Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 193: Keywords Part 15: Pharmacology of Inhaled Anesthetics

Feb 1, 2021
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INSIGHT

Blood Gas Partition Coefficient Insight

  • Blood gas partition coefficient describes gas concentration ratio between blood and alveoli at equilibrium.
  • A higher coefficient means more soluble agent, leading to slower induction and recovery.
ADVICE

Adjust MAC for Physiological States

  • Remember physiological and pathological states affect MAC value of volatile anesthetics.
  • Adjust anesthesia for factors like hyperthermia, hypothermia, anemia, and acute ethanol ingestion accordingly.
INSIGHT

Volatiles Effects on Circulation & Respiration

  • Volatile anesthetics generally lower mean arterial pressure by vasodilation and may cause reflex tachycardia.
  • They produce rapid shallow breathing with decreased tidal volume and increased respiratory rate.
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