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AMBULATORY ANESTHESIA

A Comparison of Airway Responses During Desflurane and Sevoflurane Administration via a Laryngeal Mask Airway for Maintenance of Anesthesia

Rachel W. Eshima, MD^*, Anya Maurer, BS^*, Travis King, BS, Bor-Kang Lin, PhD, James E. Heavner, DVM PhD, Martin S. Bogetz, MD^*, and Alan D. Kaye, MD

*Department of Anesthesia and Perioperative Care, University of California, San Francisco; and Department of Anesthesiology, Texas Tech University Health Science Center, Lubbock

Address correspondence and reprint requests to Rachel Eshima, MD, University of California, San Francisco, Department of Anesthesia and Perioperative Care, 521 Parnassus Ave., Room C-450, Box 0648, San Francisco, CA 94143-0468. Address e-mail to eshimar{at}anesthesia.ucsf.edu

IMPLICATIONS: Although sevoflurane is less pungent than desflurane at larger concentrations, neither anesthetic seems to irritate the airway when administered at the smaller concentrations often used during maintenance of anesthesia. Both anesthetics may be delivered effectively via a laryngeal mask airway, with minimal evidence of airway irritation.

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