Paper I
2013 April (2010 Scheme) · 40 marks · 180 min

Question

Halothane

Q63 marksShort Notes

Answer

Halothane is a halogenated inhalational general anaesthetic.

Properties

  • Potent anaesthetic (low MAC), non-irritant, pleasant odour — smooth induction
  • Poor analgesic and poor muscle relaxant properties
  • Non-flammable, non-explosive

Effects on organ systems

  • CVS: Myocardial depression, hypotension; sensitizes the myocardium to catecholamines → predisposes to cardiac arrhythmias
  • Respiratory: Depresses respiration; bronchodilator — useful in asthmatics
  • CNS: Increases cerebral blood flow and intracranial tension
  • Uterus: Relaxes uterine smooth muscle — can cause increased postpartum bleeding

Adverse effects

  • Hepatotoxicity — “halothane hepatitis,” particularly with repeated exposure (immune-mediated)
  • Malignant hyperthermia (rare but life-threatening)
  • Cardiac arrhythmias, hypotension
  • Postoperative shivering

Contraindications

  • Prior halothane exposure/hepatitis
  • Pre-existing liver disease
  • Cardiac arrhythmias
  • Raised intracranial tension

Largely replaced today by newer, safer inhalational agents (isoflurane, sevoflurane) due to hepatotoxicity risk.

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