The Veterinary clinics of North America. Small animal practice
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Vet. Clin. North Am. Small Anim. Pract. · Mar 1992
ReviewOther new and potentially useful inhalational anesthetics.
Sevoflurane and desflurane are volatile inhaled anesthetics that are currently being investigated as possible improvements for the anesthetic management of human patients. Information to date suggests these agents have several advantages over existing clinical agents. ⋯ Both cause a dose-related depression of cardiopulmonary function, which is comparable to isoflurane. Results of studies to date favor desflurane over sevoflurane because it is less soluble in blood, is stable in soda lime, is biodegraded the least of any volatile anesthetic, and is not toxic.
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At the time of cesarean section, the mother may suffer respiratory depression, hypotension, increased gastric acidity, and increased predisposition to regurgitation, and the newborn may suffer anesthetic-induced respiratory depression. Preanesthetic metaclopramide, cimetidine, and anticholinergic agent are recommended. ⋯ Neuroleptanalgesic and low-dose general anesthetic, with local anesthetic line-blocks, are preferred techniques. Supportive care of the newborn is mandatory.