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Topic Outline

The popularity of inhaled anesthetics for establishing general anesthesia is based on their ease of administration (via inhalation) and the ability to monitor their effects (clinical signs and end-tidal concentrations) (Fig. 17-1: Chemical structure of inhaled anesthetics) (Ebert TJ, Linderman L. Inhaled anesthetics. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Ortega R, Stock MC, eds.Clinical Anesthesia. Philadelphia: Lippincott Williams & Wilkins; 2013:445–477). The most popular potent inhaled anesthetics used in adult surgical procedures are sevoflurane, desflurane, and isoflurane (see Fig. 17-1: Chemical structure of inhaled anesthetics). Sevoflurane is the most commonly used inhaled anesthetic for pediatric patients.


  1. Pharmacokinetic Principles
  2. Clinical Overview of Current Inhaled Anesthetics
  3. Neuropharmacology of Inhaled Anesthetics
  4. The Circulatory System
  5. The Pulmonary System
  6. Hepatic Effects
  7. Neuromuscular System and Malignant Hyperthermia
  8. Genetic Effects, Obstetric use, and Effects on Fetal Development
  9. Anesthetic Degradation by Carbon Dioxide Absorbers
  10. Anesthetic Metabolism
  11. Clinical Utility of Volatile Anesthetics
  12. Pharmacoeconomics and Value-Based Decisions