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April 1, 1996Anesthesia & Analgesia

The Effects of Sevoflurane, Isoflurane, Halothane, and Enflurane on Hemodynamic Responses During an Inhaled Induction of Anesthesia via a Mask in Humans

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Why the study?

Do different volatile anesthetics (sevoflurane, isoflurane, halothane, enflurane) induce different hemodynamic and catecholamine responses during inhaled induction of anesthesia via mask in healthy adults?

Population

50 ASA physical status I patients, aged 20-40 yr, scheduled for elective minor surgery

Comparison

Inhalation of sevoflurane, isoflurane… vs Comparison among the four volatile anesthetics

Design

Other

Follow-up

15 minutes

Authors

STSatoru TanakaJapan Agency for Marine-Earth Science and TechnologyHTHideaki TsuchidaKanazawa UniversityKNKenichi NakabayashiOtaru Municipal Hospital

Discussion

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Implication

May influence volatile agent selection for mask induction; leaves open confirmation in randomized trials of higher-risk patients.

Structured PICO

Do different volatile anesthetics (sevoflurane, isoflurane, halothane, enflurane) induce different hemodynamic and catecholamine responses during inhaled induction of anesthesia via mask in healthy adults?

P
Population
50 ASA physical status I patients, aged 20-40 yr, scheduled for elective minor surgery
I
Intervention
Inhalation of sevoflurane, isoflurane, halothane, or enflurane (starting at 0.9 MAC, increased by 0.9 MAC every 5 min to a maximum of 2.7 MAC) in 100% oxygen via mask, following induction with thiamylal
C
Comparator
Comparison among the four volatile anesthetics (sevoflurane, isoflurane, halothane, enflurane)
O
Outcome
Heart rate (HR) and systolic blood pressure (SBP) measured before and every minute for 15 min during anesthetic inhalationsurrogate

Isoflurane and enflurane induce hyperdynamic cardiovascular responses during inhaled induction, whereas sevoflurane and halothane do not, suggesting a direct relationship between airway irritation and immediate cardiovascular changes.

Cite This Study

Tanaka et al. (1996) studied this question.

synapsesocial.com/papers/6a734bb82058c8ad78f12c4fhttps://doi.org/10.1213/00000539-199604000-00025
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Baroreceptor Reflex Control of Heart Rate during Isoflurane Anesthesia in Humans1984 · 148 citations
  2. 2Clinical Characteristics and Biotransformation of Sevoflurane in Healthy Human Volunteers1981 · 292 citations
  3. 3Vital capacity breath technique for rapid anaesthetic induction: comparison of sevoflurane and isoflurane1992 · 79 citations
  4. 4Systemic and Regional Hemodynamics of Isoflurane and Sevoflurane in Rats1992 · 228 citations
  5. 5Effects of Anesthesia on Norepinephrine Kinetics Comparison of Propofol and Halothane Anesthesia in Dogs1991 · 37 citations