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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 2, Issue 6, June 2015 pp 355-356
Research Article
Use of low dose intravenous ketamine for paediatric anaesthesia
Sudhir Bhope1, Jitendra Waghmare2
1Professor, 2Assistant Professor, Department of Anaesthesia, IIMSR, Warudi, Badnapur, Jalana, Maharashtra, INDIA.
Abstract
Ketamine is 2-(2-chlorophenyl)-2 methylamino cyclohexanone hydrochloride- a phencyclidine derivative. Onset of anesthesia is rapid, but recovery from a bolus dose is slower than for propofol and thiopentone. Ketamine, unlike other induction agents, is an analgesic agent even at subanaesthetic dose. Advantages with ketamine anaesthesia are amnesia, profoundanalgesia, there is no respiratory depression. Disadvantages are hypertonia and hallucinations during emergence but incidence of this is less in children and may be reduced with premedication with benzodiazepine. This study was done at IIMSR, Warudi in 65 children, in which we have given intravenous ketamine as 1.5 mg/kg and then supplemented with local anaesthesia. Endotracheal intubation was avoided and patients were kept on spontaneous respiration with oxygen by mask.
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