There were no significant differences between both volatile anesthetics
in terms of intensive care unit length of stay (SMD -0.07, 95% CI -0.38 to 0.24, P = 0.66; Figure 2), hospital length of stay (SMD 0.06, 95% CI -0.33 to 0.45, P = 0.76; Figure 3), time to extubation (SMD 0.29, 95% CI -0.08 to 0.65, P = 0.12; Figure 4), S100[beta] (at the end of surgery: SMD 0.08, 95% CI -0.33 to 0.49, P = 0.71; 24 hours after surgery: SMD 0.21, 95% CI -0.23 to 0.65, P = 0.34; Figure 5), or troponin (at the end of surgery: SMD -1.13, 95% CI -2.39 to 0.13, P = 0.08; 24 hours after surgery: SMD 0.74, 95% CI -0.15 to 1.62, P = 0.10; Figure 6).
As is true for the other volatile anesthetics
, postoperative nausea and vomiting is a significant adverse effect during the early stages of recovery (29) and is one of the main drawbacks of volatile inhalants compared to the propofol alternative.
(1,5,8) Fulminant malignant hyperthermic crises occur in 6.5% of all cases; the calculated incidence of these crises is 1 in 84,000 following the administration of volatile anesthetics
and 1 in 62,000 following the administration of succinylcholine.
(8.) Doi M and Ikeda K, (1993), Airway irritation produced by volatile anesthetics
during brief inhalation- comparision of halothane, Enflurane, Sevoflurane and isoflurane, Canadian journal of anesthesia, 40: 122-126.
Titration of volatile anesthetics
using bispectral index facilitates recovery after ambulatory anesthesia.
Widespread availability of modern clear plastic masks along with non-pungent and rapidly acting volatile anesthetic
has made inhalational induction an option even in adults.
was then switched on and surgeon was asked to proceed with surgery.
Cell culture experiments confirm that10,11 volatile anesthetics
(isoflurane, sevoflurane, desflurane) can induce apoptosis and increase the formation of beta-amyloid protein.
Effect of volatile anesthetics
on respiratory system resistance in patients with chronic obstructive pulmonary disease.
So, in this study it was decided to take blood samples at the same time of the insufflation and the postdeflation for all patients because it was planned not to compare the open procedure with laparoscopic surgery to compare the volatile anesthetics
Similarly, the recently introduced volatile anesthetics
, especially isoflurane allows less side effects on cardiovascular, renal and hepatic system (Asokan et al., 2006).