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What is Induction agent of choice in a child with cyanotic hea disease ? and explain in detail?
Ans. is 'b' i.e., Ketamine In cyanotic hea disease (right to left shunt), systemic vascular resistance should be increased by anaesthetics --> ketamine is the anaesthetic of choice. In acyanotic hea disease (left to right shunt), systemic vascular resistance should be decreased --> volatile anaesthetics (isoflurane, sevoflurane or desflurane) should be used