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Enflurane (2-chloro-1,1,2-trifluoroethyl difluoromethyl ether) is a halogenated ether. Developed by in 1963, it was first used clinically in 1966. It was increasingly used for inhalational during the 1970s and 1980s

(2025). 9780781751261, Lippincott Williams & Wilkins. .
but is no longer in common use.
(2025). 9781437716795

Enflurane is a structural of . It vaporizes readily, but is a liquid at room temperature.


Physical properties
at 1 atm56.5 °C
MAC1.68
at 20 °C22.9 kPa (172 )
1.9
Oil:gas partition coefficient98


Pharmacology
The exact mechanism of the action of general anaesthetics has not been delineated. Enflurane acts as a positive allosteric modulator of the , , and 5-HT3 receptors,
(2025). 9781588111241, John Benjamins Publishing. .
(2025). 9781437727920, Elsevier Health Sciences. .
and as a negative allosteric modulator of the , , and ,
(2013). 9781469830278, Lippincott Williams & Wilkins. .
as well as of nicotinic acetylcholine receptors.


Side effects
Clinically, enflurane produces a dose-related depression of with an associated decrease in myocardial oxygen consumption. Between 2% and 5% of the inhaled dose is oxidised in the liver, producing ions and difluoromethoxy-difluoroacetic acid. This is significantly higher than the metabolism of its structural isomer .

Enflurane also lowers the threshold for , and should especially not be used on people with . Like all potent inhalation anaesthetic agents it is a known trigger of malignant hyperthermia.

Like the other potent inhalation agents it relaxes the uterus in pregnant women which is associated with more blood loss at delivery or other procedures on the gravid uterus.

The obsolete (as an anaesthetic) agent had a nephrotoxic effect and caused acute kidney injury, usually attributed to the liberation of fluoride ions from its metabolism. Enflurane is similarly metabolised but the liberation of fluoride results in a lower plasma level and enflurane related seemed unusual if seen at all.


Occupational safety
The U.S. National Institute for Occupational Safety and Health (NIOSH) has set a recommended exposure limit (REL) for exposure to waste anaesthetic gas of 2 ppm (15.1 mg/m3) over a 60-minute period. Symptoms of occupational exposure to enflurane include eye irritation, central nervous system depression, , , , and respiratory depression.

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