EVALUATION OF A LOW DOSE KETAMINE IN POST TONSILLECTOMY PAIN RELIEF: A RANDOMIZED TRIAL COMPARING INTRAVENOUS AND SUBCUTANEOUS KETAMINE IN PEDIATRICS

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JAVID MIHAN J.; HAJIJAFARI MOHAMMAD; HAJIPOUR ASGHAR; MAKAREM JALIL; KHAZAEIPOUR ZAHRA

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Journal: Anesthesiology and Pain Medicine Year:2012 | Volume:2 | Issue:6 (2) Page(s): 0-0

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Title

EVALUATION OF A LOW DOSE KETAMINE IN POST TONSILLECTOMY PAIN RELIEF: A RANDOMIZED TRIAL COMPARING INTRAVENOUS AND SUBCUTANEOUS KETAMINE IN PEDIATRICS

Author(s)

Keywords

KETAMINE

PAIN CLINICS

PAIN

POSTOPERATIVE

TONSILLECTOMY

Abstract

Background: PAIN control in children is still a therapeutic dilemma. Preschool patients are among those who suffer from the undesirable effects of POSTOPERATIVE PAIN more than adults. TONSILLECTOMY is associated with high incidence of POSTOPERATIVE PAIN, complicating the recovery and delaying patient discharge.Objectives: Despite using different surgical and anesthetic techniques in post-tonsillectomy PAIN relief, this is still a clinical problem. The study was designed to evaluate the efficacy of low dose KETAMINE KETAMINE in post TONSILLECTOMY PAIN relief.Patients and Methods: Our prospective randomized double blind study enrolled 75 pediatric patients (3-10 years old) who were scheduled for TONSILLECTOMY. Patients were randomly assigned to one of three groups: one receiving intravenous (IV) KETAMINE 0.5mg/kg, the other receiving subcutaneous (SC) KETAMINE 0.5 mg/kg and the third receiving placebo at the end of the surgery. Post-operative PAIN score was assessed by modified CHEOPS.Results: In our study we didn’t find significant difference between the three groups with regards to sex, age, weight, duration of surgery, hemodynamic stability, nausea and vomiting. However, for KETAMINE groups, PAIN score and analgesic consumption were significantly lower (P < 0.00). The efficacy of the both KETAMINE groups was similar.Conclusions: The study demonstrated that both subcutaneous and intravenous injection of KETAMINE at the end of the surgery were safe and effective for reducing post-tonsillectomy PAIN. KETAMINE reduced POSTOPERATIVE analgesic consumption without increasing the risk of complications.

Cites

THE PREVENTIVE ROLE OF LOW-DOSE INTRAVENOUS KETAMINE ON POSTOPERATIVE SHIVERING IN CHILDREN: A PLACEBO RANDOMIZED CONTROLLED TRIAL

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APA: Copy

JAVID, MIHAN J., HAJIJAFARI, MOHAMMAD, HAJIPOUR, ASGHAR, MAKAREM, JALIL, & KHAZAEIPOUR, ZAHRA. (2012). EVALUATION OF A LOW DOSE KETAMINE IN POST TONSILLECTOMY PAIN RELIEF: A RANDOMIZED TRIAL COMPARING INTRAVENOUS AND SUBCUTANEOUS KETAMINE IN PEDIATRICS. ANESTHESIOLOGY AND PAIN MEDICINE, 2(6 (2)), 0-0. SID. https://sid.ir/paper/328463/en

Vancouver: Copy

JAVID MIHAN J., HAJIJAFARI MOHAMMAD, HAJIPOUR ASGHAR, MAKAREM JALIL, KHAZAEIPOUR ZAHRA. EVALUATION OF A LOW DOSE KETAMINE IN POST TONSILLECTOMY PAIN RELIEF: A RANDOMIZED TRIAL COMPARING INTRAVENOUS AND SUBCUTANEOUS KETAMINE IN PEDIATRICS. ANESTHESIOLOGY AND PAIN MEDICINE[Internet]. 2012;2(6 (2)):0-0. Available from: https://sid.ir/paper/328463/en

IEEE: Copy

MIHAN J. JAVID, MOHAMMAD HAJIJAFARI, ASGHAR HAJIPOUR, JALIL MAKAREM, and ZAHRA KHAZAEIPOUR, “EVALUATION OF A LOW DOSE KETAMINE IN POST TONSILLECTOMY PAIN RELIEF: A RANDOMIZED TRIAL COMPARING INTRAVENOUS AND SUBCUTANEOUS KETAMINE IN PEDIATRICS,” ANESTHESIOLOGY AND PAIN MEDICINE, vol. 2, no. 6 (2), pp. 0–0, 2012, [Online]. Available: https://sid.ir/paper/328463/en

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