• Onset of action
    • Blood:gas partition coefficient (↑higher = slower)
      • The ratio of anesthetic concentrations in the blood and alveolar space when partial pressures in the two compartments are equal. Higher blood-gas partition coefficients of an inhalational anesthetic correspond to higher solubility in the blood.
    • Solubility in blood (↑higher = slower)
  • Potency (the dose of a drug required to produce a pharmacologic response of a specified intensity)
    • Oil/gas partition coefficient (↑higher = more potent)
    • MAC (↓lower = more potent)
      • Minimum Alveolar Concentration (of inhaled anesthetic) required to prevent 50% of subjects from moving in response to noxious stimulus.
      • Potency = 1/MAC

Adverse effects

  • Postoperative nausea and vomiting
  • Risk of malignant hyperthermia (except nitrous oxide)
  • Decrease vascular resistance in brain and lead to an increase in cerebral blood flow → increased ICP