Anesthesia with Medical Diseases
Patient with mitral stenosis is having surgery tomorrow. There is some liver compromise. Which ofthe following inhalational agent is preferred – (AIIMS Nov 10)
Xenon [Ref Stoelting's anaesthesia and co-existing disease p. 33]
“Maintenance of anesthesia in MS is best accomplished by use of drugs with minimal effect on heart rate, myocardial
contractility, cardiac output and systemic and pulmonary vascular resistence''. -- Stoelting
a. Amongst the given options, Xenon has minimal effect on cardiovascular side effects.
b. Halothone decrease myocardial contractility, BP and heart rate.
c. Enflurane decreases BP, Systemic vascular resistance and increase heart rate.
d. Sevoflurane decreases BP, cardiac output, and systemic vascular resistane.