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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2021, Number 3

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An Med Asoc Med Hosp ABC 2021; 66 (3)

Anesthetic management outside the operating room in a patient with burns 80% of the body-surface area

Alarcón TMF, Figueroa MA, Bernal RN, Luna OP

Language: Spanish
References: 8
Page: 205-209
PDF size: 248.86 Kb.


ABSTRACT

In patients with major burns where multiple pro-inflammatory cytokine responses and massive destruction of tissues are triggered, transanesthetic management must take care of each of the physiological alterations with adequate monitoring and adapt the treatment of the patient outside the operating room area. Specific care should be taken, such as fluid management, loss of temperature, analgesia, and airway management. Objective: Review of transanesthetic management in burned patients in non-surgical areas. Case report: We present the case of a 17-year-old male patient who is in an intensive care area for third degree burns in 80% body total surface. It is programmed for surgical cleaning and fasciotomy of thoracic limbs. Sedation with fentanyl at 2 μg/kg/h and propofol at 1 mg/kg/h. It was decided to perform the procedure in intensive care to avoid decompensation. At the end of the procedure, he was kept in the Intensive Care Unit with stable vital signs.


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