Taneva E
Khirurgiia (Sofiia). 1993;46(5):36-9.
Patients with specific location of the burn lesion (head, face and neck) developing hypertrophic scars, adhesions, microstoma and other complications, are considered as high-risk patients in terms of analgesia. Not infrequently, it is a matter of the same patients in different developmental phases of the burn disease. Usually, the problems faced occur during intubation and implementation of a give type of anesthetic technique. The anesthesiologist must cope with the patient's individual peculiarities on a daily basis, and accordingly make a correct choice of the type of anesthesia. A male patient with deep facial burn, undergoing repeated surgical interventions using various types of anesthesia, is reported. The intubation and anesthesiologic problems in two children with burn sequels are discussed.
烧伤病变位于特定部位(头、面和颈部)且出现增生性瘢痕、粘连、小口畸形及其他并发症的患者,在镇痛方面被视为高危患者。这种情况在烧伤疾病不同发展阶段的同一患者身上并不罕见。通常,问题出现在插管和实施某种麻醉技术的过程中。麻醉医生必须每天应对患者的个体特殊情况,并据此正确选择麻醉类型。本文报告了一名面部深度烧伤男性患者,其接受了使用各种麻醉类型的多次手术干预。还讨论了两名烧伤后遗症患儿的插管和麻醉问题。