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Pii Bogdan
Premed.
etomidat 20 mg i.v morfin 4 mg i.v (repetat la nevoie dup 5-10 min) Meninere: morfin + propofol 200 mg (p.e.v) +/- norcuron 4 mg iv
xilin 1-1,5 mg/kg i.v fentanyl 1-3 g/kg i.v dormicum 5 mg. i.v thiopental (diluie 25mg/ml) 2-4 mg/kg i.v lystenon 100 mg i.v norcuron 4 mg i.v (dup I.O.T) Meninere: thiopental n p.e.v continua + fentanyl 50-100 g la 2030
atropin 0.5 mg i.v xilin 1-1,5 mg/kg i.v fentanyl 1-3 g/kg i.v dormicum 5 mg i.v thiopental (diluie 25mg/ml) 2-4 mg/kg i.v lystenon 100 mg i.v Meninere: norcuron 4 mg i.v + fentanyl 50-100 g i.v (la 2030)+ thiopental p.e.v continua
5. Status convulsiv
xilin 1- 1,5 mg/kg i.v diazepam 10 mg i.v thiopental (diluie 25 mg/ml) 4 mg/kg i.v
7. Cardioversie
etomidat 20 mg i.v propofol 150-200 mg i.v fentanyl 1-2 g/kg (2-3 ml) i.v
I.O.T
premed
Agent Tiopental
Xilin 1-1,5 mg/kg Midazolam 0.1-0.2 mg/kg Etomidat 0.03 mg/kg = T.A prbuit, boli cardiace congenitale, trauma Thiopental 4-6 mg/kg = T.C.C cu T.A normal, status convulsiv, sdr. H.I.C Ketamina 2 mg/kg , 5-10 mg/kg n astm bronic, T.C.C cu T.A nemsurabil Doz
3-5 mg/kg iv 1 mg/kg iv
Inducia
30-60 s < 60 s
Durat
10 - 30 min 5 - 7 min
Beneficii
PIC PIC bronho dilatator amnezie disociativ TA PIC TIO neutru pe PIC antiemetic anticonvulsi vant
Atenie special
TA TA laringospasm convulsii secreiile PIC
Metohexital
Ketamina
1-2 mg/kg iv
60 s
5 min
Etomidat
0,3 mg/kg iv
< 60 s
10 - 20 min
Propofol
0,5 3 mg/kg (2 !)
20 40 s
8 -15 min
Fentanyl
1 2 min
20 - 30 min
Midazolam
0,1 mg/kg
1 2 min
5 10 min
conv. mioclonic vrsatur far analgezie apnee TA fr analgezie rigid.peret. toracic PIC ef. variabile doz foarte variabil fr analgezie apnee
Inducia rapid
Doza iv pt adult
1 1,5 mg/kg 0,08 0,15 mg/kg
Debut
45 60s 24 3
Durat
5 9 min 25 40 min
Complicaii
bradiaritmii, vrsturi PIO, PIC, K, toC SCR, oc anafilactic timpul de recuperare la
0,15 0,28 mg/kg (dz ridicat) 0,4-0,5 mg/kg 0,6 mg/kg (apoi din doz) 0,05-0,1 mg/kg iv (4-6 mg) 0,01 mg/kg repet. La nevoie 0,05 0,08 mg/kg
Dr. Pii Bogdan obezi, btrni, insuf. Hepatic sau renal hTA, bronhospasm, eliberare de histamin FC FC, TA, bronhospasm sialoree, bloc prelungit
Relaxante neuromusculare