Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Similars in SciELO
Share
Revista mexicana de anestesiología
Print version ISSN 0484-7903
Abstract
MARI-ZAPATA, Darcy; ANGELES-DE LA TORRE, Ronie and MOLINA-MENDEZ, Francisco. Anesthetic and analgesic benefit of ketamine as an adjunct to general anesthesia in pediatric cardiac catheterization. Rev. mex. anestesiol. [online]. 2019, vol.42, n.1, pp.28-34. Epub Sep 30, 2020. ISSN 0484-7903.
Objetive:
Determine if the subanesthetic dose ketamine decreases acute pain, agitation, analgesic requirements in cardiac catheterization.
Material and methods:
Patients aged two months to seven years, general anesthesia, ASA II-IV. Two groups K: ketamine and F: fentanyl plus painkiller; sevoflurane 1-1.2 CAM and mechanical ventilation. Registration baseline vital signs, the initiation and emergence. FLACC and Ramsay evaluation in the emergence and reach bed, painkiller was administered FLACC > 4.
Results:
121 patients, K group: 52.8%, group F: 47%, age: 47 ± 26.38 months, anesthetic time: 100.22 ± 38.7 min. Cardiovascular variables without intergroup difference in relation to time. Analgesia requirement at six hours in the K group vs F 10 hours. FLACC emergence mild to 86.8%; 49% K group and 37% F group (p = 0.02), 92% FLACC minor in bed, group K 52% and 40.4% F group (p = 0.002). At six hours FLACC > 4 K group (p = 0.002). Degree of sedation to extubation is lower in group K (p = 0.03).
Conclusions:
Ketamine preserves hemodynamic stability, decreases agitation and pain until the first six hours after procedure; so it can be used as adjuvant anesthetic in catheterizations safely.
Keywords : Ketamine; pediatric cardiac catheterization; postoperative relieve; agitation; outside operating room.