Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, GRB 444, Boston, MA 02114, USA.
Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 55 Fruit Street, GRB 444, Boston, MA 02114, USA.
Surg Clin North Am. 2014 Aug;94(4):851-61. doi: 10.1016/j.suc.2014.05.008.
Burn patients provide numerous challenges to the anesthesiologist. It is important to understand the multiple physiologic disruptions that follow a burn injury as well as the alterations in pharmacokinetics and pharmacodynamics of commonly used anesthetics. Thought must be given to surgery during initial fluid resuscitation and the airway challenges many of these patients present. Finally, the central role of pain management through all phases of care is a constant concern.
烧伤患者给麻醉师带来了诸多挑战。了解烧伤后多种生理紊乱以及常用麻醉剂药代动力学和药效学的改变非常重要。在初始液体复苏和许多此类患者存在的气道挑战期间,必须考虑手术。最后,通过所有治疗阶段的疼痛管理的核心作用是一个持续关注的问题。