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Volatile Metabolites and Decomposition Products of Halothane In Man

 

作者: J. Sharp,   James Trudell,   Ellis Cohen,  

 

期刊: Anesthesiology  (OVID Available online 1979)
卷期: Volume 50, issue 1  

页码: 2-8

 

ISSN:0003-3022

 

年代: 1979

 

出版商: OVID

 

关键词: volatile,;halothane: metabolites;;decomposition products;;soda lime interaction;;Biotransformation (drug),;fluorometabolites;;2-Bromo-2-chloro-1,1-difluoroethylene;;2-Chloro-1,1-difluoroethylene;

 

数据来源: OVID

 

摘要:

The presence of two volatile halothane metabolites, 2-chloro-1,1,1-trifluoroethane (CF3CH2Cl) and 2-chloro-1,1-difluoroethylene (CF2CHCl), and a metabolite-decomposition product, 2-bromo-2-chloro-1,1-difluoroethylene (CF2CBrCl), were identified by gas chromatography—maas spectrometry in exhaled gases of 16 patients anesthetized with halothane in nonrebreathing, semiclosed and totally closed anesthesia circuits. No significant differences in concentrations of CF3CH2Cl and CF2CHCl were found relative to the anesthesia circuits used. CF2CBrCl could not be identified in the expired gases of patients anesthetized with a nonrebreathing circuit (Bain), but was present in gases recovered from both semiclosed and totally closed circuits. Under totally closed-circuit rebreathing conditions, the concentration of CF2CBrCl increased to 4–5 ppm, indicating significant breakdown of halothane by the soda lime. Possible pathways for formation of the two metabolites and the metabolite—decomposition product are presented, as well as clinical implications of these findings.

 

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