This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Non-depolarising Neuromuscular Blocking Agents, Subject name: Anaesthesia
[{'content': 'In renal failure, IV anesthetic used \nSelect and explain. \nA. Atracurium, B. Vivacurium, C. Pancuronium, D. Cistracurium', 'role': 'user'}, {'content': "Answer: D \nExplanation: Ans. D Cis-Atracurium Atracurium & cisatracurium both undergo Hoffman elimination & therefore both are safe in liver and kidney compromise. Additionally cisatracurium has lesser risk of causing seizures, so it's preferred over atracurium", 'role': 'assistant'}]