A patient with bilirubin value of 8 mgldl and serum creatinine of 1.9 mg/dl is Planned for surgery.What is the muscle relaxant of choice in this patient-: (A) vecuronium, (B) Pancuronium, (C) Atracurium, (D) Rocuronium
Answer is C. Atracurium is the drug of choice in liver and renal dysfunction . It is eliminated by Hoffman's degradation and alkaline Ester hydrolysis.