CH4 VOLATILE ANESTHETICS Flashcards
Highest MAC for neonates 3.3%
6-12 months infants 3.2%
6-12 months infants 2.5
SEVOFLURANE
HIGHEST MAC during infants 1-6 months
ALL VOLATILE GAS EXCEPT Sevoflurane
VOLATILE anesthetics
_____ Tv
_____ rr
DECREASE TV
INCREASE RR
less waste to into the OR
hypoxic mixture
rebreathing of expired gas
more rapid depletion of c02 absorbent
LOW FLOW ANETHESIA
c02
methane
n20
green house gases
low blood/gass coef (0.42)
airway irritant ( coughing, breath holding / laryngospasm)
pungent
inc conc > inc heart rate and bp
DESFLURANE
blood/gas partition coefficient :
sevoflurane
0.65
blood/gas partition coefficient :
N2O
0.46
blood/gas partition coefficient :
desflurane
0.42
blood/gas partition coefficient :
isoflurane
1.5
blood/gas partition coefficient :
enflurane
1.9
blood/gas partition coefficient :
halothane
2.5
SAME VAPOR PRESSURE ?
can interchange
HI
halo 243
iso 238
SEEN
SEVO 160
enflurane 172
des 665
Filling a vaporizer with an agent whose vapor pressure is higher result to a _____ concentration
HIGHER
Filling a vaporizer with an agent whose vapor pressure is lower result to a _____ concentration
LOWER
does not alter arterial blood pressure , SV ,SVR, baroreceotor reflex
increases HR
mild inc CO
dose dependent direct myocardial depressant due to symphathetic activation
N2O
causes DEC IN SVR
DIS
DESFLURANE
ISOFLURANE
SEVOFLURANE
causes direct myocardial contractility
HE
HALOTHANE
ENFLURANE
Dec CO
HALOTHANE
MAINTAIN CO
DIS
DESFLURANE
ISOFLURANE
SEVOFLURANE
INC CO
N20