Thursday, 2 January 2014

Anaesthesia mcq

Which anaesthetic agent is preferred in a patient taken for
surgery with bilirubin of 8.6 mg/dl and serum creatinine of
2.1 mg/dl ?
A. Atracurium
B. Vecuronium
C. Pancuronium
D. Rocuronium
Correct answer : A. Atracurium
Atracurium is the preferred muscle relaxant in a patient with
liver dysfunction / renal failure
It undergoes non specific ester hydrolysis and non
enzymatic degradation ( Hoffman degradation )
It does not depend on the liver / kidney for its deactivation
Other muscle relaxants that can be given in liver / renal
disease are Cisatracurium and Mivacurium

No comments:

Post a Comment