Abstract

Ketamine- Propofol or Fentanyl- Propofol intravenous infusion a better combination for short surgical procedures in paediatric patients, a comparative study - IJCA- Print ISSN No: - 2394-4781 Online ISSN No:- 2394-4994 Article DOI No:- 10.18231/2394-4994.2018.0072, Indian Journal of Clinical Anaesthesia-Indian J Clin A

Highlights

  • Paediatric patients usually present with various painful conditions that require immediate surgical interventions

  • The peak effect of rise in heart rate in the PK group was seen in the 0th minute whereas peak fall in heart rate in the PF group was seen in the 15th minute

  • The peak fall in systolic blood pressure (SBP), diastolic blood pressure (DBP) and mean arterial pressure (MAP) in PF group is at 15th minute by 10.05%, 10.01% and 9.90% respectively

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Summary

Introduction

Paediatric patients usually present with various painful conditions that require immediate surgical interventions. Aim: The aim was to compare the effect of propofol-ketamine and propofol-fentanyl infusion in terms of haemodynamic stability, postoperative sedation, postoperative nausea and vomiting and adverse effects if any. Conclusion: Propofol-ketamine combination is better as compared to propofol-fentanyl in terms of haemodynamic stability and better recovery with less side effects. Total intravenous anaesthesia is a technique in which induction and maintenance of anaesthesia is achieved with intravenous drugs alone avoiding both volatile agents and nitrous oxide. It can be safely used for a number of procedures lasting for a short duration. Side effects include dose related cardiovascular & respiratory depression, bradycardia and hypotension

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