All are true about rapid sequence induction done in a cardiac patient in emergency except:
(A) Inducing agent and neuromuscular relaxant are administered together (B) The patient is pre-oxygenated for 3 minutes before the procedure (C) Cricoid pressure has to be applied till the endotracheal tube has been secured with a cuff (D) Induction should be done with thiopentone sodium and succinylcholine for muscle relaxation
(D) Ans: D. Induction should be done with thiopentone sodium and succinylcholine for muscle relaxation(Ref Miller 7/e p34, 887)Thiopentone induction is contraindicated in cardiac patients because of direct negative inotropic effects on the hea and depressant effects on systemic BR.Etomidate is the preferred induction agent in such a patient.