Intravenous Anesthetics - Points to remember

on 13.1.09 with 0 comments



Thiopentone dose decrease in:

1) hypovolaemic shock – smaller Vc: increased fraction to brain, slower removal (less bood flow to ther tissues)

2) age – ?smaller Vc ?pharmacodynamic ?slower redistribution to rapidly equilibrating compartment

3) sex – female lower as smaller Vc (more fat)


Thiopentone dose increase in:

1) obesity – ?reason

2) high cardiac output

3) children – higher Vc


Propofol

  1. elderly - CL (hepatic Q)

  2. female - Vd, CL, t1/2 same

  3. fentanyl CL

Category: Pharmacology Notes

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