Comparison of sevoflurane and halothane for outpatient dental anaesthesia in children.

Abstract:

:In a prospective, randomized, double-blind clinical study, we have studied 100 children, aged 2-12 yr, to compare halothane and sevoflurane in outpatient dental anaesthesia. All patients were unpremedicated and received inhalation induction using nitrous oxide in oxygen supplemented with either halothane (maximum inspired concentration 5%) or sevoflurane (maximum inspired concentration 8%). Time to loss of the eyelash reflex was more rapid using sevoflurane although time to adequate anaesthesia (to allow insertion of a mouth prop) was slower in the sevoflurane group. The incidence of cardiac arrhythmia was higher during halothane (62%) than during sevoflurane anaesthesia (28%) (P < 0.005) and the arrhythmias were more often ventricular in origin. The two agents were comparable in terms of ease of use and quality of anaesthesia, and times to eye opening and satisfying discharge criteria were similar. We conclude that sevoflurane has qualities that have made halothane the most used inhalation agent for children, and that it is superior to halothane in dental outpatients where cardiac arrhythmias are a particular problem.

journal_name

Br J Anaesth

authors

Paris ST,Cafferkey M,Tarling M,Hancock P,Yate PM,Flynn PJ

doi

10.1093/bja/79.3.280

subject

Has Abstract

pub_date

1997-09-01 00:00:00

pages

280-4

issue

3

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)39844-6

journal_volume

79

pub_type

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