Muscle relaxant of choice in liver disease is: (A) Atracurium, (B) Pipecuronium, (C) Rocuronium, (D) Vecuronium
Answer is A. Refer Katzung 11/e p456 Atracurium and cis-Atracurium are degraded spontaneously by Hoffman's elimination These don't require liver or kidney for elimination and thus are muscle relaxant of choice in a patient with renal and hepatic dysfunction