Dr.

Pii Bogdan
INDUCIA ANESTEZIC N URGEN
1. Strile de OC
a) Hip!le"i#
de$%idratare
tra&"a 'r T.C.C.A
$epti#
%e"ra(i#
dormicum 5mg i.v
ketamina 2 mg/kg i.v
lystenon 100 mg i.v
norcuron 4 mg i.v (dup I.O.!
Meninere: ketamina 5 10 mg/kg
tra&" ) T.C.C.A
atropin 0.5 mg i.v
"ilin 100 mg i.v
#entanyl $%g/kg i.v
dormicum 5 mg i.v
etomidat 20 mg i.v
lystenon 100 mg (&/'!
Meninere: norcuron 4mg + fentanyl 3 g/ kg i.v
*ketamina la acienii cu !." nem#$ura%il#
a*a'ila#ti#
I.O. di#icil ( se e#ectuea) minitra*eostomie
+) #&l Cardi(e*
I.,.A
T.E.-
E.-.A.
Di$e#/ie de A
dormicum 5 mg i.v
#entanyl $ %g/kg i.v
etomidat 20 mg. i.v
lystenon 100 mg i.v
norcuron 4 mg. i.v (dup IO!
Meninere: norcuron 4 mg i.v + roofol in
.e.v continu# + fentanyl 50&100 g i.v la '0&30 min
0. E.-.A$e!er #& T.A#re$#&t
dormicum 5 mg i.v
etomidat 20 mg i.v
mor#in 4 mg i.v (repetat la nevoie dup 5'10 min!
1
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Dr. Pii Bogdan
Meninere: morfin# + roofol '00 mg (.e.v) +/& norcuron 4 mg iv
1. H.I.C2 A.3.C4T.U#& T.A*r"al $a& #re$#&t
"ilin 1'1+5 mg/kg i.v
#entanyl 1'$ %g/kg i.v
dormicum 5 mg. i.v
t*iopental (dilu,ie 25mg/ml! 2'4 mg/kg i.v
lystenon 100 mg i.v
norcuron 4 mg i.v (dup I.O.!
Meninere: t*ioental +n .e.v continua + fentanyl 50&100 g la
'0&30,
5. T.C.C #& T.A *r"al. 'r alte le6i&*i tra#7
a+d"i*ale
atropin 0.5 mg i.v
"ilin 1'1+5 mg/kg i.v
#entanyl 1'$ %g/kg i.v
dormicum 5 mg i.v
t*iopental (dilu,ie 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 20'
$0-!+ t*ioental .e.v continua
8. Stat&$ #*!&l$i!
"ilin 1' 1+5 mg/kg i.v
dia)epam 10 mg i.v
t*iopental (dilu,ie 25 mg/ml! 4 mg/kg i.v
9. A$t"+r*:i# 4 ;-OC
dormicum 5 mg i.v
ketamin 2'5 mg/kg i.v
&/' lystenon 100 mg i.v
Meninere: ketamin# 1&' mg/kg i.v (reetat la 10 min)
<. Cardi!er$ie
etomidat 20 mg i.v
propo#ol 150'200 mg i.v
#entanyl 1'2 %g/kg (2'$ ml! i.v
I.O.T
.tropin 0.02 mg/kg (minim 0.1mg!
/ilin 1'1+5 mg/kg
0ida)olam 0.1'0.2 mg/kg
2
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Dr. Pii Bogdan
1tomidat 0.0$ mg/kg ( .. pr2u3it+ 2oli cardiace congenitale+ trauma
*iopental 4'4 mg/kg ( .5.5 cu .. normal+ status convulsiv+ sdr. 6.I.5
7etamina 2 mg/kg + 5'10 mg/kg 8n astm 2ron3ic+ .5.5 cu .. nemsura2il
A(e*t D6 I*d&#/ia D&rat ;e*e'i#ii Ate*/ie $pe#ial
Tipe*tal
$'5 mg/kg
iv
$0'40 s
10 ' $0
min
9 :I5 9 .
,et%e=ital 1 mg/kg iv ; 40 s 5 ' < min 9 :I5
9 .
laringospasm
convulsii
>eta"i*a
1'2 mg/kg
iv
40 s 5 min
2ron*o
dilatator
amne)ie
=disociativ>
? secre,iile
? :I5
Et"idat
0+$ mg/kg
iv
; 40 s
10 ' 20
min
9 :I5
9 IO
neutru pe
.
conv.
mioclonic
vrsatur
#ar
analge)ie
-rp'l
0+5 1+5
mg/kg
20 40 s @ '15 min
9 :I5
antiemetic
anticonvulsi
vant
apnee
9 .
#r
analge)ie
?e*ta*@l $ @ %g/kg 1 2 min
20 ' $0
min
analge)ie
revers.
neutru pe
.
rigid.peret.
toracic
:I5 e#.
varia2ile
do) #oarte
varia2il
,ida6la" 0+1 mg/kg 1 2 min 5 10 min
sedare
amne)ie
reversi2il
#r
analge)ie
apnee
-n.ucia rai.#
A(e*t D6a i! pt ad&lt De+&t D&rat C"pli#a/ii
A@$te**
(succinilcolina
!
1 1+5 mg/kg 45 40s 5 A min
2radiaritmii+ vrsturi
? :IO+ :I5+ 7+ t
o
5
B5C+ 3oc ana#ilactic
Nr#&r*
(vecuroniu!
0+0@ 0+15 mg/kg
0+15 0+2@ mg/kg (d)
ridicat!
2 4
min
25 40 min
40 120
min
? timpul de recuperare la
o2e)i+ 2trDni+ insu#.
6epatic sau renal
Tra#ri&" 0+4'0+5 mg/kg 2 $
min
25 45 min *.+ 2ron*ospasm+
eli2erare de *istamin
3
Dr. Pii Bogdan
(actracurium!
E$"er*
(rocuroniu!
0+4 mg/kg
1 $
min
$0 45min ? E5
-a!&l*
(pancuroniu!
0+05'0+1 mg/kg iv (4'4 mg!
0+01 mg/kg repet. Fa
nevoie
$0 $5
s
40 min
? E5+ .+ 2ron*ospasm
sialoree+
N&r"a=
(do"acurium!
0+05 0+0@ mg/kg
$ 5
min
@0 100
min
2loc prelungit
/ela0ante neuromu$culare
4