• Nephrotoxicity
• Hematotoxicity - The drugs can produce CO, thus reducing the oxygen in the tissue.
• Hepatotoxicity - May occur due to Halothane.
• Teratogenicity - May occur due to Halothane, Enflurane, Isoflurane, Desflurane and Sevoflurane.
System |
Halothane |
Enflurane |
Isoflurane |
Desflurane |
Sevoflurane |
N2O |
Central nervous |
Rapid smooth induction, increased cerebral blood flow and increased intracranial pressure, stage 2 is therefore also absent. |
There is a rapid, smooth induction. Exception: Epilepsy, due to convulsions that may occur. |
Has a faster induction and recovery rate than Halothane. Exception: Do not use in patients who need to breathe spontaneously. |
Faster induction and recovery than Isoflurane. Increases cerebral blood flow as well as intracranial pressure. |
Weak anesthesia, but potent analgesic. May cause amnesia. |
|
Cardiovascular |
Decreased blood pressure and thus sensitizes the myocardium to arithomogenic effects of catecholamine’s. |
Sensitization of the myocardium does not occur. |
Less suppression than Halothane and Enflurane. No sensitization of the myocardium. |
Less oppressive than Halothane and Enflurane. |
No effect. |
|
Respiratory |
So there is no saliva or bronchial secretions, nor coughing. |
More suppression than Halothane. |
Great suppressive effect. Has a skeletal muscle relaxant effect and therefore strengthens the drug. |
Has a pungent odor, irritates the respiratory tract and if used as an induction, can cause cough, shortness of breath and laryngospasms. |
Less irritating in airways. |
Hypoxia. No skeletal muscle relaxation. |
Kidney |
Reduces glomerular filtration, as well as urine flow. |
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Liver |
Hepatotoxicity may occur. |
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Uterus |
Reduces muscle contractions, so external rotation of the baby may occur. |
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