[Peculiarities of anesthesia in severely burned patients]

The main problem of anaesthesia for necrectomy and grafting is the correct evaluation of blood loss. Intensive monitoring enables one to avoid major complications. One has to have at least two venous lines of large calibre. Loss of volume is substituted by packed erythrocytes, fresh frozen plasma, warm whole blood and crystalloids. No particular type of anaesthesia is to be preferred. One should avoid depolarizing muscle relaxants between 5 to 90 days after the burn. Because of the possibility of microstomia and contractures the anaesthetist should be familiar with the technique of bronchofiberscope intubation.