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British Journal of Anaesthesia, 1986, Vol. 58, No. 10 1116-1121
© 1986 The Board of Management and Trustees of the British Journal of Anaesthesia

other

ISOFLURANE DOES NOT REDUCE AORTIC PEAK FLOW VELOCITY IN CHILDREN

T. M. GALLAGHER, M.D., M.R.C.P.I., F.F.A.R.C.S.I., M. D. SHIELDS, M.B., M.R.C.P. and G. W. BLACK, M.D., F.R.C.P.I., F.F.A.R.C.S.

The Royal Belfast Hospital for Sick Children Belfast, BT12 6BE

Haemodynamic effects of 1 MAC halothane, enflurane and isoflurane were studied in 15 healthy children using pulsed Doppler echo cardiography. Heart rate was significantly increased with isoflurane, but not with the other two agents. All three caused comparable decreases in arterial pressure. Cardiac output was increased with isoflurane, but remained unchanged with halothane and enflurane. Aortic peak flow velocity, a sensitive index of myo-cardial contractility, was decreased with halothane and enflurane, but not with isoflurane. These findings indicate that isoflurane causes less myocardial depression than halothane or enflurance in children.


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