• Anaesthesia · Feb 1991

    Case Reports

    Ketamine, midazolam and vecuronium infusion. Anaesthesia for Down's syndrome and congenital heart disease.

    • D P Riley and L J McBride.
    • Department of Anaesthesia and Intensive Care, Royal Newcastle Hospital, NSW, Australia.
    • Anaesthesia. 1991 Feb 1; 46 (2): 122-3.

    AbstractA ketamine, midazolam and vecuronium infusion was used for total intravenous anesthesia in a patient with Down's syndrome, a ventricular septal defect and pulmonary hypertension. A mixture of ketamine 200 mg, midazolam 5 mg and vecuronium 12 mg in 50 ml of normal saline was infused at 0.5 ml/kg/hour. This simple technique and ventilation with 100% oxygen maintained tissue oxygenation and cardiovascular stability.

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