• Rev Esp Anestesiol Reanim · Jan 2004

    Case Reports

    [General anesthesia by infusion of remifentanil for debridement and grafting of large burns in 3 pediatric patients].

    • A M López Navarro, C Peiró, S Matoses, M A Silvestre, J Tomás, and R Montero.
    • Servicio de Anestesiología y Reanimación, Hospital Infantil, Hospital la Fe de Valencia, Valencia. anamlopez@ono.com
    • Rev Esp Anestesiol Reanim. 2004 Jan 1; 51 (1): 47-50.

    AbstractThree 13-year-olds with burns on 30%, 70%, and 75% of their body surface areas and with related respiratory tract lesions underwent multiple surgical interventions for debridement, graft placement, and topical treatments. Balanced general anesthesia was provided with sevoflurane and an infusion of remifentanil and cisatracurium. Each patient underwent 41 procedures over a period of 6 months. All interventions were carried out without complications other than the difficulty of establishing an access to veins and monitoring because of the scarcity of intact surfaces. Remifentanil is an effective analgesic for meeting the needs of patients with severe burns. The combination of remifentanil, sevoflurane, and cisatracurium provides good hemodynamic stability and is very appropriate for patients who must undergo a large number of surgical interventions.

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