Hexahydrobenzylcarbonate can be used only by anesthesiologists in hospitals or specialized outpatient departments, as well as in intensive care units. When administered at the disposal of medical equipment should be commonly used in general anesthesia, including the means of control of the cardiovascular system (ECG, pulse oximetry) and intensive care funds. If sedation during surgical and diagnostic procedures should not be administered by the same physician, who conducts these manipulations.
The dose should be selected individually taking into account the pre-medication and the patient’s response.
As a rule, use of the drug is required . the additional administration of analgesic drugs , general anesthesia in adults Introduction to general anesthesia: With the introduction of general anesthesia propofol Kabi 10 mg / ml should be administered fractionally (about 20-40 mg of propofol every 10 seconds), before clinical signs of anesthesia. The usual dose for adults under the age body weight. in older patients and patients with III and IV degree of severity of the condition according to the classification of the American society of anesthesiologists (ASA). In patients with impaired cardiac function dose ml reduced. Maintenance Anesthesia: To maintain general anesthesia Propofol Kabi 10 mg / ml is administered continuously infusion or again as a bolus. For maintaining anesthesia by continuous infusion dose and rate of administration are selected individually, are typically administered. In less severe surgical procedures, such as minimally invasive, may be reduced to a maintenancemass . Reduced doses below 4 mg / kg body weight / hour shows elderly people, patients with unstable general condition, in patients with impaired heart function or hypovolemia, and in patients with stage III-IV severity according to ASA classification status. To maintain anesthesia by repeated bolus injections Kabi Propofol 10 mg / ml should be injected at a dose of 25 to 50 mg, which corresponds to 2.5-5 ml of the preparation. In elderly patients rapid bolus (once or repeatedly) is impractical because it could . lead to the suppression of the heart and lung function , general anesthesia in children older than 1 month due to lack of experience with propofol Kabi 10 mg / ml should not be used for the purpose of general anesthesia for children under the age of 1 month. The introduction of general anesthesia: with the introduction of general anesthesia is recommended slow titration dose hexahydrobenzylcarbonate before clinical signs of general anesthesia. The dose is selected taking into account the age and / or body weight. In children over 8 years of the dose required for administration markups anesthetic body weight. In young children, the application of the drug begin with . If necessary, additional doses may be administered , lower doses are recommended.
Anesthetic maintenance. To maintain anesthesia in children by continuous infusion recommended body weight per hour. Children under 3 years It may require a higher dose within the recommended dose per kilogram of body weight, compared to older children. The dose should be adjusted individually. Especially should pay attention to the adequacy of anesthesia. The maximum duration of application should not exceed about 60 minutes, with the exception of specific situations that require more long-term use, such as malignant hyperthermia, when they can not be used inhalation anesthetics. Sedation in adults in the ICU for sedation during mechanical ventilation in intensive care Propofol Kabi 10 mg / mL is recommended to be administered by continuous infusion. Dose picked based on the required depth of sedation. Typically adequate sedation can be achieved if the rate of introduction. Increase the speed of the introduction of more than 4.0 mg / kg / h is not recommended. Should not be used for sedation in intensive care in patients aged 16 years or younger. Sedation in diagnostic and surgical procedures in adults When sedation in during surgical and diagnostic procedures dose and rate of administration is chosen based on clinical response.
Most patients sedation starts within 1-5 minutes after the administration of propofol . Further the dose hexahydrobenzylcarbonateare selected based on the required depth of sedation. Most patients required administration. If required rapid increase in the depth of sedation, besides optionally further infusion bolus 10-20 mg propofol. In patients older than 55 years and patients with ASA III and IV propofol dose required may be lower, and the rate of infusion should be reduced. Should not be used for sedation during diagnostic and surgical procedures in patients aged 16 years or younger. The methods of administration. For intravenous administration. Allowed the introduction in undiluted form. Ampoules or vials prior to administration should be shaken. steroids for bodybuilding for sale buy test prop steroids where to buy