Perioperative ketamine anesthesia in pediatric nursing.doc

 PAGE \* MERGEFORMAT 6 Perioperative ketamine anesthesia in pediatric nursing [Keywords:] ketamine anesthesia Ketamine anesthesia in children is a major pediatric short surgical anesthesia, anesthesia careful nursing on the safety of pediatric surgery and postoperative physical and psychological recovery is very important. 2006  05 ~ 2007  05 of the 56 cases in our hospital in children with pediatric ketamine anesthesia in perioperative nursing were retrospectively studied the report are summarized as follows. A clinical data Children in this group 56 cases, male 25, female 31 cases, aged 6 months to 11 years old. Urinary tract surgery in 19 cases, 12 cases of bone surgery surgical limbs, head and facial surgery in 14 cases, the body surface surgery in 11 cases. Preoperative intramuscular injection of atropine 0.01 ~ 0.02 mg / kg, into the operating room after the intramuscular injection of ketamine 5 ~ 6 mg / kg, surgery, in accordance with an additional ketamine anesthesia depth of 2 ~ 3 mg / kg, 56 children with surgery does not appear in Li complications. 2 nursing 2.1 to keep the airway patency of ketamine anesthesia in children although the sense of loss, but still maintain the swallowing reflex, as children with disorientation, respiratory secretions difficult to discharge, easily induced airway obstruction, therefore, should maintain good posture. Should be taken to lie horizontally, the first side of the position bias and, if aspiration of secretions should be timely, especially for surgery a long time and a large quantity of drugs in children, patients in a timely manner suction and oxygen, oxygen mask is the best. 2.2 straightened posture gracefully surgical operation position, it is necessary to expose the surgical site, and also to maintain airway patency. When supine shoulder Xiadian a soft pillow in children, while maintaining the airway patency, but also to prevent the tongue falling. Ketamine anesthesia appeared physically involu