<prompt> Which of the following combinations can be used for day care surgery?Ramifentanil. midazolam, propofolFentanyl, midazolam, thiopentone sodiumMorphine, midazolam, propofolMorphine, diazepam, ketamine  <response>: Ans. a. Ramifentanyl, midazolam, propofol Ref: Millers Anesthesia 8e p726; Lee 13e p158-160; Morgan 3e p173, 884 Drug combination, which can be used for day care surgery are ramifentanyl, midazolam and propofol.Any induction agents used in day-case anesthesia should ensure a smooth induction, good immediate recovery and a rapid return to street fitness. Propofol is now used widely as the primary induction agent, which has advantage of rapid recovery and low incidence of post-operative nausea and vomiting. Preferable agents in Day Care AnaesthesiaMivacuriumQ muscle relaxant of choice, shortest duration of actionSuccinylcholineQ for Ultra short period of profound muscle relaxation; Disadvantage: Post-operative myalgiaIsofluraneQ volatile inhalational agentAlfentanylQPropofolQ inducing agent of choiceMidazolamQ for initial anaxiolysis and sedationMnemonic: Manmohan Singh Is A Prime MinisterAnesthetic Agent of Choice Day carePropofolQ Ischemic heart diseaseEtomidateQ Congenital heart disease left to right shunt: ASD, VSD, PDASevofluraneQ Congenital heart disease right to left shunt Congestive heart failure Shock Asthma and COPDKetamineQ For producing deliberate hypotension Cardiac surgery NeurosurgeryIsofluraneQ Epilepsy ThyrotoxicosisThiopentoneQ For electroconvulsive therapyMethohexitoneQ 