Anaesthesia

Question 1

Propofol

Answer 1

• Rapid recovery and less hangover

- Used for induction or maintenance of anaesthesia in adults and children

Question 2

Thiopental

Answer 2

• induction of anaesthesia

- CVS and respiratory depression

Question 3

Etomidate

Answer 3

• Rapid recovery without a hangover effect
• Less hypotension than thiopental and propofol during induction
• High incidence of Extraneous MUSCLE movements

Question 4

Ketamine

Answer 4

• Less hypotension
• Paediatric anaesthesia
• slow recovery
• high muscle movements
• High incidence of hallucinations, nightmares and other transient psychotic ; reduced by benzodiazepines - diazepam or midazolam

Question 5

Which Volatile liquid anaesthetic can be Used in pregnancy/obstetrics?

Answer 5

Isoflurane - preferred inhalation anaesthetic for use in obstetrics

Question 6

What is a lethal complication of anaesthesia?

Answer 6

Malignant hyperthermia

Question 7

What has been implicated with Malignant hyperthermia?

Answer 7

Volatile anaesthetics and suxamethonium chloride - avoided in Pts at high risk of malignant hyperthermia

Question 8

What is the treatment for malignant hyperthermia?

Answer 8

Dantrolene sodium