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Anaesthesia All India exam 93c16f78

Induction agent of choice in a child with cyanotic hea disease

A
Thiopentone
B
Ketamine
C
Halothane
D
Midazolam
High-Yield Explanation
In cyanotic hea disease (right to left shunt), systemic vascular resistance should be increased by anaesthetics - ketamine is the anaesthetic of choiceIn acyanotic hea disease (left to right shunt), systemic vascular resistance should be decreased - volatile anaesthetics (isoflurane, sevoflurane or desflurane) should be used.(Refer: stoelting's pharmacology and physiology in anaesthetic practice, 5th edition, pg no.294)

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