Fluroxene

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Fluroxene

Chemical structure of Fluroxene

Fluroxene is a volatile inhalational anesthetic that was used in the past for the induction and maintenance of general anesthesia. It is a halogenated ether, specifically a fluorinated ethyl vinyl ether, which was developed in the mid-20th century.

Chemical Properties

Fluroxene is chemically known as 2,2,2-trifluoroethyl vinyl ether. Its molecular formula is C4H5F3O, and it has a molecular weight of 130.08 g/mol. The presence of fluorine atoms in its structure contributes to its stability and anesthetic properties.

Pharmacology

Fluroxene acts on the central nervous system to produce a reversible loss of consciousness and sensation. Like other inhalational anesthetics, it is believed to work by modulating the activity of ion channels in the neuronal membrane, particularly those involving gamma-aminobutyric acid (GABA) and glutamate receptors.

Clinical Use

Fluroxene was used primarily in the 1960s and 1970s. It was favored for its rapid onset and recovery times compared to other anesthetics available at the time. However, its use declined due to the development of newer agents with better safety profiles and fewer side effects.

Side Effects

The use of fluroxene was associated with several side effects, including cardiovascular and respiratory depression, as well as potential hepatotoxicity. These adverse effects, along with the availability of safer alternatives, led to its discontinuation in clinical practice.

Historical Context

Fluroxene was one of the first fluorinated anesthetics to be used in clinical practice. Its development marked a significant advancement in the field of anesthesiology, paving the way for the introduction of other fluorinated anesthetics such as halothane and isoflurane.

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Contributors: Prab R. Tumpati, MD