[Repeated general anesthesia, as a component of intensive therapy of critical conditions in children with severe burns].
Adequate maintenance of anaesthesia during bandaging of burn injuries in children remains to be the problem of current importance. The authors analyzed 166 bandage changes under anesthetic support (children under ketamine with various types of premedication). It is revealed, that the ketamine anesthesia irrespective of a way of its introduction stimulates cardiovascular system and reduces parameters of external breath. With an intramuscular dose of 10 mg/kg of body weight, or intravenous dose of 3 mg/kg as employed in anaesthesia, the effect of ketamine continues for 12 minutes. It is found that intravenous dose of 3 mg/kg ketamine, has the same effect on homodynamic and breath as the dose of 5 mg/kg ketamine. The intravenous infusion of 5 mg/kg ketamine continued anesthesia for 17 minutes. Premedication of diazepam, extended for 4 minutes duration of anesthesia. It is concluded that ketamine-diazepam combinations can be very useful for induction of general anaesthesia.
Belikov
Iu N
IuN
Iashvili
L B
LB
Dzhaparidze
Kh F
KhF
Targamadze
K T
KT
Urotadze
T Z
TZ
D000293:Adolescent; D000768:Anesthesia, General / Q000706:statistics & numerical data*; D002056:Burns / Q000453:epidemiology* / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D003422:Critical Care; D016638:Critical Illness; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012720:Severity of Illness Index