Background:
@EN In children, fear of venipuncture and seperation form parents may produce stormy induction of anesthesia. Premedication administered by nontraumatic methods helps to decrease anxiety and minimize psychological trauma.
@ES Methods:
@EN to define a dose of oral ketamine that would facilitate smooth induction of anesthesia for pediatric outpatient surgery without causing significant side effects, sixty children(ASA Physical Status 1; aged 1-7 years) undergoing inguinal
herniorrhaphy
were assigend randomly to four separate groups that received 5 mg/kg, 7 mg/kg, 10mg/kg, or no ketamine(control group) mixed in 0.2ml/kg cola, They were evaluated preoperatively and postoperatively for acceptance of oral ketamine, reaction to
separation
from their parents, acceptance of facial mask for inhalation induction, emergence delirium and postanesthetic complications.
@ES Results:
@EN The 7mg/kg and 10mg/kg doses wee well accepted, provided predictable sedation within 22-25 minutes; allowed calm seperation from parents and good induction conditions. However, the 10mg/kg dose prolonged discharge time from recovery room,
probably
due to delayed recovery, Emergence deliriums were observed in two of all ketamine administered children(4.4%). And the incidences of postanesthetic complications such as vomiting, decreased appetite, lethargy, nausea, nightmare, behavioral change
were
slightly higher in ketamine administered groups, compared to the control group.
@ES Conclusion:
@EN The authors conclude that an oral dose of 7mg/kg ketamine is well accepted in young children undergoing outpatient surgery for inguinal hernia and provides relatively predictable and satisfactory sedation without prolongation of discharge
time
and
significant side effects.
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