Premium
Halothane, enflurane and isoflurane anaesthesia for adenoidectomy in children, using two different premedications
Author(s) -
Johannesson G. P.,
Lindahl S. G. E.,
Sigurdsson G. H.,
Nordén N. E.
Publication year - 1987
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.1987.tb02558.x
Subject(s) - medicine , enflurane , halothane , isoflurane , adenoidectomy , anesthesia , tonsillectomy
In 48 children subjected to adenoidrectomy, comparisons of airway problems, heart rates, cardiac arrhythmias, ventilation and stress hormone reactions were studied during halothane, enflurane and isoflurane anaesthesia. Sixteen children were anaesthetized with either of the three agents and eight patients in each group received diazepam 0.25 mg kg ‐1 and atropine 0.015 mg kg ‐1 rectally (DA) as premedication and the remainder diazepam 0.5 mg kg ‐1 , morphine 0.15 mg kg ‐1 and scopolamine 0.01 mg kg ‐1 (DMS) rectally. All children were intubated and breathing spontaneously. Equianaesthetic inspired concentrations of halothane, enflurane and isoflurane were used. Airway problems were of the same magnitude during halothane and isoflurane anaesthesia but were less frequent with both agents compared with enflurane anaesthesia. DMS reduced the number of airway reactions in all groups. Respiratory rates were uninfluenced by anaesthesia, intubation and surgery during enflurane anaesthesia. Cardiac arrhythmias were less frequent with enflurane and isoflurane than with halothane. Plasma ACTH and cortisol were similar with all three agents. During induction of anaesthesia in the DA‐premedicated halothane group, however, plasma catecholamines were higher than in the group which received DMS, in contrast to the findings during enflurane and isoflurane anaesthesia. The DMS premedication decreased the response of plasma ACTH, cortisol and plasma catecholamines to surgery.