Abstract
In radiological protection the decision to use bronchopulmonary lavage, or not to use it, will occasionally rest on a comparison of risks: on the one hand the long-term radiological risk and, on the other, the short-term risks from the operation itself (after several repetitions) and from multiple exposure to the anaesthetic agents, thiopentone (or other barbiturate) and halothane. The purpose of this review was to find a numerical estimate for the risk of irreversible liver damage from multiple exposure to halothane in a healthy male aged between 20 and 60 years. The many reports which have appeared since 1970 have shown that halothane hepatitis is probably a specific, but rare, pathological condition and that the risks from halothane exposure are no greater than those from other anaesthetics. The facts suggest that there is an increased risk associated with multiple exposure. If for the average patient the mortality risk from one anaesthetic exposure to halothane is 1 in 10{sup 5}, the risk from two further exposures within the following 4 weeks is nearer 1 in 10{sup 4}. Other risks associated with surgical operations have not been ignored; errors in the administration of thiopentone, for example, which increase the overall risk to
More>>
Citation Formats
Spoor, N L.
Halothane anaesthesia and liver damage: A review of the literature on this and associated hazards.
United Kingdom: N. p.,
1977.
Web.
Spoor, N L.
Halothane anaesthesia and liver damage: A review of the literature on this and associated hazards.
United Kingdom.
Spoor, N L.
1977.
"Halothane anaesthesia and liver damage: A review of the literature on this and associated hazards."
United Kingdom.
@misc{etde_20316244,
title = {Halothane anaesthesia and liver damage: A review of the literature on this and associated hazards}
author = {Spoor, N L}
abstractNote = {In radiological protection the decision to use bronchopulmonary lavage, or not to use it, will occasionally rest on a comparison of risks: on the one hand the long-term radiological risk and, on the other, the short-term risks from the operation itself (after several repetitions) and from multiple exposure to the anaesthetic agents, thiopentone (or other barbiturate) and halothane. The purpose of this review was to find a numerical estimate for the risk of irreversible liver damage from multiple exposure to halothane in a healthy male aged between 20 and 60 years. The many reports which have appeared since 1970 have shown that halothane hepatitis is probably a specific, but rare, pathological condition and that the risks from halothane exposure are no greater than those from other anaesthetics. The facts suggest that there is an increased risk associated with multiple exposure. If for the average patient the mortality risk from one anaesthetic exposure to halothane is 1 in 10{sup 5}, the risk from two further exposures within the following 4 weeks is nearer 1 in 10{sup 4}. Other risks associated with surgical operations have not been ignored; errors in the administration of thiopentone, for example, which increase the overall risk to a level nearer 5 in 10{sup 4}, and errors of operational diagnosis or judgement. (author)}
place = {United Kingdom}
year = {1977}
month = {Sep}
}
title = {Halothane anaesthesia and liver damage: A review of the literature on this and associated hazards}
author = {Spoor, N L}
abstractNote = {In radiological protection the decision to use bronchopulmonary lavage, or not to use it, will occasionally rest on a comparison of risks: on the one hand the long-term radiological risk and, on the other, the short-term risks from the operation itself (after several repetitions) and from multiple exposure to the anaesthetic agents, thiopentone (or other barbiturate) and halothane. The purpose of this review was to find a numerical estimate for the risk of irreversible liver damage from multiple exposure to halothane in a healthy male aged between 20 and 60 years. The many reports which have appeared since 1970 have shown that halothane hepatitis is probably a specific, but rare, pathological condition and that the risks from halothane exposure are no greater than those from other anaesthetics. The facts suggest that there is an increased risk associated with multiple exposure. If for the average patient the mortality risk from one anaesthetic exposure to halothane is 1 in 10{sup 5}, the risk from two further exposures within the following 4 weeks is nearer 1 in 10{sup 4}. Other risks associated with surgical operations have not been ignored; errors in the administration of thiopentone, for example, which increase the overall risk to a level nearer 5 in 10{sup 4}, and errors of operational diagnosis or judgement. (author)}
place = {United Kingdom}
year = {1977}
month = {Sep}
}