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Anaesthesia


Title:Hypotensive anaesthesia for microsurgery of the middle ear. A comparison between isoflurane and halothane
Author(s):Fairbairn, M. L.Eltringham, R. J.Young, P. N.Robinson, J. M.
Address:
Year:1986 Jun
Journal Title:Anaesthesia
Page Number:637-40
Language:eng
Volume:41
Issue:6
ISSN/ISBN:0003-2409 (Print). 0003-2409 (Linking)
Abstract:Fifty patients undergoing microsurgery of the ear were anaesthetised using thiopentone, nitrous oxide, oxygen and either halothane or isoflurane, via a low flow circle system with carbon dioxide absorption. Systolic blood pressure was reduced to approximately 70 mmHg by the additional use of increments of labetalol; the patients breathed spontaneously. The degree of haemostasis was assessed by the surgeon who was unaware which volatile agent was being used to supplement anaesthesia. Isoflurane, although it is a potent vasodilator produced operating conditions which were indistinguishable from halothane. Isoflurane is thus a safe and reliable alternative to halothane as a volatile agent used to supplement anaesthesia when using induced hypotension for middle ear surgery.

 
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