Tuesday, 4 November 2014

Anaesthesia of choice

ANESTHESIA OF CHOICE::
▪Internal version:: halothane
▪Removal of placenta:: halothane
▪HOCM :: halothane
▪Children:: sevoflurane/ ketamine *
▪B/A::ketamine  > halothane
▪R»L shunt:: ketamine
▪L»R shunt:: isoflurane
▪Cardiac surgery:: isoflurane
▪Neurosurgery:: isoflurane
▪Controlled hypotension:: isoflurane
▪Renal disease:: Desflurane
▪Hepatic disease::Desflurane
▪IHD:: etomidate
▪Aneurysm surgeries:: etomidate
▪Malignant hyperthermia:: propofol
▪Hemorrhagic shock:: cyclopropane
▪Shock:: ketamine
▪CHF:: ketamine
▪ECT:: methohexitone
▪Thyrotoxicosis:: thiopentone
▪Epilepsy:: thiopentone
Malignant hyperthermia
Agent of choice
▪IV:: Propofol
▪Inhalation:: N2O
▪LA:: Procaine
▪MR:: d-TC
Maximum effect of GA::
▪Max respiratory depression:: enflurane
▪Max  decrease CO:: enflurane
▪Max. Decrease BP:: isoflurane
▪Max. Bronchodilator (asthamatic) :: halothane
▪Max intracranial flow:: halothane
▪Max intracranial tension:: halothane
▪Max. Bronchodilator (non- asthamatic):: sevoflurane
▪Max analgesic:: trielene
▪Max MR:: ether

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