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Pediatric surgical anesthesia with ketamine clinical experience and stability
PAGE \* MERGEFORMAT 5
Pediatric surgical anesthesia with ketamine clinical experience and stability
[Abstract] Objective To investigate the stability of pediatric surgery clinical anesthetic effects of ketamine compared. Methods The stability of ketamine and ketamine intravenous anesthesia line 556 pediatric surgery, 89 cases of pure ketamine, ketamine Jiaan 467 patients given intravenous anesthesia. Results ketamine anesthesia in children more common, properly applied, the effect is satisfactory. Conclusions Ketamine anesthesia and stability for children.
[Keywords:] pediatric surgery, ketamine and stability, anesthesia
In this paper, our hospital pediatric anesthetic ketamine and stability analysis of the results as follows.
1 Clinical data
Our hospital from 1995 to 2007 Jiaan ketamine and ketamine anesthesia in children given intravenous combined operation 556, male 383, female 173 cases, the minimum age of 31 days, maximum 14 years old. Anesthetic type: 89 cases of pure ketamine, ketamine, and stability 467 cases of intravenous anesthesia, preoperative routine fasting water, intramuscular injection of atropine 30 min before surgery or scopolamine 0.01 mg / kg, chlorpromazine, promethazine 0.5 ~ 1 mg / kg, 7 can be used in children over the age of Pethidine 0.5 ~ 1 mg / kg, intraoperative vomiting, reflux in 9 cases, accounting for 1.7%, obstructive respiratory secretions in 10 cases, accounting for 1.8%, of which 7 cases result in cyanosis, tongue cyanosis in 6 cases caused by falling.
2 Experience
In my hospital, the more common pediatric ketamine anesthesia, the amount of ketamine in the case of not more than a negligible effect on the respiratory, throat protective reflex does not disappear, it is easy to maintain airway patency, but also should pay full attention to the respiratory management during anesthesia.
Links to free paper download
Development of the respiratory center in children not yet mature, and its big head, sho
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