COMPARISON OF ORAL PREMEDICATION WITH COMBINATION OF MIDAZOLAM WITH KETAMINE VS
MIDAZOLAM KETAMINE ALONE IN CHILDREN CHILDREN MEDICAL CENTER (YEAR 2000)

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HASANI M.; EBRAHIM SOLTANI ALI REZA

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Journal: Tehran University Medical Journal Year:2002 | Volume:60 | Issue:5 Page(s): 423-428

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Title

COMPARISON OF ORAL PREMEDICATION WITH COMBINATION OF MIDAZOLAM WITH KETAMINE VS MIDAZOLAM KETAMINE ALONE IN CHILDREN CHILDREN MEDICAL CENTER (YEAR 2000)

Author(s)

HASANI M. | EBRAHIM SOLTANI ALI REZA | Issue Writer Certificate

Keywords

PREMEDICATIONQ4

KETAMINEQ4

MIDAZOLAMQ4

SEDATIONQ4

AND ANXIOLYSISQ4

Abstract

Introduction: Anxiolysis and SEDATION with oral MIDAZOLAM are common practice in pediatric anesthesia. Good or excellent results are seen in only 50% to 80% of cases. so we decided to investigate if addition of a low dose of oral KETAMINE to MIDAZOLAM (ketamine2.5 mg /kg ,midazolam 0.25 mg/kg )resulted in better PREMEDICATION compared with oral midazolarn 0.5 mg/kg or KETAMINE 6 mglkg alone. Methods and Materials: in a prospective, randomized ,double -blind study we study 105 children (mean age 6 ,range 2-10 yr. ) undergoing non thoracic and non cardiac surgery of more than 30 min duration. The patients were in ASA 1, 2. After oral PREMEDICATION the child"s condition was evaluated by assigning 1-4 point to the quality of anxiolysis, SEDATION, and separation from parents in the induction room .The groups were similar in sex, age, weight, intervention and duration of anaesthesia. Results: The score of SEDATION before transfer to the operation room was significantly better in the KETAMINE, MIDAZOLAM combination group than in the KETAMINE or MIDAZOLAM group. Success rates for anxiolysis and behavior at separation were grater than 90%with the combination, approximately 80% with midazolarn and 70% with KETAMINE alone. The incidence of salivation, excitation, nausea and vomiting was grater in the KETAMINE group but were very low in other groups. During recovery there were no difference in SEDATION or time of possible discharge. Conclusion: In summery, significantly better anxiolysis and separation were observed with a combination of KETAMINE and midazolarn, even in awake children than with MIDAZOLAM or KETAMINE alone. Duration of action and side effects of the combination was similar to those of MIDAZOLAM.

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APA: Copy

HASANI, M., & EBRAHIM SOLTANI, ALI REZA. (2002). COMPARISON OF ORAL PREMEDICATION WITH COMBINATION OF MIDAZOLAM WITH KETAMINE VS MIDAZOLAM KETAMINE ALONE IN CHILDREN CHILDREN MEDICAL CENTER (YEAR 2000) . TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 60(5), 423-428. SID. https://sid.ir/paper/39007/en

Vancouver: Copy

HASANI M., EBRAHIM SOLTANI ALI REZA. COMPARISON OF ORAL PREMEDICATION WITH COMBINATION OF MIDAZOLAM WITH KETAMINE VS MIDAZOLAM KETAMINE ALONE IN CHILDREN CHILDREN MEDICAL CENTER (YEAR 2000) . TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2002;60(5):423-428. Available from: https://sid.ir/paper/39007/en

IEEE: Copy

M. HASANI, and ALI REZA EBRAHIM SOLTANI, “COMPARISON OF ORAL PREMEDICATION WITH COMBINATION OF MIDAZOLAM WITH KETAMINE VS MIDAZOLAM KETAMINE ALONE IN CHILDREN CHILDREN MEDICAL CENTER (YEAR 2000) ,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 60, no. 5, pp. 423–428, 2002, [Online]. Available: https://sid.ir/paper/39007/en

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