Ketamine anaesthesia for paediatric ophthalmology surgery
| Autor: | Sanduk Ruit, Geoffrey Tabin, Jaya Thakur, W V Good, S Rana, Poudyal G, M S Pun, R Gurung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Resuscitation World Views genetic structures Side effect Adolescent Eye Diseases medicine.medical_treatment Ophthalmologic Surgical Procedures Cellular and Molecular Neuroscience Postoperative Complications Nepal medicine Intubation Humans Ketamine General anaesthesia Child Developing Countries Anesthetics Dissociative business.industry Infant Sensory Systems Surgery Ophthalmology Anesthesia Child Preschool Anesthesia Intravenous Eye disorder Pediatric ophthalmology business Ophthalmologic Surgical Procedure medicine.drug |
| Popis: | Aims: Children with treatable, vision impairing conditions may not have access to surgical care when they live in regions where anaesthesia is unavailable. The use of ketamine anaesthesia in a developing region was studied to determine its safety and effectiveness. Methods: This is a consecutive series of 679 children who had a variety of paediatric eye disorders necessitating a short general anaesthesia. Ketamine was administered intravenously by a paediatrician with training in paediatric resuscitation procedures. Both intraocular and extraocular procedures were performed. The location of treatment was the Tilganga Eye Hospital in Kathmandu, Nepal, a developing region of the world. The study took place over a 5 year period. Results: All procedures were performed without any anaesthetic complications. No child required unanticipated resuscitation or laryngeal intubation. Postoperative dysphoria occurred occasionally and was difficult to measure quantitatively. This side effect of ketamine resolved by the first postoperative day. Conclusion: Ketamine is an effective agent for both intraocular and extraocular surgery in the paediatric age group. None of the children in this series needed resuscitation or intubations, and the ophthalmic surgery was carried out safely. Ketamine can be used safely in any ophthalmic procedure of short duration by a person having some training in anaesthetic resuscitation procedures. Because of its simplicity and safety, ketamine may be useful in a simple ophthalmic setup in the developing word. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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