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British Journal of Anaesthesia, 1989, Vol. 62, No. 2 138-143
© 1989 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

COMPARISON OF 1.5% ENFLURANE WITH 1.25% ISOFLURANE IN OXYGEN FOR CAESAREAN SECTION: AVOIDANCE OF AWARENESS WITHOUT NITROUS OXIDE

M. E. TUNSTALL, M.B., B.S., F.F.A.R.C.S. and A. SHEIKH, M.B. CH.B., F.F.A.R.C.S.

Department of of Anaesthetics, Aberdeen Royal Infirmary Foresterhill, Aberdeen AB9 2ZB

We examined the feasibility of administering nearly 100% oxygen throughout the induction-delivery period of general anaesthesia for 113 Caesarean sections. Isoflurane 1.25% was compared with 1.5% enflurane for maintenance of anaesthesia. The level of anaesthesia was monitored by use of the isolated forearm technique. There was a greater amount of isolated forearm movement when enflurane was used. The three main criteria for a satisfactory general anaesthetic technique for Caesarean section were fulfilled, namely no maternal awareness, no undue depression of the fetus and no adverse effect on uterine contractility. Isoflurane and enflurane appear to be suitable anaesthetic agents for facilitating hyper-oxygenation during Caesarean section.


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