par Mouawad, Émile
Référence Annales de l'Anesthesiologie Francaise, 16, 9, page (721-724)
Publication Publié, 1975
Article révisé par les pairs
Résumé : In neuroanesthesia, anesthetic agents must be in accordance with certain criteria necessary to the preservation of the integrity of the brain. Therefore we reappraised the effects of enflurane upon cortical irritability, metabolism, cerebral blood flow and intracranial pressure. It is concluded that: in normocapnia, and with optimal clinical concentrations, this drug remains the best anesthetic agent since it has no harmful effects either upon metabolism or upon cerebral blood flow. However, in hypertensive cerebral lesions, caution is called for and it seems advisable to combine enflurane with mild doses of fentanyl. Finally, anesthesia with enflurane is followed by a rapid and smooth return to consciousness, a valuable factor in neurosurgery where postoperative neurological vigilance is very important.