Volatile anaesthetics and the atmosphere: atmospheric lifetimes and atmospheric effects of halothane, enflurane, isoflurane, desflurane and sevoflurane
T. Langbein et al., Volatile anaesthetics and the atmosphere: atmospheric lifetimes and atmospheric effects of halothane, enflurane, isoflurane, desflurane and sevoflurane, BR J ANAEST, 82(1), 1999, pp. 66-73
Citations number
18
Categorie Soggetti
Aneshtesia & Intensive Care","Medical Research Diagnosis & Treatment
The atmospheric lifetimes of the halogenated anaesthetics halothane, enflur
ane, isoflurane, desflurane and sevoflurane with respect to reaction with t
he hydroxyl radical (OH) and UV photolysis have been determined from observ
ations of OH reaction kinetics and UV absorption spectra. Rate coefficients
for the reaction with OH radicals for all halogenated anaesthetics investi
gated ranged from 0.44 to 2.7 x 10(-14) cm(3) molec(-1) s(-1). Halothane, e
nflurane and isoflurane showed distinct UV absorption in the range 200-350
nm. In contrast, no absorption in this wavelength range was detected for de
sflurane or sevoflurane. The total atmospheric lifetimes, as derived from b
oth OH reactivity and photolysis, were 4.0-21.4 yr. it has been calculated
that up to 20% of anaesthetics enter the stratosphere. As a result of chlor
ine and bromine content, the ozone depletion potential (ODP) relative to ch
lorofluorocarbon CFC-11 varies between 0 and 1.56, leading to a contributio
n to the total ozone depletion in the stratosphere of approximately 1% for
halothane and 0.02% for enflurane and isoflurane. Estimates of the greenhou
se warming potential (GWP) relative to CFC-12 yield values of 0.02-0.14, re
sulting in a relative contribution to global warming of all volatile anaest
hetics of approximately 0.03%. The stratospheric impact of halothane, isofl
urane and enflurane and their influence on ozone depletion is of increasing
importance because of decreasing chlorofluorocarbons globally. However, th
e influence of volatile anaesthetics on greenhouse warming is small.