Anesthesia with Medical Diseases
A 5 year old child is suffering from cyanotic heart disease. He is planned for corrective surgery. The induction agent ofthe choice would by-(AJIMS Nov 10)
Ketamine [Ref Morgan 4lh/e p. 478-481]
a. In cyanotic heart disease (right to left shunt), systemic vascular resistance should be increased by anaesthetics ketamine is the anaesthetic of choice.
b. In acyanotic heart disease (left to right shunt), systemic vascular resistance should be decreased ~ volatile anaesthetics (isoflurane, sevoflurane or desflurane) should be used.