Changes in cerebral blood flow velocity in children during sevoflurane and halothane anesthesia

Richard A. Berkowitz, William E. Hoffman, Francesca Cunningham, Timothy McDonald

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

The purpose of this study was to evaluate arterial blood pressure and middle cerebral artery blood flow velocity in children during induction of anesthesia with sevoflurane. These measures were compared to findings in a control group anesthetized with halothane. Each child received mask induction of sevoflurane (n = 9) or halothane (n = 9) with 70% nitrous oxide in oxygen. Blood pressure was measured noninvasively by an oscillometric technique using a Dinamap. Blood flow velocity was measured using a transcranial Doppler with a 2-MHz probe. End-tidal CO2, nitrous oxide, and anesthetic concentrations were measured by a Datex Ultima Capnomac. Both sevoflurane (2.4%) and halothane (1.3%) combined with 70% nitrous oxide decreased blood pressure and increased cerebral blood flow velocity. Intubation increased blood pressure and further increased cerebral blood flow velocity with both anesthetic treatments. These results indicate that sevoflurane and halothane combined with nitrous oxide decrease blood pressure and increase cerebral blood flow velocity and suggest that sevoflurane produces cerebrovascular effects similar to those of halothane during anesthetic induction.

Original languageEnglish (US)
Pages (from-to)194-198
Number of pages5
JournalJournal of Neurosurgical Anesthesiology
Volume8
Issue number3
StatePublished - 1996
Externally publishedYes

Fingerprint

Cerebrovascular Circulation
Blood Flow Velocity
Halothane
Nitrous Oxide
Anesthesia
Blood Pressure
Anesthetics
Middle Cerebral Artery
Masks
Intubation
Arterial Pressure
sevoflurane
Oxygen
Control Groups

Keywords

  • Anesthetics
  • Blood flow velocity
  • Brain
  • Halothane
  • Nitrous oxide
  • Pediatric anesthesia
  • Sevoflurane

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

Cite this

Berkowitz, R. A., Hoffman, W. E., Cunningham, F., & McDonald, T. (1996). Changes in cerebral blood flow velocity in children during sevoflurane and halothane anesthesia. Journal of Neurosurgical Anesthesiology, 8(3), 194-198.

Changes in cerebral blood flow velocity in children during sevoflurane and halothane anesthesia. / Berkowitz, Richard A.; Hoffman, William E.; Cunningham, Francesca; McDonald, Timothy.

In: Journal of Neurosurgical Anesthesiology, Vol. 8, No. 3, 1996, p. 194-198.

Research output: Contribution to journalArticle

Berkowitz, RA, Hoffman, WE, Cunningham, F & McDonald, T 1996, 'Changes in cerebral blood flow velocity in children during sevoflurane and halothane anesthesia', Journal of Neurosurgical Anesthesiology, vol. 8, no. 3, pp. 194-198.
Berkowitz, Richard A. ; Hoffman, William E. ; Cunningham, Francesca ; McDonald, Timothy. / Changes in cerebral blood flow velocity in children during sevoflurane and halothane anesthesia. In: Journal of Neurosurgical Anesthesiology. 1996 ; Vol. 8, No. 3. pp. 194-198.
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