Paper I
2025 March (Supplementary (SAY)) (2019 Scheme) · 100 marks · 180 min

Question

Classify general anaesthetics - four groups with two examples. Add a brief note on pre anaesthetic medication (4+2)

Q66 marksShort Essays

Answer

Classification of general anaesthetics — four groups, two examples each

GroupExamples
Inhalational — volatile liquidsIsoflurane, Sevoflurane
Inhalational — gasNitrous oxide
Intravenous — barbiturateThiopentone
Intravenous — non-barbituratePropofol, Ketamine

Note on pre-anesthetic medication Given before general anaesthesia to make induction smoother and safer, targeting several objectives: anxiolysis (benzodiazepines — diazepam, midazolam), reduced secretions and vagal reflexes (anticholinergics — glycopyrrolate, atropine), analgesia (opioids — morphine, fentanyl), and antiemetic prophylaxis (ondansetron, metoclopramide). Overall, premedication reduces anxiety, decreases the required dose of the general anaesthetic itself, produces smoother induction/emergence, and extends analgesic/antiemetic cover into the immediate post-operative period.

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