ANANDIE VAN DEN BERG

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Blog #8

17 Mar 2021, 10:48 Publicly Viewable
  1. Effects of inhalation anesthetics:

System:

Effects:

Central nervous system effects

  • some drugs decrease blood flow within the brain.
  • some volatile drugs may cause cerebral vasodilation = increase cerebral blood flow and intracranial pressure.
  • fast, smooth induction of the CNS

Cardiovascular system effects

  • all volatile drugs decrease mean arterial pressure either via myocardial depression or vasodilation.
  • some drugs can preserve cardiac output by decreasing preload and afterload.
  • produces a dose-dependent decrease in arterial blood pressure.
  • drugs can also depress normal cardiac contractility.

Renal effects

  • decrease in GFR and urine flow and sometimes renal blood flow.

Hepatic effects

  • decrease in portal vein blood flow.
  • persistent elevation in liver enzymes (halothane).

Effects on the uterus

  • potent uterine relaxant.
  • can also increase uterine bleeding after delivery of the baby.

Respiratory system

  • produce bronchodilation
  • some cause airway irritation
  • drugs (except NO) cause a decrease in tidal volume and an increase in respiratory rate.
  • all volatile drugs are respiratory depressants.
  • drugs also depress mucociliary function in airways.

  1. The 4 major acute toxicities of inhalation anesthetics include:
  • Nephrotoxicity
  • Hematotoxicity
  • Malignant hyperthermia 
  • Hepatotoxicity