2017, Number 1
Rev Mex Anest 2017; 40 (1)
Technical report on the behavior of neurostimulation in the patient with electric burn
García-Lara M, Zaragoza-Lemus G, Macías-Pérez J, Nava-Gómez K
Full text
Language: Spanish
References: 6
Page: 58-60
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ABSTRACT
Regional anesthesia has increased its use in many surgical areas highly specialized due to advanced and selective techniques that have been successfully implemented for the benefit of the patient. Although well known that ultrasound is the gold standard for the use of regional anesthesia techniques, currently there are countries where ultrasound does not exist and the second option is the use of neurostimulation. The burn patient is a chronic complex entity reintervendra multiple times of acute, subacute and. Multiple reconstructive surgery to restore function are needed in the burned patient. In his fiosio-pharmacology and during the hypermetabolic develops over time, enzyme induction. Opioid tolerance becomes an acute problem of resolving transoperative associated with the problem of pain control. Regional anesthesia by neurostimulation does not offer an option in the patient with electric burn because this injury probably transforms the action potentials at the neuronal cellular level with alteration of the neuromuscular union and what is evidenced in the clinical practice is a response of absent muscular contraction.REFERENCES