Ultiva

Roman name

Ultiva #

The composition and the form of

1 bottle with liofilizirovannam powder in / with the introduction of remifentanil (as hydrochloride), 1, 2 or 5 mg, as well as glizin and hydrochloric acid; in the paper cartons five bottles.

Of drugs

Analgezirutee (drug). Yes mu-opioidnye stimulates receptors.

Indications

Analgesia in the opening anaesthesia and / or maintenance of general anesthesia in surgical interventions (including surgery), prolonged pain immediately after the operation (under strict medical supervision), with the transition to analgesia drugs for long periods.

Pregnancy and lactation

Perhaps if the effect of therapy outweighs the potential risk to the fetus and newborn.

Contraindications

Hypersensitivity, incl. from other fentanyl analogs, and epiduralnaya spinalnaya anaesthesia (because of the glycine).

Specific guidance

The possible only in offices, fully equipped of monitoring and maintenance of the respiratory and cardiovascular systems. Continued cefuroxim conducted with the help of special infuzing sized device (perfuzor, infuzomat) and / in kanuli. Designed for on / in the introduction.

Precautions

To use among children up to one year, in the opening anesthesia and surgery in children under 12 years of age is not recommended (existing clinical data are insufficient to recommend).

Dosing and Administration

Originally liofilizirovanny powder dissolved in a number of sterile water, or 5% glucose solution for injection for a solution with a concentration of 1 mg / ml in solution further raise the recommended nutritional environments until they get the required concentrations (20 to 250 µ g / ml) .V / in infuzionno, adults. Induction anaesthesia : cefuroxim Quick 0.5-1 g / kg / min after the previous bolusna injections in the dose of 1 g / kg for a period of not less than 30 with or without (if intubatia trachea spend more than 10 minutes from start Ultiva Infusion). Maintenance of general anesthesia with IVL : after tracheal intubations speed infusions reduced, in accordance with the methodology used; speed can be a titrovti, increasing it to 100% or reduced to 25-50% every 2-5 minutes to achieve the necessary analgeticski effect. The surface anaesthesia possible extra bolusnoe introduction dose of 0.5-1 g / kg every 2-5 Min.ublaya anaesthesia with independent spirits : initial speed Infusion 0.04 µ g / kg / min c followed by SAC in the range of doses 0,025-0,1 µ g / kg / min (bolusnoe introduction would not рекомендуется).Поддер жание analgesia early aftercare period : Patient in IVL and the individual speed of development impact; in the self-breathing will reduce speed infusions to 0.1 µ g / kg / min, and then titruut it in the range of doses 0,025-0,2 µ g / kg / min, changing no more than 0,025 µ g / kg / min every 5 minutes (bolusnoe a deprecated). In cardiovascular surgery : with the opening anaesthesia cefuroxim-at the rate of 1 µ g / kg / min (intubatia trachea should be no earlier than five minutes after the start of infusions Ultiva), a bolusnoe not �екомендуется.Поддерж ание general anesthesia : speed picked individually, depending on the development of economies, as appropriate, in the form of bolusa. For patients with a high risk of complications bolusnaya maximum dose of 0.5 µ g / Cg.podderjanie analgesia early aftercare period (after ekstubation) : before being transferred to the House post a speed Infusion, the end of the operation, then at the rate of 1 µ g / kg / min until disconnected IVL. Termination infuziu recommended in the 3-4 intervals 10 minutes by reducing the rate of 50% on each Etape.u patients older initial dose half the usual recommended correction doses are needed at all stages Anestesia.detam aged 1-12 years : for the maintenance of anesthesia, in the form of bolusa for at least 30 seconds, at the rate of 1 µ g / kg; then continued cefuroxim (including within 5 minutes prior to the start of the operation, if not used bolusnoe introduction) with an initial velocity 0,25-0,4 µ g / kg / min (normal speed to maintain anesthesia 0,05-1,3 µ g / kg / min, depending on the time of anestetika).

Storage conditions

por.liof.d / r-ra in / on : The temperature is not above 25 ° C

Shelf life

por.liof.d / r-ra on / in : 1.5 g.por.liof.d / r-ra on / in : 2 g.por.liof.d / r-ra on / in : 3 and

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