Here we report the first High Kinetic Energy-Ion Mobility Spectrometry-Mass Spectrometric (HiKE-IMS-MS) investigations involving four fluranes; isoflurane, enflurane, sevoflurane and desflurane. Unlike standard (atmospheric pressure) IMS, HiKE-IMS can detect these compounds in positive ion mode. This is because its low-pressure environment (∼ 14 mbar) and the associated short ion drift times in the HiKE-IMS ensure the reagent ions O2+• and H3O+ are present in the reaction region, and these can react with the fluranes by dissociative charge and proton transfer, respectively. However, their ion intensities are very dependent on the value of the reduced electric field (E/N) applied and the humidity of the air in the reaction region of the HiKE-IMS. In this paper we explore the potential use of HiKE-IMS for air quality control and breath analysis of fluranes. To help in the interpretation of the ion mobility spectra, and hence the ion-flurane chemistry occurring in reaction region, a HiKE-IMS was coupled to a Time-of-Flight Mass Spectrometer so that the m/z values of both the reagent and product ions that are contained within the various ion mobility peaks observed could be identified with a high level of confidence. The dependencies of the intensities of these ions as functions of E/N (30–115 Td) and humidity in the reaction region are reported. A number of product ions have been observed only under low humidity conditions (H2O volume-mixing ratio ∼ 100 ppmv), including CHF2+ and CHFCl + for isoflurane and enflurane, CHF2+, CF3+ and C3H2F5O+ for desflurane, and CH3O+, CHF2+, C3H3F4O+, C4H3F6O+ and C4H3F6O+(H2O) for sevoflurane. It is interesting to note that CH3O+, CHF2+, CHFCl+ and CF3+ have shorter drift times than that measured for O2+•. This is explained by resonant charge transfer reaction processes occurring in the drift region: O2+• + O2 ⇌ O2+•.O2 ⇌ O2 + O2+•.