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Intravenous anaesthetic-hypnotic drugs Propofol Pentothal ...

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25/11/2010<br />

Ketamine / Pharmacodynamics (1)<br />

a. Central nervous system (CNS)<br />

1. Produces a “dissociative” state<br />

accompanied by amnesia and profound<br />

analgesia.<br />

2. Increases cerebral blood flow, metabolic<br />

rate, and intracranial pressure.<br />

Ketamine / Pharmacodynamics (2)<br />

b. Cardiovascular system<br />

1. Increases heart rate and systemic and pulmonary<br />

artery blood pressure by causing release of<br />

endogenous catecholamines.<br />

2. Often used for induction of general anesthesia in<br />

hemodynamically compromised patients.<br />

3. May act as a myocardial depressant if<br />

administered in the presence of hypovolemia,<br />

autonomic nervous system blockade, or maximal<br />

sympathetic nervous system stimulation.<br />

15

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