To provide sedation during intensive therapy is contraindicated for the following diseases for children of all age groups: cereals or epiglottitis. Precautions: As with other intravenous anesthetics, caution should be exercised in relation what is trenbolone acetate to patients with cardiac, respiratory, renal or hepatic impairment, as well as for patients with hypovolemia or debilitated patients.
should not be used during pregnancy. But. is used during the abortion in the first trimester.
crosses the placental barrier and its use may be associated with neonatal depression. It should not be used in obstetrics as an anesthetic.
For infants who are breastfed, has not been established safety of in nursing mothers.
DOSAGE AND ADMINISTRATION
As a rule, the use of requires additional funds analgeziruyushih.
is combined with spinal and epidural anesthesia; with drugs commonly used for sedation; with muscle relaxants, inhalational anesthetics and analgesics is not mentioned pharmacological incompatibility. Lower doses of may be required in cases where general anesthesia is used as a supplement to the methods used regional anesthesia.
Manual introduction at the target concentration (ITSK) using an infusion system including appropriate software “Diprifyuzor”, see section D. The present application is limited by induction and maintenance of general anesthesia in adults. System ITSK Diprifyuzor not recommended for sedation of patients in intensive care units for sedation with preservation of consciousness, or in children.
The induction of general anesthesia
can be used to induce anesthesia by slow bolus injection or infusion. Regardless of whether or not to premedication administering recommended titrated what is trenbolone acetate (bolus injection or infusion of approximately 40 mg every 10 seconds – for the average adult patient in a satisfactory state) depending on the patient’s response to the occurrence of clinical signs of anesthesia. Most adult patients aged less than 55 years, the average dose of is 1.5-2.5 mg / kg. The desired total dose can be reduced by using lower infusion rates (20-50 mg / min). For patients older than that, as a rule, require a lower dose. Patients 3 and 4 classes ASA administration should be carried out at a lower speed (about 20 mg every 10 seconds).
Sheathe Maintenance of anesthesia
Anaesthesia can be maintained or continuous infusion or through repeated bolus injections to maintain the depth of anesthesia required. The constant infusion. The required rate of administration varies considerably depending on the individual characteristics of the patients. Typically, the velocity within 4.12 mg / kg / h maintains adequate anesthesia. Repeated bolus injection. If applied technique involving repeated bolus injections, the administration of increasing doses used from 25 mg to 50 mg, depending on clinical need.
Providing sedation during intensive care
Introduction using the system ITSK “Diprifyuzor” for sedation in patients in the intensive therapy is not recommended.
When using formulation in order to provide sedation in adult patients undergoing mechanical ventilation and receiving intensive care, it is recommended by a continuous infusion. The rate of infusion should be adjusted to the desired depth of sedation, but the speed is in the range 0.3 to 4.0 mg / kg / h should achieve satisfactory sedation.
Providing retaining sedation in conscious patients during surgical and diagnostic procedures
Introduction using ITSK system “Diprifyuzor” for sedation with preservation of consciousness is not recommended. For sedation during surgical or diagnostic procedures and the administration of the dose rate should be individualized depending on the clinical response of the patient. For most patients require 0.5 – 1.0 mg / kg for 1 – 5 minutes for the occurrence of sedation.
To maintain sedation infusion rate should be adjusted according to the required depth of sedation; most patients require a speed between 1.5 – 4.5 mg / kg / h. 20 mg – if required rapid increase in the depth of sedation, the bolus 10 may be used as an adjunct to infusion. In patients 3 and 4 classes ASA may require dose reduction and the rate of administration.
B. elderly patients
In elderly patients to induction of anesthesia required lower doses of . As the dose should be guided by the physical status and age of the patient. The reduced dose should be administered at a lower speed than usual and titrated according to the patient’s response. When using to maintain anesthesia or sedation infusion rate, or “target density” of the drug should be reduced. In what is trenbolone acetate patients 3 and 4 classes ASA may require further reduction of the dose and rate of administration. rapid bolus administration (single or repeated) is not recommended to avoid the oppression of the heart and respiratory system in older patients. pro bodybuilding cycle