ANESTHESIA FOR BURNS IN CHILDREN - A REVIEW OF PROCEDURES PRACTICED AT RED-CROSS-WAR-MEMORIAL-CHILDRENS-HOSPITAL, CAPE-TOWN

被引：9

作者：

IRVING, GA

BUTT, AD

机构：

[1] Groote Schuur Hospital, Cape Town

[2] Red Cross War Memorial Children's Hospital, Cape Town

来源：

BURNS | 1994年 / 20卷 / 03期

关键词：

D O I：

10.1016/0305-4179(94)90190-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Burns anaesthesia for children is a potentially hazardous procedure, We describe our technique developed over a number of years which allows a relatively large number of patients to be dealt with safely in limited theatre time. The technique involves an oral premedication with atropine (0.02 mg/kg), trimeprazine (3 mg/kg) and droperidol (0.2 mg/kg). Intramuscular ketamine (10 mg/kg) is used after an initial halothane induction and anaesthesia is maintained with intravenous ketamine, and a nitrous oxide/oxygen mixture given via nasal prongs The advantages of the technique together with precautions and monitoring employed are discussed.

引用

页码：241 / 243

页数：3

共 14 条

[1]

Roberts, A new intramuscular anesthetic for small children, Anaesthesia, 22, pp. 23-28, (1967)

[2]

Corssen, Dget, Dissociative anesthesia for the severely burned child, Anesth Analg, 50, pp. 95-102, (1971)

[3]

Ivankovich, Miletech, Reimann, Et al., Cardiovascular effects of centrally administered ketamine in goats, Anesth Analg, 53, pp. 924-933, (1974)

[4]

Chodoff, Evidence for central adrenergic action of ketamine, Anesth Analg, 51, pp. 247-250, (1972)

[5]

Lundy, Lockwood, Thompson, Frew, Differential effects of ketamine isomers on neuronal and extraneuronal catecholamine uptake mechanisms, Anesthesiology, 64, pp. 359-363, (1986)

[6]

Taylor, Towey, Depression of laryngeal reflexes during ketamine anaesthesia, Br Med J, 2, pp. 688-689, (1971)

[7]

Penrose, Aspiration pneumonitis following ketamine induction for a general anaesthetic, Anesth Analg, 51, pp. 41-43, (1972)

[8]

Yamamura, Harada, Okamura, Kemmotsu, Is the site of action of ketamine anesthesia the N-methyl-D-aspartate receptor?, Anesthesiology, 72, pp. 704-710, (1990)

[9]

Amiot, Bouju, Palacci, Effect of naloxone on loss of consciousness induced by IV ketamine [letter], Br J Anaesth, 57, (1985)

[10]

Stella, Crescenti, Torri, Effect of naloxone on loss of consciousness induced by IV anaesthetic agents in man, BJA: British Journal of Anaesthesia, 56, pp. 369-373, (1985)

← 1 2 →