Summary
We investigated the impact of enflurane and halothane (1.1 MAC) on heart rate and blood pressure responses to experimental hypoxaemia (PetO2 6.0 kPa [45 torr]) and small increments in Pco2 (1.3-1.6 kPa [10-12 torr]). The results reaffirm that circulatory signs of mild hypercarbia are virtually abolished by these anaesthetics. The important new observation is that signs of acute moderate hypoxaemia are also markedly depressed. Although potential modifying factors such as surgical stimulation were not evaluated, this study indicates that human subjects anaesthetized with enflurane or halothane lack reliable cardiovascular signs of acute hypoxaemia.
Résumé
Nous avons étudié chez de jeunes volontaires ľinfluence de ľenflurane et de ľhalothane (à 1.1 MAC) sur les réponses circulatoires (fréquence cardiaque et pression artérielle), à ľhypoxémie expérimentale (Po2 de fin ďexpiration à 6 kPa (45 torr) et à de modestes élévations de Pco2 (1.3-1.6 kPa [10-12 torr]). Nos résultats confirment que les signes ďhypercarbie sont virtuellement abolis par les deux agents étudiés. Nous avons pu mettre en évidence ľobservation importante que les signes ďhypoxie modérée aiguë sont également très atténués. Bien que nous n’ayons pas évalué ľinfluence de la stimulation chirurgicale, notre étude signale que chez ľhumain anesthésié à ľhalothane et à ľenflurane, il n’existe pas de signes circulatoires fiables en cas ďhypoxémie aiguë.
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Manninen, P., Knill, R.L. Cardiovascular signs of acute hypoxaemia and hypercarbia during enflurane and halothane anaesthesia in man. Canad. Anaesth. Soc. J. 26, 282–287 (1979). https://doi.org/10.1007/BF03006288
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DOI: https://doi.org/10.1007/BF03006288