Ether

Table 1 illustrates the advantages/disadvantages of ether:

Advantages

Disadvantages

  • Increases cardiac output
  • Respiratory stimulant
  • Contracts the uterus
  • Good post operative analgesia
  • Inexpensive
  • Ideal for the high-risk patient
  • Pungent smell, addictive
  • Irritant to the airway, causes secretions ++, atropine needed
  • Slow uptake and recovery
  • Difficult to use for inhalational induction
  • Causes nausea and vomiting
  • Flammability and explosion risk:
    • Flammable in air
    • Explosive in O2/N2O

Table 1 Advantages/disadvantages of ether

Question: How can you prevent fire and explosion in theatre when ether is used?

Answer

Table 1 illustrates the advantages/disadvantages of ether:

Advantages

Disadvantages

  • Increases cardiac output
  • Respiratory stimulant
  • Contracts the uterus
  • Good postoperative analgesia
  • Inexpensive
  • Ideal for the high-risk patient
  • Pungent smell, addictive
  • Irritant to the airway, causes secretions ++, atropine needed
  • Slow uptake and recovery
  • Difficult to use for inhalational induction
  • Causes nausea and vomiting
  • Flammability and explosion risk:
    • Flammable in air
    • Explosive in O2/N2O

Table 1 Advantages/disadvantages of ether

Question: How can you prevent fire and explosion in theatre when ether is used?

Answer:

  • Separate in time: if possible only use oxygen at the beginning and end of the anaesthetic
  • Separate in space: diathermy should not be used within 30 cm from the breathing circuit or airway
  • Antistatic precautions: antistatic tubing and floors