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Halothane-Ether-Air Anesthesia

, : Halothane-Ether-Air Anesthesia. JAMA 190: 869-872

Thirty patients were anesthetized with halothane, ether, and air, then maintained on ether and air only. Calibrated draw-over vaporizers, self-inflatable bag, nonrebreathing valve, and mask were used. Arterial blood studies demonstrated that during spontaneous respiration, while blood pH, arterial carbon dioxide tension (PaCO2), and arterial oxygen tension (PaO2) were well maintained within normal limits. In patients premedicated with meperidine hydro-chloride, PaO2 values tended to be lower than in patients receiving no premedication, although oxygen saturation was 90% or greater in most instances. The sequence of halothane-ether-air combined the safety of ether in maintaining adequate pulmonary ventilation and arterial blood pressure with the convenience of halothane in producing rapid induction with minimal excitement and a lower incidence of postanesthesia vomiting. This technique is suitable for use by relatively unskilled anesthetists in situations where anesthetic gases such as nitrous oxide and oxygen would not be available, as in military mobile surgical units, civilian disasters, and underdeveloped nations.


PMID: 14214485

DOI: 10.1001/jama.1964.03070230005001

Other references

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