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.
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.