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Anaesthesia Anesthesia for Neurosurgery 8dd12cc8

Which of the following anesthetic agent is contraindicated in a patient with raised intracranial pressure:

A
Etomidate
B
Thiopentone
C
Propofol
D
Ketamine
High-Yield Explanation
Ans. (d) KetamineRef: KDT 6th ed. / 376* Please refer to above explanation.* Ketamine causes increase in all pressure i.e. intracranial, intraocular, intragastric and intravascular pressure.* Therefore, it is not used in raised ICT/IOT & h ypertension as it may increase the pressure to morbid levels.* Anesthetic agents of choice in head injury/increased ICP are:# Thiopentone (cerebro protective)# Propofol# Etomidate (protection against circulatory depression)# Isoflurane

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