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Halothane sensitizes the myocardium to catecholamines (caution: serious tachyarrhythmias or ventricular fibrillation may accompany use of catecholamines as antihypotensives or tocolytics). This effect is much less pronounced with enflurane and isoflurane. Unlike halothane, enflurane and isoflurane have a muscle-relaxant effect that is additive with that of nondepolarizing neuromuscular blockers.
Bronchial asthma: Increased sympathetic activity prevents bronchospasm in patients disposed to paroxysmal constriction of the bronchial tree (bronchial asthma, bronchitis in smokers). In this condition, ?2-receptor blockade will precipitate acute respiratory distress (B). |
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