Skip to main content
NCBI home page
Anesthesia Progress logoLink to Anesthesia Progress
. 1988 Mar-Apr;35(2):48–52.

Recovery following General Anesthesia with Isoflurane or Enflurane for Outpatient Dentistry and Oral Surgery

Jukka V Valanne, Kari Korttila
PMCID: PMC2148598  PMID: 3166345

Abstract

Anesthesia was induced in 120 unpremedicated, healthy patients undergoing outpatient dentistry or oral surgery with methohexital, and endotracheal intubation facilitated with succinylcholine. Anesthesia was maintained randomly with either enflurane or isoflurane in nitrous oxide and oxygen (50%) administered in a nonrebreathing circuit using spontaneous respiration. After both enflurane and isoflurane anesthesia, it took 12-13 minutes before the patients were oriented as to time and place. The patients' ability to walk along a straight line normalized significantly (p < .05) more quickly after isoflurane than after enflurane anesthesia. Long enflurane anesthesia (>90 minutes) was associated with a significantly (p < .05-p < .01) slower recovery of walking ability and of psychomotor performance in a perceptual speed test than was short enflurane anesthesia (<40 minutes). With isoflurane the speed of recovery did not depend on the duration of anesthesia. After both anesthetic techniques, 25-26% of the patients had nausea or vomited. We conclude that using spontaneous respiration recovery is faster after isoflurane anesthesia than after enflurane anesthesia and that isoflurane should be preferred to enflurane for long anesthesia of outpatients.

Full text

PDF
48

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Calverley R. K., Smith N. T., Jones C. W., Prys-Roberts C., Eger E. I., 2nd Ventilatory and cardiovascular effects of enflurane anesthesia during spontaneous ventilation in man. Anesth Analg. 1978 Nov-Dec;57(6):610–618. [PubMed] [Google Scholar]
  2. Cromwell T. H., Stevens W. C., Eger E. I., 2nd, Shakespeare T. F., Halsey M. J., Bahlman S. H., Fourcade H. E. The cardiovascular effects of compound 469 (Forane) during spontaneous ventilation and CO2 challenge in man. Anesthesiology. 1971 Jul;35(1):17–25. doi: 10.1097/00000542-197107000-00007. [DOI] [PubMed] [Google Scholar]
  3. Davison L. A., Steinhelber J. C., Eger E. I., 2nd, Stevens W. C. Psychological eff-cts of halothane and isoflurane anesthesia. Anesthesiology. 1975 Sep;43(3):313–324. doi: 10.1097/00000542-197509000-00008. [DOI] [PubMed] [Google Scholar]
  4. Denis R., Letourneau J. E., Londorf D. Reliability and validity of psychomotor tests as measures of recovery from isoflurane or enflurane anesthesia in a day-care surgery unit. Anesth Analg. 1984 Jul;63(7):653–656. [PubMed] [Google Scholar]
  5. Edwards H., Rose E. A., Schorow M., King T. C. Postoperative deterioration in psychomotor function. JAMA. 1981 Apr 3;245(13):1342–1343. [PubMed] [Google Scholar]
  6. Fourcade H. E., Stevens W. C., Larson C. P., Jr, Cromwell T. H., Bahlman S. H., Hickey R. F., Halsey M. J., Eger E. I., 2nd The ventilatory effects of Forane, a new inhaled anesthetic. Anesthesiology. 1971 Jul;35(1):26–31. doi: 10.1097/00000542-197107000-00008. [DOI] [PubMed] [Google Scholar]
  7. Gelfman S. S., Gracely R. H., Driscoll E. J., Wirdzek P. R., Butler D. P., Sweet J. B. Comparison of recovery tests after intravenous sedation with diazepam-methohexital and diazepam-methohexital and fentanyl. J Oral Surg. 1979 Jun;37(6):391–397. [PubMed] [Google Scholar]
  8. Herbert M., Healy T. E., Bourke J. B., Fletcher I. R., Rose J. M. Profile of recovery after general anaesthesia. Br Med J (Clin Res Ed) 1983 May 14;286(6377):1539–1542. doi: 10.1136/bmj.286.6377.1539. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Korttila K., Ghoneim M. M., Jacobs L., Lakes R. S. Evaluation of instrumented force platform as a test to measure residual effects of anesthetics. Anesthesiology. 1981 Dec;55(6):625–630. doi: 10.1097/00000542-198155060-00004. [DOI] [PubMed] [Google Scholar]
  10. Korttila K. Recovery and driving after brief anaesthesia. Anaesthesist. 1981 Aug;30(8):377–382. [PubMed] [Google Scholar]
  11. Korttila K., Saarnivaara L., Tarkkanen J., Himberg J. J., Hytönen M. Comparison of diazepam and flunitrazepam for sedation during local anaesthesia for bronchoscopy. Br J Anaesth. 1978 Mar;50(3):281–287. doi: 10.1093/bja/50.3.281. [DOI] [PubMed] [Google Scholar]
  12. Korttila K., Tammisto T., Ertama P., Pfäffli P., Blomgren E., Häkkinen S. Recovery, psychomotor skills, and simulated driving after brief inhalational anesthesia with halothane or enflurane combined with nitrous oxide and oxygen. Anesthesiology. 1977 Jan;46(1):20–27. doi: 10.1097/00000542-197701000-00006. [DOI] [PubMed] [Google Scholar]
  13. Storms L. H., Stark A. H., Calverley R. K., Smith N. T. Psychological functioning after halothane or enflurane anesthesia. Anesth Analg. 1980 Apr;59(4):245–249. doi: 10.1213/00000539-198004000-00005. [DOI] [PubMed] [Google Scholar]
  14. Valanne J., Korttila K. Comparison of methohexitone and propofol ('Diprivan') for induction of enflurane anaesthesia in outpatients. Postgrad Med J. 1985;61 (Suppl 3):138–143. [PubMed] [Google Scholar]
  15. Valanne J., Korttila K. Effect of a small dose of droperidol on nausea, vomiting and recovery after outpatient enflurane anaesthesia. Acta Anaesthesiol Scand. 1985 May;29(4):359–362. doi: 10.1111/j.1399-6576.1985.tb02215.x. [DOI] [PubMed] [Google Scholar]

Articles from Anesthesia Progress are provided here courtesy of American Dental Society of Anesthesiology

RESOURCES