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Anaesthesia FMGE 2018 33e4af37

Which of the following inhalational agent is the induction agent of choice in children?

A
Methoxyflurane
B
Sevoflurane
C
Desflurane
D
Isoflurane
High-Yield Explanation
Methoxyflurane Nephrotoxic Has maximum chloride release. Sevoflurane Sweat smelling - administrable face mask. Induction and emergence form anesthesia are fast Desflurane :Has pungent odour, is less potent ,therefore higher concentration has to be used It can cause Air passage irritation Coughing Breathe holding Laryngospasm Isoflurane - mildly pungent Causes vasodilation while cardiac output is maintained. Good in patients with myocardial insufficiency Dilates coronaries - can cause coronary steal phenomenon in CAD patients

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