A Comparative Study of Halothane versus Sevoflurane for Induction of Anaesthesia and Tracheal Intubation in Children
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 6
Abstract
Inhalational anaesthesia is the most commonly employed technique in paediatric age group since it is associated with rapid induction and emergence. Halothane has been very popular as it is non-irritant and well tolerated by the upper airways. However, it can cause bradycardia, hypotension and arrhythmias. Sevoflurane, a newer inhalational agent, fulfils the advantageous properties of Halothane without the associated side effects and is becoming very popular as the inhalational agent of choice in paediatric surgery. Aim was to compare Halothane and Sevoflurane as inhalational agents in paediatric surgery with respect to Induction & Intubation time; Haemodynamic responses during induction and intubation. This study was conducted on 60 paediatric patients of ASA grade 1 and 2 in the age group of 1 to 5 years of either sex posted for elective surgeries under general anaesthesia. General anaesthesia was induced and the trachea intubated with either Halothane or Sevoflurane in 50:50 O2 and N2O without the use of any intravenous inducing agents or muscle relaxants. Both Halothane and Sevoflurane produce acceptable conditions for induction and intubation although it is much faster with sevoflurane. Haemodynamic stability is also better with Sevoflurane compared to Halothane. We conclude that Sevoflurane is a better alternative to Halothane for induction of anaesthesia in children with a shorter induction and intubation time and with better haemodynamic stability.
Authors and Affiliations
Sinam Hemona Devi, Somasekharam Potli, Ravi Madhusudhana, Dinesh Krishnamurthy
Keywords
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- EP ID EP600489
- DOI 10.9790/0853-1606019095.
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