Literature DB >> 6849513

Fetal anesthetic requirement (MAC) for halothane.

G A Gregory, J G Wade, D R Beihl, B Y Ong, D S Sitar.   

Abstract

We asked whether the anesthetic requirement (MAC) of fetal lambs is lower than that of pregnant ewes. In five pregnant ewes anesthetized with a subarachnoid block, a fetal foot was withdrawn through a hysterotomy. The ewe then breathed 1.5% halothane and a clamp was applied to the fetal foot at 2-min intervals. We concomitantly obtained arterial blood from previously implanted catheters. When fetal movement in response to clamping the foot ceased, halothane was discontinued and the stimulus and sampling continued until the fetus began to move. Anesthesia was again resumed and continued until movement stopped. Anesthesia was then deepened and MAC was determined in the mother (stimulus--ear clamp). The fetal blood concentrations of halothane at MAC were 48 +/- 28 mg/L; they were 133 +/- 5 mg/L in the mother. This difference was highly significant (P less than 0.001). Calculated end-tidal concentrations were 0.33% and 0.69%, respectively. In two animals delivered by cesarean section, MAC increased progressively over the first 12 h of life. Progesterone levels concomitantly decreased.

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Year:  1983        PMID: 6849513

Source DB:  PubMed          Journal:  Anesth Analg        ISSN: 0003-2999            Impact factor:   5.108


  8 in total

1.  Comparison of the effects of sevoflurane and isoflurane anesthesia on the maternal-fetal unit in sheep.

Authors:  Toshiyuki Okutomi; Robert A Whittington; Deborah J Stein; Hisayo O Morishima
Journal:  J Anesth       Date:  2009-08-14       Impact factor: 2.078

Review 2.  Controversies in paediatric anaesthesia.

Authors:  J Lerman
Journal:  Can J Anaesth       Date:  1988-05       Impact factor: 5.063

3.  Foetal responses to acute haemorrhage under halothane anaesthesia.

Authors:  B Y Ong; R Yarnell; W A Tweed; D S Sitar
Journal:  Can Anaesth Soc J       Date:  1984-03

4.  The effect of halothane anaesthesia on the asphyxiated foetal lamb in utero.

Authors:  R Yarnell; D R Biehl; W A Tweed; G A Gregory; D Sitar
Journal:  Can Anaesth Soc J       Date:  1983-09

5.  Current considerations in neonatal anaesthesia.

Authors:  R Waugh; G G Johnson
Journal:  Can Anaesth Soc J       Date:  1984-11

6.  Fundamentals of infant anaesthesia.

Authors:  C F Ward
Journal:  Can Anaesth Soc J       Date:  1984-05

Review 7.  Update in fetal anesthesia for the ex utero intrapartum treatment (EXIT) procedure.

Authors:  Pornswan Ngamprasertwong; Alexander A Vinks; Anne Boat
Journal:  Int Anesthesiol Clin       Date:  2012

8.  Isoflurane potency and cardiovascular effects during short exposures in the foetal lamb.

Authors:  C R Bachman; D R Biehl; D Sitar; M Cumming; W Pucci
Journal:  Can Anaesth Soc J       Date:  1986-01
  8 in total

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