You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A patient with mitral stenosis on pre-op evaluation is detected to have elevated liver enzymes. Which inhalational anaesthetic agent will be preferred in her? and explain in detail?
Xenon exhibits minimal cardiovascular and hemodynamic side effects and is not known to be metabolized in the liver or kidney. Hence Xenon will be ideal inhalational anaesthetic agent in this patient. Advantages of Xenon: It is not toxic It does not trigger malignant hypehermia It has very low blood gas solubility coefficient Very rapid induction and recovery Non explosive Environment friendly Disadvantages of Xenon: Very high cost Low potency Ref: Textbook of Anesthesia for Postgraduates By T. K. Agasti, 2011, Page 424; Miller's Anesthesia: ... edited by Ronald D. Miller, 2009, Page 640.