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Total intravenous anaesthesia for military surgery. A technique using ketamine, midazolam and vecuronium
Author(s) -
Restall J.,
Tully A. M.,
Ward P. J.,
Kidd A. G.
Publication year - 1988
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1988.tb05424.x
Subject(s) - medicine , midazolam , ketamine , anesthesia , saline , muscle relaxation , surgery , sedation
Summary Ketamine and midazolam were used for induction of anaesthesia and by continuous intravenous infusion for maintenance to assess their suitabiliity for use in a total intravenous anaesthetic technique in the management of battle casualties. Muscular relaxation was provided by vecuronium and the patients' lungs ventilated with air. Ketamine was infused at a rate of 2 mg/kg/hour. This was achieved by mixing ketamine 200 mg, midazolam 5 mg and vecuronium 12 mg in 50 ml normal saline. The rate of infusion of the mixture (ml/hour) was then equal to 50% of the body weight in kg. The technique proved to he simple, effective and versatile and should be adaptable for use in the management of battle casualties.