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Pharmacokinetics, Pharmacodynamics, and Physical Properties of Inhalational Agents

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Essentials of Pharmacology for Anesthesia, Pain Medicine, and Critical Care

Abstract

While there are multiple inhalational agents discovered over the past few decades, only three remain particularly relevant today in the United States. This chapter will review major properties of sevoflurane, desflurane, isoflurane, nitrous oxide, and halothane in clinical practice as well as the basic pharmacodynamics and pharmacokinetics of inhalational agents.

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References

  1. Newbreg LA, Milide JH, Michenfelder JD. The cerebral metabolic effects of isoflurane at and above concentrations that suppress cortical electrical activity. Anesthesiology. 1983;59:23–8.

    Article  Google Scholar 

  2. Scheller MS, Tateishi A, Drummond JC, Zornow MH. The effects of sevoflurane on cerebral blood flow, cerebral metabolic rate for oxygen, intracranial pressure, and the electroencephalogram are similar to those of isoflurane in the rabbit. Anesthesiology. 1998;68:548–51.

    Article  Google Scholar 

  3. Lutz LJ, Milde JH, Milde LN. The cerebral functional, metabolic, and hemodynamic effects of desflurane in dogs. Anesthesiology. 1990;73:125–31.

    Article  CAS  PubMed  Google Scholar 

  4. Wilhelm W, Kuster M, Larsen B, Larsen R. Desflurane and isoflurane. A comparison of recovery and circulatory parameters in surgical interventions. Anaesthesist. 1996;45:37–46.

    Article  CAS  PubMed  Google Scholar 

  5. Morgan GE, Mikhail MS, Murray MJ. Clinical anesthesiology, 4th ed. Lange Medical Books. 2005; p. 173.

    Google Scholar 

  6. Mayer J, Boldt J, Rohm KD, Scheuemann K, Suttner SW. Desflurane anesthesia after sevoflurane inhaled induction reduces severity of emergence agitation in children undergoing minor ear-nose-throat surgery compared with sevoflurane induction and maintenance. Anesth Analg. 2006;102:400–4.

    Article  CAS  PubMed  Google Scholar 

  7. Locatelli BG, Ingelmo PM, Emre S, Meroni V, Minardi C, Frawley G, Benigni A, Di Marco S, Spotti A, Busi I, Sonzogni V. Emergence delirium in children: a comparison of sevoflurane and desflurane anesthesia using the paediatric anesthesia emergence delirium scale. Paediatr Anaesth. 2013;23:301–8.

    Article  PubMed  Google Scholar 

  8. Weiskopf RB, Eger EI, Noorani M, Daniel M. Repetitive rapid increases in desflurane concentration blunt transient cardiovascular stimulation in humans. Anesthesiology. 1994;81:843–9.

    Article  CAS  PubMed  Google Scholar 

  9. Weiskopf RB, Eger EI, Daniel M, Noorani M. Cardiovascular stimulation induced by rapid increases in desflurane concentration in humans results from activation of tracheopulmonary and systemic receptors. Anesthesiology. 1995;83:1173–8.

    Article  CAS  PubMed  Google Scholar 

  10. Ebert TJ, Muzi M. Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers. A comparison with isoflurane. Anesthesiology. 1993;79:444–53.

    Article  CAS  PubMed  Google Scholar 

  11. Eshima RW, Maurer A, King T, Lin BK, Heavner JE, Bogetz MS, Kaye AD. A comparison of airway responses during desflurane and sevoflurane administration via a laryngeal mask airway for maintenance of anesthesia. Anesth Analg. 2003;96:701–5.

    CAS  PubMed  Google Scholar 

  12. Kaye A, Jucera IJ, Heavner J, Gelb A, Anwar M, Duban M, Arif AS, Craen R, Chang CT, Trillo R, Hoffman M. The comparative effects of desflurane and isoflurane on lumbar cerebrospinal fluid pressure in patients undergoing craniotomy fur supratentorial tumors. Anesth Analg. 2004;98:1127–32.

    Article  CAS  PubMed  Google Scholar 

  13. Ornstein E, Young WL, Fleischer LH, Ostapkovich N. Desflurane and isoflurane have similar effects on cerebral blood flow in patients with intracranial mass lesions. Anesthesiology. 1993;79:498–502.

    Article  CAS  PubMed  Google Scholar 

  14. Miura Y, Grocolt HP, Bart RD, Pearistein RD, Dexter F, Warner DS. Differential effects of anesthetic agents on outcome from near-complete but not incomplete global ischemia in the rat. Anesthesiology. 1998;89:391–400.

    Article  CAS  PubMed  Google Scholar 

  15. Adams RW, Cuchiara RF, Gronert GA, Messick JM, Michenfelder JD. Isoflurane and cerebrospinal fluid pressure in neurosurgical patients. Anesthesiology. 1981;54:97–9.

    Article  CAS  PubMed  Google Scholar 

  16. Yasuda N, Lockhart SH, Eger 2nd EI, et al. Comparison of kinetics of sevoflurane and isoflurane in humans. Anesth Analg. 1991;72:316–24.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Hanjo Ko MD .

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Chemical Structures

Chemical Structures

3.1
figure 2

Sevoflurane

3.2
figure 3

Desflurane

3.3
figure 4

Isoflurane

3.4
figure 5

Nitrous oxide

3.5
figure 6

Halothane

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Ko, H., Kaye, A.D., Urman, R.D. (2015). Pharmacokinetics, Pharmacodynamics, and Physical Properties of Inhalational Agents. In: Kaye, A., Kaye, A., Urman, R. (eds) Essentials of Pharmacology for Anesthesia, Pain Medicine, and Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8948-1_3

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  • DOI: https://doi.org/10.1007/978-1-4614-8948-1_3

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-8947-4

  • Online ISBN: 978-1-4614-8948-1

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