All are true about rapid sequence induction done in a cardiac patient in emergency except:

A. Inducing agent and neuromuscular relaxant are administered together

B. The patient is pre-oxygenated for 3 minutes before the procedure

C. Cricoid pressure has to be applied till the endotracheal tube has been secured with a cuff

D. Induction should be done with thiopentone sodium and succinylcholine for muscle relaxation

Correct Answer: Induction should be done with thiopentone sodium and succinylcholine for muscle relaxation

Description: Ans: D. Induction should be done with thiopentone sodium and succinylcholine for muscle relaxation(Ref Miller 7/e p34, 887)Thiopentone induction is contraindicated in cardiac patients because of direct negative inotropic effects on the hea and depressant effects on systemic BR.Etomidate is the preferred induction agent in such a patient.

Category: Anaesthesia

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