<prompt> A 38 years old man is posted for extraction of last molar tooth under general anaesthesia as a day care case. He wishes to resume his work after 6 hours. Which of the following induction agent is preferredThiopentone sodiumKetaminePropofolDiazepam  <response>: C. i.e. Propofol 158 - 60 Lees synopsis of anesthesia 13thPROPOFOL - particularly suited for out patient surgery because residual impairment is less marked and incidence of post operative nausea and vomiting Only agent which are rapidly eliminated are used eg Propofol, alfentanil, remifentanil, N20 Isoflurance,sevoflurane or desflurane Commercial preparation contains egg extract lecithinAdvantage Fitness to go to work - usually the following day Fitness to return home - fitness to go out alone Fitness to walk to the bathroom without feeling faint The induction dose of propofol in healthy adult is - 1 - 2.5 mgKg Used in Porphyria malignant hyperthermiaPropofol Infusion syndrome - potentially lethal syndrome of metabolic acidosis, acute cardiomyopathy and skeletal myopathy associated with prolonged 48 hours high doses 5m kgh Midazolam can be safely uses for day care procedures Propofol is the agent of choice for total intravenous anaesthesia TIVA 