Induction+ Intubation with halothane?

Started by e.inet, June 07, 2010, 08:52:57 AM

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e.inet

Hi,
    Kindly help in practical use of halothane.
    How to induce and intubate a child/adult only by halothane?  How much time it will take?
    What are the most common problems faced practically?

  kindly tell your experiences in halothane.

anaesami

induction and intubation with halothane is a very useful technique in children
who are struggling and difficult to control and who do not cooperate to put in a i.v. line.
the best method is to start with a 2% concn of halothane with o2 and n2o . within say about 10
breaths, there will be some relaxation and respiration will become regular and smooth.
continue to give inhalation for 2 or more minutes before you attempt to put in a venflon. another
anaesthetist may be required for this while mask inhalation is going on. give a pinch stimulation
to see the response. if there is muscle movement continue the inhalation for 2 more minutes.
problems are: 1. a calibrated vaporiser if available is safer. you may even give greater than 2%
concentration in oxygen. if only goldman vaporiser is available , you may have to go up to the
last mark. 2. watch out bradycardia; precordial stethoscope is a must. 3. premature attempt to
start i.v line may cause laryngospasm in some cases. remember, halothane is anti-analgesic.
just to ensure pt is analgesic,pinching may be required.