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Titolo:
A randomized comparison of low-dose ketamine and lignocaine infiltration with ketamine-diazepam anaesthesia for post partum tubal ligation in Vanuatu
Autore:
Grace, RF; Lesteour, T; Sala, T; Stewart, J;
Indirizzi:
C Vila Cent Hosp, Dept Anaesthet, Port Vila, Vanuatu C Vila Cent Hosp Port Vila Vanuatu , Dept Anaesthet, Port Vila, Vanuatu
Titolo Testata:
ANAESTHESIA AND INTENSIVE CARE
fascicolo: 1, volume: 29, anno: 2001,
pagine: 30 - 33
SICI:
0310-057X(200102)29:1<30:ARCOLK>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
THIOPENTONE;
Keywords:
analgesics, local : ketamine, diazepam; analgesia : emergence, fallopian tube ligation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Grace, RF C Vila Cent Hosp, Dept Anaesthet, PMB 013, Port Vila, Vanuatu C Vila Cent Hosp PMB 013 Port Vila Vanuatu Port Vila, Vanuatu
Citazione:
R.F. Grace et al., "A randomized comparison of low-dose ketamine and lignocaine infiltration with ketamine-diazepam anaesthesia for post partum tubal ligation in Vanuatu", ANAESTH I C, 29(1), 2001, pp. 30-33

Abstract

Ketamine remains one of the most commonly used anaesthetic agents around the world. Despite it being the anaesthetic agent of choice in many developing nations there is a paucity of literature describing ketamine in the developing world. In what we believe is the first randomized controlled trial to be performed in Vanuatu (formerly the New Hebrides) we compared the use of ketamine 0.9 mg/kg and diazepam 0.07 mg/kg with ketamine 0.3 mg/kg and 2%lignocaine infiltration in 50 Melanesian women undergoing post partum tubal ligation. All women received 0.5 mg/kg intramuscular pethidine. Visual analog pain scores and verbal numeric satisfaction scores were similar between the groups. However the time to obeyed command was significantly faster in the 0.3 mg/kg ketamine group (7.0+/-4.9 vs 13.0+/-9.2 min). Theincidence of dreaming was similar and the content rated as pleasant by both groups. In institutions where post-anaesthesia care resources are limited0.3 mg/kg ketamine with focal anaesthesia provides for earlier self-care of patients after tubal ligation, without compromise of analgesia, emergenceor satisfaction. The implications of these findings extend to other procedures that require short general anaesthesia, which can be adequately performed with low-dose ketamine and local anaesthesia. The latter technique allows more rapid awakening.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 22:44:21