Intravenous Infusion of Ketamine in Children Undergoing Strabismus Surgery - A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Strabismus surgery may be associated with significant post-operative pain. Conjunctiva is the main source of this pain. Aim: The aim of the study was to study the effects of intravenous infusion of ketamine in children undergoing strabismus surgery. Materials and Methods: A total of 40 patients were enrolled in the study. 20 patients were infused 1–3 mg/kg/h ketamine, (a bolus of 0.1–0.2 mg/kg and a maintenance infusion of 0.0025–0.02 mg/kg/min) after giving fentanyl 1 mic/kg and atracurium 0.5 mg/kg patient were intubated (ketamine group) and for other 20 patients after giving fentanyl 1 mic/kg and atracurium 0.5 mg/kg patient were intubated and supplemented with sevoflurane 2% (control group). Results: The consumption of anesthetics and antiemetics, the incidence of oculocardiac reflex (OCR) in these patients was significantly low. The recovery time, Ramsay sedation score, and face pain scale were significantly lower in ketamine anesthesia. Conclusion: The ketamine infusion is more advantageous and safer in pediatrics for strabismus surgery with an insignificant incidence of intraoperative OCR and post-operative pain, post-operative nausea and vomiting.
Authors and Affiliations
R Radhakrishnan, Gowtham Ganesan, Heber Anandan
Keywords
Related Articles
- EP ID EP478012
- DOI -
- Views 125
- Downloads 0
Role of Multidetector Computed Tomography in Bowel Obstruction
Introduction: Intestinal obstruction accounts for 20% of surgical admissions of patients with acute abdomen. The early diagnosis of bowel obstruction is critical in preventing complications, particularly perforation and...
Biophysical Scoring of the Endometrium and Intrauterine Insemination Outcome in the Patient with Infertility
Introduction: Infertility is a condition affecting the couple at its ground level – ability to reproduce. Apart from medical and social consequences, it is also having psychological consequences having spectrum of manife...
Causes and Clinical Profile of Cases of Ocular Trauma Attending a Tertiary Medical Center
Purpose: Study of demographic and clinical profile of patients with ocular injury in developing countries. Study Design: This was an observational, descriptive study of cross-sectional design. Place and Duration of Study...
Conjunctival Autotransplant in Pterygium Excision Using a Novel Technique: A Follow-up Study of 100 Cases
The study was conducted in District Hospital Baramulla from January 1, 2015, to December 31, 2016. It was a post-operative interventional study. In this study, 100 eyes of 100 patients with primary nasal pterygium were o...
Study of Hearing Outcome in Secretory Otitis Media in Children 3 to 12 Years of Age
Background and Objective: The objective of this study is to assess the hearing out come in cases of secretory otitis media before and after treatment different treatment modalities. Materials and Methods: A prospective o...