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KMID : 0381219900220020187
Journal of RIMSK
1990 Volume.22 No. 2 p.187 ~ p.191
The Changes of Intraocular Pressure after Intravenous Injection of Ketamine in Children


Abstract
Intraocular pressure of children is usually measured under the general anesthesia because of it is difficult to obtain of adequate cooperation from an awake patient. Evaluation of the impact of anesthetic drugs on intraocular pressure is imperative for accurate diagnosis and essential in avoiding untoward alterations during intraocular surgery.
We have investigated the effects of intravenous injection of ketamine, succinylcholine, tracheal intubation on intraocular pressure in pediatric non-ophthalmic surgical patients. The results were as follows;
1) In ketamine 2 mg/kg intravenous injection group, intraocular pressure was mildly increased and peak was observed at 7 minutes after ketamine injection but it was not statistically significant.
2) In ketamine 2 mg/ kg-succinylcholine 1 mg/kg-tracheal intubation group, intraocular pressure was moderately increased after succinylcholine injection but it was markedly increased after tracheal intubation ((p<0.05). The elevated intraccular pressure became normalized at 8 minutes after injection of ketamine.
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