Ketamine and the incidence of emergence agitation in children undergoing dental repair

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The effect of ketamine on the incidence of emergence agitation in children undergoing tonsillectomy and adenoidectomy under sevoflurane general anesthesia

BACKGROUND The rapid emergence and recovery from general anesthesia afforded by sevoflurane is associated with a high incidence of emergence agitation in children. Small doses of ketamine reduce the incidence of emergence agitation. This study compared the effects of ketamine 0.25 mg/kg and 0.5 mg/kg on emergence agitation and postoperative pain. METHODS The effects of added intravenous ketam...

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Dexmedetomidine Effect on Emergence Agitation and Delirium in Children Undergoing Laparoscopic Hernia Repair: a Preliminary Study

Objective To evaluate the safety and efficacy of dexmedetomidine (Dex) to prevent emergence agitation (EA) and delirium (ED) in children undergoing laparoscopic hernia repair under general anesthesia. Methods 100 children (1-5 years, 10-25 kg) were randomized into four groups: controls (saline) and intravenous Dex at 0.25, 0.5, and 1.0 µg/kg (D1, D2, D3, respectively). Dex/saline infusion was s...

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Emergence agitation in children

unclear. Interestingly, the authors made a behavioural assessment within 1 week and found no functional deficits, but the tests used lacked discrimination of motor or sensory deficits, paraesthesia, or painful neuropathies Therefore, functional data should be interpreted with caution. Objective evaluation of nerve injury, for example, myelin damage, is missing. Behavioural assessment is challen...

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Prevention of emergence agitation in seven children receiving low-dose ketamine and propofol total intravenous anesthesia.

Emergence agitation (EA) can be a distressing side effect of pediatric anesthesia. We retrospectively reviewed the records of 7 pediatric oncology patients who received low-dose ketamine in conjunction with propofol for total intravenous anesthesia (TIVA) repeatedly for radiation therapy. EA signs were observed in all 7 patients in association with propofol TIVA but did not recur in any of 123 ...

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Comparison of effects of intravenous midazolam and ketamine on emergence agitation in children: Randomized controlled trial

OBJECTIVE A prospective, double-blind, randomized controlled trial to compare the effect of preoperative midazolam or ketamine on the incidence of emergence agitation (EA) following sevoflurane anaesthesia in children. METHODS Paediatric patients (2-6 years old) undergoing ophthalmic surgery were allocated to receive premedication with either 0.1 mg/kg midazolam or 1 mg/kg ketamine. Incidence...

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ژورنال

عنوان ژورنال: Canadian Journal of Anesthesia/Journal canadien d'anesthésie

سال: 2006

ISSN: 0832-610X,1496-8975

DOI: 10.1007/bf03016953