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Anesth Analg 1985; 64:807-810
© 1985 International Anesthesia Research Society
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Reduction in Halothane MAC

Comparison of Morphine and Alfentanil

Carol L. Lake, MD, Cosmo A. DiFazio, MD, PHD, Jeffrey C. Moscicki, MS, and Jeffrey S. Engle, BS, MT (ASCP)

The Department of Anesthesiology, University of Virginia Medical Center, Charlottesville, Virginia.

Abstract

The anesthetic potency and effectiveness of alfentanil and morphine were established by determining the effects of increasing drug doses on the alveolar anesthetic requirement of halothane to maintain a constant anesthetic (MAC) level. Six selected doses of alfentanil and four of morphine were administered to groups of mechanically ventilated rats anesthetized with halothane. Alfentanil was given as a loading dose followed by an intravenous infusion of 0.01–100 µg. kg –1.min –1, and morphine was administered as a subcutaneous dose of 4–20 mg/kg. The reduction in halothane requirement after morphine was biphasic, with a rapid linear increase occurring up to an 8 mg/kg subcutaneous dose, followed by a further, slower reduction in halothane requirement after doses of 8–20 mg/kg. At a 20 mg/kg dose, the halothane MAC was reduced approximately 84%. With alfentanil, a curvilinear reduction in halothane MAC occurred up to an alfentanil dose of 15µg. kg –1.min –1, where a 48% reduction was found. Larger doses produced severe truncal, chest wall, and abdominal rigidity, precluding adequate ventilation and the determination of MAC

Key Words: ANALGESICS—alfentanil. • ANESTHETICS, volatile—halothane. • POTENCY, anesthetic—MAC.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1985 by the International Anesthesia Research Society.