Authors: J. Málek 1; J. Jandová 1; A. Kurzová 1; E. Šimánková 1; L. Brož 2 Authors‘ workplace: Klinika anesteziologie a resuscitace UK, 3. LF, Praha, přednosta doc. MUDr. J. Pachl, CSc. 2 Klinika popáleninové medicíny 3. LF UK, Praha, přednosta MUDr. L. Brož 1 Published in: Anest. intenziv. Med., , 2002, č. 4, s. 158-160 Category:
Anaesthesia of burn patients is important medical problem.The use of anaesthetics is limited by severe patient conditions,repeated anaesthesia andnecessity of rapid emergence from general anaesthesia to ensure adequate nutrition.The most frequent combination is composed of ketamine,diazepamand fentanyl.It has some advantages but in higher doses it stimulates the sympathetic system and causes the long period of sleep after anaesthesia,hallucinations and the development of tolerance.The new inhalational anaesthetic agent –sevoflurane –seems to be anaesthetic of choice because ofits minimal side effects,high speed of onset and recovery and easy control.With this demanding problem in mind we performed the pilot study enrolling10 patients with repeated anaesthesia.The goal of the study was to verify eligibility of sevoflurane in anaesthesia of burn patients and to compare theeffect of sevoflurane to ketamine.Both types of anaesthesia alternated.Statistical significant differences (ketamine vs sevoflurane)in the study were:agitation during surgery (43%vs 0%,P
Key words: anaesthesia of burn patients –ketamine –sevoflurane
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