Induction and Maintenance of Anesthesia

Patients with diabetes may have decreased gastric emptying, and therefore rapid sequence induction should be used. Most commonly used induction agents include thiopental, propofol, and etomidate. Succinylcholine is acceptable if hyperkalemia is not present. Other muscle relaxants that are commonly used are rocuronium and cisatracurium. Anesthesia is maintained with a combination of inhaled anesthetics (e.g., isoflurane, desflurane), narcotics (e.g., fentanyl, sufentanil) and nitrous oxide.

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