    abstract:BACKGROUND:There is an increasing interest in the use of dexmedetomidine for anesthesia and sedation. Here, we used the mouse organotypic hippocampal slice culture to investigate whether dexmedetomidine exhibits postconditioning properties against oxygen and glucose deprivation (OGD). The role of the focal adhesion and...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181ca6982

    authors: Dahmani S,Rouelle D,Gressens P,Mantz J

    更新日期:2010-02-01 00:00:00

  • Population pharmacodynamic modeling and covariate detection for central neural blockade.

    abstract:BACKGROUND:In spinal anesthesia, often a large interindividual variability in analgesic response is observed after administration of a certain fixed dose of anesthetic to a patient population. To improve therapeutic outcome it is important to characterize the variability in response by means of a population model (e.g....

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199609000-00009

    authors: Schnider TW,Minto CF,Bruckert H,Mandema JW

    更新日期:1996-09-01 00:00:00

  • Morphine-halothane interaction in rats.

    abstract::The effects of morphine, halothane, and their various combinations on the purposeful movement (PM) response and the heart rate (HR) increase caused by noxious stimulation were studied in 250 rat experiments. Doses that block the PM and HR responses for the single agent and for combinations were determined with a probi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198406000-00006

    authors: Kissin I,Kerr CR,Smith LR

    更新日期:1984-06-01 00:00:00

  • Inhaled anesthetics alter the determinants of coronary collateral blood flow in the dog.

    abstract:BACKGROUND:Whether coronary steal is induced by inhaled anesthetic agents remains controversial in part because multiple factors determine collateral blood flow. METHODS:We used an established model to determine how halothane, isoflurane, and desflurane affect the hemodynamic determinants of coronary collateral blood ...

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    pub_type: 杂志文章

    doi:10.1097/00000542-199510000-00020

    authors: Mignella R,Buffington CW

    更新日期:1995-10-01 00:00:00

  • Absence of abundant binding sites for anesthetics in rabbit brain: an in vivo NMR study.

    abstract::Using magnetic resonance spectroscopy, the authors tested whether cerebral concentrations of inhaled anesthetics do not increase proportionately at inspired concentrations exceeding 3% 1) because anesthetics bind to and saturate specific sites in the brain or 2) because anesthetic-induced depression of ventilation lim...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199009000-00014

    authors: Lockhart SH,Cohen Y,Yasuda N,Kim F,Litt L,Eger EI 2nd,Chang LH,James T

    更新日期:1990-09-01 00:00:00