Brietal Sodium as an Induction and Maintenance Agent
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In any field of work, progress and change go hand in hand. Induction of anaesthesia has become associated with the name thiopentone — and frequently the very term anaesthesia suggests thiopentone. Up to a point this is fair, for thiopentone has been an exceedingly useful anaesthetic tool. However this whole imagery of anaesthesia and thiopentone is the first major misconception that besets every student taking his initial shaky step into the polyglot world of anaesthetic pharmacology; i.e. the assumption that anaesthesia is synonymous with narcosis. Today this is simply not true. We are concerned with the induction of sleep, not, I stress, narcosis — and in some instances merely with inducing a state of unawareness. Thus with this change of emphasis on the role of the induction agent it necessarily followed that a search was made for drugs with pharmacological actions more suited to the conception of “induction”.
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