Document Detail


Ketamine anesthesia for short transurethral urologic procedures.
MedLine Citation:
PMID:  8413056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ketamine (K) is a good analgesic and anesthetic agent in short procedures, but the associated cardiovascular responses and emergence reactions limit its use. Benzodiazepines have been used to improve recovery with favourable reports for midazolam (M). Methylphenidate (MPH), the mild CNS stimulant, improves behaviour and mental concentration and can be used to improve recovery from K anesthesia. This was tested, alone and in combination with M by a double-blind study in 30 patients subjected to short transurethral urologic procedures. Patients were randomized into 3 equal groups to receive K-MPH, K-M or K-M-MPH. M (7.5 mg) was mixed with K and MPH (20 mg) was given at the end of urologic procedures. Perioperative monitoring included pulse rate, blood pressure, ECG, and plasma catecholamines. Recovery was assessed by a triad VAS and recovery area was calculated. Distribution-free statistics were used to assess intergroup differences of similar variables. Ketamine produced satisfactory anesthesia for short transurethral urologic procedures. Addition of M did not change the cardiovascular responses of K but resulted in smooth recovery with no changes in the recovery scores. MPH did not improve the recovery scores but increased the incidence of vomiting, excessive talking, and limb movements.
Authors:
M M Attalah; M M Saied; R Yahya; E H Ibrahiem
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Middle East journal of anaesthesiology     Volume:  12     ISSN:  0544-0440     ISO Abbreviation:  Middle East J Anaesthesiol     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1993-11-05     Completed Date:  1993-11-05     Revised Date:  2014-10-10    
Medline Journal Info:
Nlm Unique ID:  8604187     Medline TA:  Middle East J Anaesthesiol     Country:  LEBANON    
Other Details:
Languages:  eng     Pagination:  123-33     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia Recovery Period
Anesthesia, Intravenous*
Double-Blind Method
Female
Hemodynamics / physiology
Humans
Ketamine*
Male
Methylphenidate*
Midazolam*
Middle Aged
Norepinephrine / blood
Oxygen / blood
Time Factors
Urologic Diseases / surgery*
Chemical
Reg. No./Substance:
207ZZ9QZ49/Methylphenidate; 690G0D6V8H/Ketamine; R60L0SM5BC/Midazolam; S88TT14065/Oxygen; X4W3ENH1CV/Norepinephrine

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