A patient presented with blunt trauma to the abdomen to the emergency depament. His hea rate is 150/min and his BP 80/50 mm Hg.He is scheduled to undergo an emergency laparotomy. Which of the following is anaesthetic agent of choice?

**Core Concept**
In the setting of trauma and hypotension, the anesthetic agent of choice should have minimal impact on the cardiovascular system, maintain blood pressure, and provide rapid onset of action. This requires an agent with minimal myocardial depressant effects and minimal vasodilatory effects.

**Why the Correct Answer is Right**
Fentanyl is a potent opioid analgesic that provides rapid onset of anesthesia, minimal cardiovascular depression, and does not significantly affect blood pressure. It allows for a controlled and stable hemodynamic profile during emergency laparotomy. Fentanyl's effects on the cardiovascular system are minimal, making it an ideal choice in this scenario.

**Why Each Wrong Option is Incorrect**
**Option A:** Ketamine can cause sympathetic stimulation, which may increase blood pressure. However, it can also cause myocardial depression and vasodilation, making it less ideal in this scenario.
**Option B:** Propofol is a potent sedative-hypnotic agent that can cause significant myocardial depression and vasodilation, leading to a decrease in blood pressure.
**Option C:** Thiopental can cause a significant decrease in blood pressure due to vasodilation and myocardial depression, making it less suitable for this scenario.

**Clinical Pearl / High-Yield Fact**
In patients with trauma and hypotension, the use of opioid analgesics like fentanyl can help to maintain a stable hemodynamic profile, allowing for a controlled and safe surgical procedure.

**Correct Answer:** C. Fentanyl.

✓ Correct Answer: C. Ketamine