Anaes Vivas · Intravenous induction agents
Clinical viva — choosing the induction agent by the patient
A clinical viva on agent selection — the haemodynamically unstable (ketamine or etomidate), the asthmatic (ketamine), the raised ICP (propofol or thiopental; ketamine no longer contraindicated), the obstetric (thiopental or propofol), and the porphyric (never thiopental).
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Target exams
ANZCAFRCAABAEDAIC
Prompt
The examiner asks you to name the induction agent of choice for: the shocked patient, the severe asthmatic, the patient with raised intracranial pressure, the obstetric patient, and the patient with acute intermittent porphyria.
Stimulus
Name the induction agent of choice for: the shocked patient, the severe asthmatic, the patient with raised intracranial pressure, the obstetric patient, and the patient with acute intermittent porphyria — and give the reasoning.
References2ShowHide
- [1]Albert SG, Ariyan S, Rather A. The effect of etomidate on adrenal function in critical illness: a systematic review. Intensive Care Medicine, 2011.PMID 21373823
- [7]Kassab N, Abourjeili J, Eid MJ, Raphael CK. Pharmacogenomics of commonly used intravenous anesthetics. Pharmacogenetics and Genomics, 2026.PMID 41437621