Authors: E. Šimánková; J. Jandová; A. Kurzová; J. Málek Authors‘ workplace: Klinika anesteziologie a resuscitace 3. LF UK Praha, přednosta doc. MUDr. Jan Pachl, CSc. Published in: Anest. intenziv. Med., , 1999, č. 2, s. 54-59 Category:
The difference between sevoflurane anaesthesia (premedication with tramadol 1 mg/kg p.o.) and intramuscular ketamine anaesthesia (premedicationmidazolam 0.4 mg/kg p.o.) was tested in 10 paediatric patients with 2 nd degree burns during their repeated anaesthesias (average 3.6 per patient). Thetested parameters were distress at induction (scale 1–3), duration of induction, time of recovery, perioperative complications, postoperative distress(scale 1–3) and time to first oral intake of fluids. The differences were in duration of induction (66s sevoflurane vs 216s ketamine) and in time to firstoral intake of fluids (22 min sevoflurane vs 75 min ketamine). There were no serious complications in any group. We can conclude, that sevofluranecan be recommended for anaesthesia of burned paediatric patients. Sufficient analgetic premedication must be provided.
Key words: burned patients – paediatric anaesthesia – sevoflurane – ketamine
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