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Pre-Eclampsia

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Inhalation<br />

• Chloroform: hepatic failure<br />

• Ether & cyclopropane: explosion<br />

• Halothane: headache, exhaustion, …<br />

• 1967: adverse reproductive effects<br />

• Halothane in rats: aberrant skeletal<br />

development after 12 h exposure<br />

• Fink: rats exposed to high concentrations of<br />

nitrous oxide: more skeletal abno<br />

Prolonged exposure to trace concentrations<br />

Single or repeated high dose exposure<br />

Dr. Marc Coppens<br />

Inhalational anaesthetics<br />

• No mutagenic effects ( N 2 O, E,I,D,S )<br />

• No carcinogenic effects<br />

• N 2 O is the only inhaled anaesthetic that has<br />

been convincingly shown to be directly<br />

teratogenic in experimental animals<br />

• Interference with DNA synthesis (methionine<br />

synthethase)<br />

• Consensus: any teratogenic effects caused<br />

by changes in physiology !<br />

Dr. Marc Coppens<br />

25

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