There are several factors that may influence your choice of induction agent:

Factor Examples

Are any agents absolutely contraindicated?

  • Previous hypersensitivity reaction to the active agent
  • Thiopental and etomidate in porphyria
Next factor

There are several factors that may influence your choice of induction agent:

Factor Examples

Are any agents absolutely contraindicated?

  • Previous hypersensitivity reaction to the active agent
  • Thiopental and etomidate in porphyria
Are there any patient-related factors that may influence choice?
  • Resuscitation state of patient: propofol and thiopental produce more CVS depression than etomidate, so hypovolaemia is a relative contraindication
  • Rapid sequence induction needed: thiopental has a slightly faster onset than propofol
  • Epilepsy: thiopental is antiepileptic
  • Age of patient: presence of ischaemic heart disease
Next factor

There are several factors that may influence your choice of induction agent:

Factor Examples

Are any agents absolutely contraindicated?

  • Previous hypersensitivity reaction to the active agent
  • Thiopental and etomidate in porphyria
Are there any patient-related factors that may influence choice?
  • Resuscitation state of patient: propofol and thiopental produce more CVS depression than etomidate, so hypovolaemia is a relative contraindication
  • Rapid sequence induction needed: thiopental has a slightly faster onset than propofol
  • Epilepsy: thiopental is antiepileptic
  • Age of patient: presence of ischaemic heart disease
Are there any drug-related factors that may influence choice?
  • Previous reaction to a drug presented in propylene glycol: this should exclude use of etomidate
  • Egg allergy: some consider this a relative contraindication to propofol, although there is no supporting evidence