Paper I
2018 July (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Pre anesthetic medication

Q63 marksShort Notes

Answer

Premedication is given before general anaesthesia to make induction/maintenance safer and smoother.

Objectives and drugs used

  • Anxiolysis/sedation: Benzodiazepines (Diazepam, Midazolam)
  • Reduction of secretions/prevention of vagal bradycardia: Anticholinergics (Atropine, Glycopyrrolate)
  • Analgesia: Opioids (Morphine, Fentanyl)
  • Antiemetic prophylaxis: Ondansetron, Metoclopramide
  • Reduction of gastric acidity/aspiration risk: H2 blockers (Ranitidine), Proton pump inhibitors

Benefits

  • Reduces anxiety, decreases anaesthetic requirement, prevents adverse reflexes, reduces secretions, and reduces the risk of postoperative nausea/vomiting

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