Which of the following inhalational agent is the induction agent of choice in children?: (A) Methoxyflurane, (B) Sevoflurane, (C) Desflurane, (D) Isoflurane
Answer is B. Methoxyflurane Nephrotoxic Has maximum chloride release. Sevoflurane Sweat smelling - administrable face mask. Induction and emergence form anesthesia are fast Desflurane :Has pungent odour, is less potent ,therefore higher concentration has to be used It can cause Air passage irritation Coughing Breathe holding Laryngospasm Isoflurane - mildly pungent Causes vasodilation while cardiac output is maintained. Good in patients with myocardial insufficiency Dilates coronaries - can cause coronary steal phenomenon in CAD patients