Mahdia University Hospital
Mahdia, 5100, Tunisia
NCT Number: NCT03631875
Background: Large doses of propofol needed for induction and laryngeal mask (LM) insertion in children may be associated with hemodynamic sides effects. Co-induction with low doses of ketamine 0.5 mg/ kg has the advantage of reducing dose and therefore maintaining hemodynamic stability.
Aim: To examine the effect of co-induction on LM insertion, hemodynamics and recovery in children
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Notify Me1 year–8 year
All sexes
Interventional
Phase 4
Mahdia, 5100, Tunisia
A prospective, randomized, double-blind, controlled study was conducted including120 ASA physical status I ⁄ II unpremedicated children, aged 1-8 years. Inhalatory induction with sevoflurane at 7% to insert an intravenous canula was first used then decreased to 2%. Normal saline or ketamine (0.5 mg/kg) were administered in groups P (propofol), PK (propofol-ketamine) respectively, 1 min prior to the administration of the induction dose of propofol. Propofol 3mg/kg was used for induction in the 2 groups, LM inserted 60 s later and insertion conditions assessed. Heart rate and blood pressure were recorded immediately after propofol bolus, then after LM insertion, at the 3rd ,5th and 10th minutes later. Recovery was assessed using Steward's Score
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
use a low dose 0.5 mg/kg of ketamine in coinduction with propofol in children induction anesthesia
Other names: co-induction ketamine propofol
Time frame: MINUTE 1
When the jaw was relaxed, and deglutition and cough reflex and member movement were absent, the conditions were considered acceptable.the laryngeal masque was inserted
Time frame: HOURS 1
systolic blood pressure
Time frame: HOURS 1
cardiac frequence
University Hospital, Mahdia
Other
Co-induction Ketamine-propofol: the Effects on Laryngeal Mask Airway Insertion Conditions and Resulting Hemodynamic Changes in Children
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