Premedication with ketamine in the pediatric patient before emergency surgery
Abstract
Introduction: ketamine is used as an anesthetic premedication.
Objective: to evaluate the effect of premedication with intramuscular ketamine in the level of anxiety of the pediatric patient before an emergency surgery.
Method: a pre-experimental study was performed with a before and after at the Provincial Hospital of Ciego de Ávila (2013-2014). The universe consisted of all children between five and eight years of age undergoing emergency surgery. The sample consisted of 80 infants who met the inclusion criteria. 5 mg/kg of ketamine was administered 30 minutes before surgery. It was evaluated: level of anxiety before and after premedication, acceptance of medication, time of onset of action of the drug, cooperation during venipuncture, behavior in the separation of parents and adverse reactions. The Mann-Whitney U test was used to demonstrate the difference between ordinal variables.
Results: before premedication, a high level of anxiety prevailed (45,0 %) and then only in a very small minority (5,0 %) a moderate level. A good level of acceptance predominated (56,3 %), a medication start time of less than five minutes (91,3 %), a child's cooperation with venipuncture (93,3 %), a greater number of sleeping children (56,3 %) to be separated from the parents to move to the operating room. Only one adverse reaction was reported.
Conclusions: the usefulness of ketamine as an anesthetic premedication of pediatric patients before emergency surgery was confirmedDownloads
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