A 20 year old patient presented with early pregnancy for Medical termination of Pregnancy (MTP) in day care facility. What will be the anaesthetic induction agent of choice ?
**Core Concept**
Propofol is a short-acting sedative-hypnotic agent that belongs to the class of barbiturates, but it has a unique pharmacological profile that makes it an ideal choice for day care procedures, including Medical Termination of Pregnancy (MTP). Propofol has a rapid onset of action, allows for quick recovery, and has minimal side effects, making it suitable for outpatient anesthesia.
**Why the Correct Answer is Right**
Propofol's unique properties make it an excellent choice for day care procedures. It has a rapid onset of action, allowing for quick induction of anesthesia, and a short duration of action, enabling rapid recovery and discharge of the patient. Propofol also has a favorable pharmacokinetic profile, with a low risk of accumulation and a short half-life, which reduces the risk of prolonged sedation and respiratory depression. Additionally, propofol has antiemetic properties, which can reduce the risk of postoperative nausea and vomiting.
**Why Each Wrong Option is Incorrect**
**Option A:** Thiopentone is a barbiturate that has a longer duration of action and a higher risk of accumulation compared to propofol, making it less suitable for day care procedures.
**Option B:** Ketamine can cause hallucinations, nightmares, and increased intracranial pressure, which may not be ideal for a patient undergoing MTP.
**Option D:** Diazepam has a longer duration of action and a higher risk of accumulation compared to propofol, and it can also cause respiratory depression and hypotension.
**Clinical Pearl / High-Yield Fact**
When choosing an anesthetic induction agent for day care procedures, consider agents with rapid onset and short duration of action, such as propofol, to minimize recovery time and reduce the risk of postoperative complications.
**✓ Correct Answer: C. Propofol**