In a 2 months old infant undergoing surgery for biliary atresia, you would avoid one of the following anaesthetic –
Correct Answer: Halothane
Description: The child with biliary atresia will have hepatic dysfunction.
Sevoflurane, thiopentone and propofol are safe in liver disease.
Halothane is not contraindicated in pre-existing liver :-
"There is no compelling evidence associated with worsening of pre-existing liver disease".
─Morgan
"Pre-existing liver disease unrelated to halothane is not a contraindication to the use of halothane".
—Lee 13th/e 143
Though not a contraindication, halothane should be avoided in liver disease -
"Potentialy hepatotoxic drug should be avoided".
—Lee 55
Category:
Anaesthesia
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