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Looks like Etomidate and Midazolam are the favourites so far...
Any more out there with their preferences??
Shajoo, is it a strict no no for Ketamine in the head injured patient? What about the polytrauma patient (including head inj) who has low BP? Would you still avoid Ketamine for induction?
Apart from the negatives that Imron pointed to, would its effect in Adrenocorticoid activity not discourage its use (mainly the septic patients!!!). Also it is not licensed for use in children (according to the manufacturer)...
Imron, agree that Etomidate is not available or too expensive for use in India. Are there no other options? Why not Ketamine?
Don't you think that Midazolam does not particularly hold the BP, more so in the already shocked patient?? I did go through your study article... but is there any better evidence to support or refute its use as an ideal induction agent in our context...