----- Original Message -----
From: "Rowley Cottingham
> Thiopentone is no longer a good choice, and propofol is much better. I
don't understand Adrian Fogerty's concerns about oxygenation
> in GA; with RSI paralysis it is the optimum method for gaining control of
the airway. There is a case for simply giving suxamethonium as
> the patient is unconscious from the fit and also from the benzodiazepine
already given.
When did I say I was concerned about oxygenation Rowley? I was merely
supporting the use of barbiturates, and highlighted that one of the
commonest induction agents for GA in fitters was itself a potent
barbiturate. I wrote in response to an earlier correspondent who had stated:
"Phenobarbitone can have depressent effects on blood pressure, respiratory
drive and level of consciousness and it is probably safer to go the full
whack and give them a controlled thio GA". OK maybe this writer intended the
emphasis on "controlled", but I interpreted that he was stating that thio
was somehow safer than phenobarb, when clearly they are practically the same
drug!
Regards
Adrian Fogarty
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