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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
Induction agent of choice in a child with cyanotic hea disease
assistant
The correct answer is  In cyanotic hea disease (right to left shunt), systemic vascular resistance should be increased by anaesthetics - ketamine is the anaesthetic of choiceIn acyanotic hea disease (left to right shunt), systemic vascular resistance should be decreased - volatile anaesthetics (isoflurane, sevoflurane or desflurane) should be used.(Refer: stoelting's pharmacology and physiology in anaesthetic practice, 5th edition, pg no.294)