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Pharmacology Anaesthesia 685c0e6e

A female presents with placenta previa with active bleeding and blood pressure of 80/50 mm Hg and pulse rate of 140 bpm. The choice of anaesthesia for emergency cesarean section in this female is?

A
General anesthesia with intravenous propofol
B
General anesthesia with intravenous ketamine
C
Spinal anesthesia
D
Epidural anesthesia
High-Yield Explanation
Ans. (B) General anesthesia with intravenous ketamine(Ref: Williams Obstetrics 24th/e p518; Morgan 4th/197-199)The patient is presenting with shock, so spinal anesthesia cannot be used. Among the general anesthetics, ketamine is drug of choice for induction in patients with low blood pressure.

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