chapter  5
13 Pages

Anesthesia for Burned Patients

I. Introduction............................................................................................ II. Pulmonary Considerations...................................................................... III. Cardiovascular Considerations............................................................... IV. Additional Physiologic Considerations................................................... Pharmacokinetics and Pharmacodynamics................................................... I. General Considerations........................................................................... II. Muscle Relaxants..................................................................................... III. Sedatives and Analgesics.......................................................................... Preoperative Anesthetic Assessment................................................................. I. History...................................................................................................... II. Physical Examination............................................................................. III. Laboratory and Radiographic Evaluation.............................................. IV. Preoperative Orders................................................................................. V. Intramuscular Ketamine Administration in Children........................... Intraoperative Monitoring............................................................................... I. Intraoperative Monitoring of a Burned Patient..................................... II. Minimum Standards of the American Society of Anesthesiologists........ III. Additional Monitoring Modalities.......................................................... IV. Guidelines for Insertion of Central Venous and Intraarterial Catheters Induction and Maintenance of Anesthesia..................................................... I. General Anesthesia-The Technique of Choice

in Acutely Burned Patients...................................................................... Pain Management............................................................................................ I. Patient Discomfort.................................................................................. II. Adverse Physiologic Consequences of Pain ............................................. III. Pain from Burns Constant.......................................................................