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Messages - thachanesthetist

#1
Hi everybody,

Today I read an review article "Propofol infusion syndrome" (PIRS) of authors P.C.A. Kam and d. Cardone published on Anaesthesia Volume 62, Number 7, July 2007.
The authors recommended that a propofol infusion rate of greater than 4mg/kg/h for longer than 48h should be avoided because a number of serious adverse effects such as metabolic acidosis, cardiac asystole, myocardial failure, rhabdomyolysis, and death. 
Therefore, I want to know what drugs should be replaced to Propofol to infusion for long- term in operating room and intensive care unit and how to use them.
Thanks for your help.

#2
Quote from: corticalslices on June 28, 2007, 02:41:02 PM
so I think that ketamine should not be used in clinical anesthesia today.

I think Ketamine is still good analgesia agent in burn patients. However, I also want to know potential advers effects when Ketamine is infused for long time in burn patients.