The major effects of the inhalation anaesthetics on every system of the body:
System |
Halothane |
Enflurane |
Isoflurane |
Desflurane |
Sevoflurane |
N2O (laughing gas) |
CNS |
Fast smooth induction; stage II absent; cerebral blood flow; increased intracranial pressure |
Fast, smooth induction convulsions sometimes; not epileptics |
Faster induction and recovery than halothane |
Even faster induction and recovery than isoflurane; increases cerebral blood flow and intracranial pressure |
Even faster induction and recovery than isoflurane; increases cerebral blood flow and intracranial pressure |
Weak anesthetic; potent analgesic & can cause amnesia |
Autonomic |
Bradycardia |
- |
- |
- |
- |
- |
Cardiovascular |
Decreased BP; sensitized myocardium for arythmogenic effects of catecholamines |
No sensitization of myocardium; less suppression than halothane |
Less suppression than halothane and enflurane; no sensitization of myocardium |
Less suppression than halothane and enflurane |
Less suppression than halothane and enflurane |
- |
Respiratory |
No saliva; bronchial secretions and cough |
More suppression than halothane |
Potent suppressing effect; strengthens bc of potent skeletal muscle relaxing effects |
Strong smell; irritate airways and if used as an induction drug it can lead to cough, shortness of breath & laringospasms |
Less irritation in airways |
Hypoxia |
Musculoskeletal |
Skeletal muscle relaxing effects in stage III; increased non depolarizing effects; decreased depolarization effects; post-operative shaking = hypoxia |
- |
- |
- |
- |
No skeletal muscle relaxation |
Kidneys |
Decreased glomerular filtration & urine flow |
Decrease glomerular filtration & urine flow |
Decrease glomerular filtration & urine flow |
Decrease glomerular filtration & urine flow |
Decrease glomerular filtration & urine flow |
Decrease glomerular filtration & urine flow |
Liver |
Hepatotoxic |
- |
- |
- |
- |
- |
Uterus |
Decreased muscle contraction |
- |
- |
- |
- |
- |
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The major acute toxic effects of inhalation drugs: