Skip to main content

Abstract

In modern combination anesthesia, inhalation methods are either employed for the main anesthesia or in low-dose intermittently used adjuncts of anesthesia. Pure inhalation anesthesia is only applied in cases with special indications, most frequently in pediatric anesthesiology. The inhalation anesthetics used today include — nitrous oxide (laughing gas), halothane, enflurane, methoxyflurane, isoflurane, and fluroxene. Ethyl chloride, chloroform, diethyl ether, cyclopropane, and trichloroethylene are hardly used today due to their disadvantages either in clinical effects or application. Of the various substances available, each hospital normally uses one or two inhalation anesthetics according to its particular requirements in addition to nitrous oxide, which is used as a basic analgetic. In this chapter, therefore, our own findings are described only for halothane and enflurane.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

A. Textbooks and Summaries

  • Benzer H, Frey R, Hiigin W, Mayrhofer O (1982) Lehrbuch der Anästhesiologie, Intensivmedizin und Reanimation. Springer, Berlin Heidelberg New York

    Google Scholar 

  • Brechner VL, Walter RD, Dillon JB (1962) Practical electroencephalography for the anesthesiologist. Thomas, Springfield

    Google Scholar 

  • Dripps RD, Eckenhoff JE, Vandam LD (1977) Introduction to anesthesia. The principles of safe practice. Saunders, Philadelphia

    Google Scholar 

  • Goodman LS, Gilman A (1980) The pharmacological basis of therapeutics. McMillan, New York

    Google Scholar 

  • Kugler J (1966) Elektroenzephalographie in Klinik und Praxis. Thieme, Stuttgart

    Google Scholar 

  • Kuschinsky O, Lüllmann H (1981) Kurzes Lehrbuch der Pharmakologie. Thieme, Stuttgart

    Google Scholar 

  • Lee JA, Atkinson RS (1978) Synopsis der Anaesthesie. Fischer, Stuttgart

    Google Scholar 

  • Nemes C, Niemer M, Noack G (1979) Datenbuch der Anästhesiologie. Fischer, Stuttgart

    Google Scholar 

  • Sadove MS, Becka D, Gibbs FA (1967) Electroencephalography for anesthesiologists and surgeons. Pitham, London

    Google Scholar 

B. Papers

  1. Bart AJ, Homi J, Linde HW (1971) Changes in power spectra of electroencephalograms during anesthesia with fluroxene, methoxyflurane and ethrane. Anesth Anaig Curr Res 50:53–63

    CAS  Google Scholar 

  2. Beecher HK, McDonough FK (1939) Cortical action potentials during anesthesia. J Neurophysiol 2:289–307

    CAS  Google Scholar 

  3. Bosken F, Hanquet M, Galletz JP (1974) Enflurane and EEG. Acta Anaesthesiol Belg 2:233–245

    Google Scholar 

  4. Brechner VL, Dornette WHL (1957) Electroencephalograph patterns during nitrous-oxide-trifluorethyl vinylether. Anesth Analg 18:321–327

    CAS  Google Scholar 

  5. Christensen MS, Hoedt-Rasmussen K, Lassen NA (1965) The cerebral blood flow during halothane anesthesia. Acta Neurol Scand [Suppl] 14:152–152

    CAS  Google Scholar 

  6. Christensen MS, Hoedt-Rasmussen K, Lassen NA (1967) Cerebral vasodilatation by halothane anesthesia in man and its potentiation by hypotension and hypercapnia. Br J Anaesth 39:927–934

    Article  PubMed  CAS  Google Scholar 

  7. Clark DL, Hosik EC, Rosner BS (1971) Neurophysiological effects of different anesthetics in unconscious man. J Appl Physiol 31, 6:884–891

    PubMed  CAS  Google Scholar 

  8. Courtin RF, Bickford RG, Faulconer A (1950) The classification and significance of elec-troencephalographic patterns produced by nitrous oxide ether anesthesia during surgical operations. Proc Staff Meet Mayo Clin 25:197–206

    PubMed  CAS  Google Scholar 

  9. Courtin RF (1955) Electroencephalographic and clinical observations with trichlorethy-lene and nitrous oxide. Anesthesia (Dallas) MJ 41:613–615

    Google Scholar 

  10. Degen R (1980) Diskussionsbemerkung auf dem Symposium über Anästhesie bei zerebralen Krampfanfállen, Bielefeld 1979. In: Opitz A, Degen R (eds) Anästhesie bei zerebralen Krampfanfallen und Intensivtherapie des Status epilepticus. Perimed, Erlangen

    Google Scholar 

  11. Doenicke A, Kugler J (1975) Wirkungen des Ethrane auf das zentrale Nervensystem. In: Kreuscher H (ed) Ethrane. Neue Ergebnisse in Forschung und Klinik. Schattauer, Stuttgart, pp 45–55

    Google Scholar 

  12. Eger EJ, Stevens WG, Cromwell TH (1971) The electroencephalogram in man anesthetized with forane. Anesthesiology 35(5): 504–508

    Article  PubMed  CAS  Google Scholar 

  13. Faulconer A, Pender JW, Bickford RG (1949) Influence of partial pressure of nitrous oxide on depth of anesthesia and electroencephalogram in man. Anesthesiology 10:601–609

    Article  PubMed  CAS  Google Scholar 

  14. Faulconer A (1952) Correlation of concentrations of ether in arterial blood with electroencephalographic patterns occurring during ether anesthesia of human surgical patients. Anesthesiology 13:361–369

    Article  PubMed  CAS  Google Scholar 

  15. Gain EA, Paletz SG (1957) An attempt to correlate the clinical signs of fluothane anesthesia with the electroencephalographic levels. Can Anaesth Soc J 4:289–294

    Article  PubMed  CAS  Google Scholar 

  16. Gies B, Gerking P, Scholler KL (1974) Das EEG bei Probanden-Narkosen und kontinuierlicher EEG-Frequenzanalyse (EISA) während Operationen unter Ethrane. In: Lawin P, Beer R (eds) Ethrane. Anästhesiologie und Wiederbelebung. Springer, Berlin Heidelberg New York, p 263–271

    Google Scholar 

  17. Kekeski F, Gallyas F, Szantano J (1967) Die Wirkungen von verschiedenen Inhalationsnarkosetypen auf die Gehirndurchblutung. Acta Med Acad Sei Hung 24:153–161

    Google Scholar 

  18. Kreuscher H, Grote J (1969) Die Hirndurchblutung und cerebrale Sauerstoffaufnahme in Narkose. In: Betz E, Wüllenweber R (eds) Pharmakologie der Gehirndurchblutung. Ärztl Forsch Sonderbd, p 120–124

    Google Scholar 

  19. Kugler J (1980) Diskussionsbemerkung auf dem Symposium über Anästhesie bei zerebralen Krampfanfallen, Bielefeld 1979. In: Opitz A, Degen R (eds) Anästhesie bei zerebralen Krampfanfallen und Intensivtherapie des Status epilépticus. Perimed, Erlangen, p162–163

    Google Scholar 

  20. Lassen NA, Hoedt-Rasmussen K, Christensen MS (1969) Halothane: A cerebral vasodilatator drug. In: Betz E, Wüllenweber R (eds) Pharmakologie der lokalen Gehirndurchblutung. Ärztl Forsch Sonderbd, p 111–115

    Google Scholar 

  21. McDowall DG (1967) The effects of clinical concentrations of halothane on the blood flow and oxygen uptake of the cerebral cortex. Br J Anaesth 39:186–196

    Article  PubMed  CAS  Google Scholar 

  22. McDowall DG, Harper AM (1964) Cerebral blood flow during trichlorethylene anaesthesia: a comparison with halothane. Br J Anaesth 36:11–18

    Article  PubMed  CAS  Google Scholar 

  23. McDowall DG, Harper AM (1965) Blood flow and oxygen uptake of the cerebral cortex of the dog during anaesthesia with different volatile agents. Acta Neurol Scand [Suppl] 14:146–151

    CAS  Google Scholar 

  24. McDowall DG, Harper AM (1969) Cerebral oxygen uptake and cerebral blood flow during the action of certain anaesthetic drugs. In: Betz E, Wüllenweber R (eds) Pharmakologie der lokalen Gehirndurchblutung. Ärztl Forsch Sonderbd, p 108–110

    Google Scholar 

  25. McDowall DG, Jacobsen J (1963) Cerebral blood flow during halothane anaesthesia. Br J Anaesth 35:394–402

    Article  PubMed  CAS  Google Scholar 

  26. Martin JT, Faulconer A, Bickford RG (1959) Electroencephalography in anesthesiology. Anesthesiology 20:359–376

    Article  PubMed  CAS  Google Scholar 

  27. Neigh JL, Garman JK, Harp JR (1971) The electroencephalographic pattern during anesthesia with ethrane. Anesthesiology 35, 5:482–487

    Article  PubMed  CAS  Google Scholar 

  28. Opitz A, Degen R, Oberwetter WD, Degen HE (1980) Inhalationsanästhesie bei Patienten mit zerebralen Krampfanfallen. In: Opitz A, Degen R (eds) Anästhesie bei zerebralen Krampfanfallen und Intensivtherapie des Status epilepticus. Perimed, Erlangen, p 65–75

    Google Scholar 

  29. Pearcy WC, Knott JR, Bjurstrom RO (1957) Studies on nitrous oxide, meperidine and levallorphan with unipolar electroencephalography. Anesthesiology 18:310–315

    Article  PubMed  CAS  Google Scholar 

  30. Pearcy WG, Knott JR, Pittinger CB, Keasling HH (1957) Electroencephalographic and circulatory effects of chloroform-anesthesia in dog. Anesthesiology 18:88–96

    Article  PubMed  CAS  Google Scholar 

  31. Pichlmayr I (1969) Über den Einfluß verschiedener Narkosearten auf Durchblutung und Funktion der Leber sowie Durchblutung der Hirnrinde. Habilitationsschrift, München 1967, Summarized in Fortschr Med 87:47–48

    Google Scholar 

  32. Pichlmayr I (1969) Das Verhalten der Hirndurchblutung bei Hunden unter verschiedenen Narkosearten. Z Kreislaufforsch 6:662–676

    Google Scholar 

  33. Pichlmayr I (1971) Die Bedeutung zerebraler Kreislaufveränderungen in Narkose. Fortschr Med 89:1087–1089

    Google Scholar 

  34. Pichlmayr I, Eichenlaub D, Keil-Kuri E, Klemm J (1970) Veränderungen der Hirndurchblutung unter Thiopental, Halothan und Fentanyl-Dröperidol. Anaesthesist 19:202–204

    PubMed  CAS  Google Scholar 

  35. Pichlmayr I, Lips U (1980) Halothane-Effekte im Elektroenzephalogramm. Anaesthesist 29:530–538

    PubMed  CAS  Google Scholar 

  36. Possati S, Faulconer A, Bickford RG, Hunter RC (1953) Electroencephalographic patterns during anesthesia with cyclopropan. Correlation with cyclopropan in arterial blood. Anesth Analg 32:130–135

    Article  CAS  Google Scholar 

  37. Schmahl FW (1965) Effects of anaesthetics on regional content of some metabolites of the brain cortex of the cat. Acta Neurol Scand [Suppl] 14:156–159

    CAS  Google Scholar 

  38. Stockard J, Bickford R (1974) The neurophysiology of anaesthesia. In: Gordon E (ed) A basis and practice of neuroanesthesia. Excerpta Medica, Amsterdam

    Google Scholar 

  39. Uyüc A (1954) Die Kontrolle der Narkosetiefe mit dem Elektroenzephalogramm. Anaesthesist 3:69–73

    Google Scholar 

  40. Yurewich WM (1974) A clinical and encéphalographie comparison in the design of equipment for indicating degree of anaesthesia with methoxyflurane. Biomed Eng 7:145–147

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1984 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Pichlmayr, I., Lips, U., Künkel, H. (1984). Inhalation Anesthetics. In: The Electroencephalogram in Anesthesia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69562-9_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-69562-9_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-69564-3

  • Online ISBN: 978-3-642-69562-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics