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[Anesthesiological care in a field hospital in Thailand with special regard to ketamine (Ketanest)].
Der Anaesthesist 1983 March
From mid-May to mid-July 1980, 363 anaesthesias were carried out in the refugee camp Khao I Dang on the border between Thailand and Kambodia. These were done in a tropical climate under difficult conditions. The patients were refugees, mostly injured in the war. Regional anaesthesias were generally preferred as they are safer for the patients and not so much surveillance is necessary. For general anaesthesia ketamine combined with diazepam and in most cases assisted respiration by a combination of nitrogen oxide - oxygen and halothane were selected. Anaesthesia was induced by thiopental or diazepam on patients with eclampsia or head injuries or toxic goitre. Apart from a laryngospasm no other severe complication occurred. To reduce pain after an operation, ketamine infusion was successfully employed in isolated cases.
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