Lecture 2 - Induction Agents Flashcards
Only induction agent that doesn’t produce dose-dependent respiratory depression
Ketamine
Induction agent good to use in bronchospastic patients
Ketamine
Induction agent that causes the least cardiac depression
Etomidate
Induction agents to use in neurosurgery / head trauma and why
Propofol, etomidate, and thiopental. Decreases CMRO2, CBF, and ICP
Propofol - Induction dose
1.5-2.5 mg/kg
Etomidate - Induction dose
0.2-0.3 mg/kg
Induction agent that can inhibit adrenocortical synthetic function
Etomidate
Thiopental - Induction dose
3-5 mg/kg
Induction agent that can cause EEG burst suppresion
Thiopental
Ketamine - Induction dose
1-2 mg/kg
Induction agent NOT to use in neurosurgery / head trauma and why
Ketamine. Increase CMRO2, CBF, and ICP
Midazolam - Pre-medication dose
0.04-0.08 mg/kg
Midazolam - Induction dose
0.2-0.4 mg/kg
Reversal agent for benzodiazepines
Flumenazil
How does midazolam affect CMRO2, CBF, and ICP
Midazolam decreases CMRO2, CBF, and ICP
Induction agent with anti-emetic and anti-convulsant properties
Propofol
Induction agent with higher incidence of PONV
Etomidate
Induction agent to use in hemodynamic shock and why
Ketamine. Cardiac stimulating, but can also cause ischemia in CAD patients