Propofol is recommended as the best intravenous anesthetic for day-case and ambulatory anesthesia. While other induction agents like thiopental, benzodiazepines, ketamine, and etomidate can induce general anesthesia, they are associated with prolonged sedation, pain on injection, or high rates of nausea which delay a patient's return to normal function after surgery. In contrast, propofol ensures a smooth induction, good immediate recovery, and rapid return to pre-operative ability when used for short surgical procedures.
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Day care anesthesia
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29. • Any induction agents used in day-case
anesthesia should ensure a smooth
induction, good immediate recovery and
a rapid return to street fitness.
• Thiopental, benzodiazepines and ketamine when used at doses
needed to induce GA results in prolonged postop sedation.
• Etomidate is a/w myoclonus, pain on injection and high incidence of
PONV.
• Therefore ,Propofol remains the most practical IV anesthetic for
ambulatory anesthesia.
