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11 - Postoperdive recovery response in pediatric patients: comparison of inhalation anesthesia with isoflurane and infusion anesthesia with ketamin
Ayda Başgül, Ayşe Hancı
OBJECTIVE: We compared Ketamin infusion and Isoflurane inhalation usage in anaesthesia maintenance with respect to postoperative recovery criteria in pediatric patients.
STUDY DESIGN: According to approval of the Ethical Committee, 30 children (<12ys) of ASA I-II were rabdomly assigned in two groups. Patients were premedicated with intranasal 0.2-0.3 mg/kg Midazolam 30 minutes before operation. While Ketamin infusion 50-80 ug/kg with 0.15 mg/kg intravenously Midazolam addition every 30 minutes were given to first group, Isoflurane inhalation 0.5-1 % with 1 mg/kg IV Meperidine addition were given until 5 minutes before the end of the operation to the second group. Postoperative recovery of the patients was scored according to the Ramsay Sedation Scoring. Unpaired t test, Tukey Kramer Multipl Comparisons Test were used for the statistical analysis.
RESULTS: There were no significant difference between the two groups for the age, weight, operation and anaesthesia duration (p>0.05). In both groups, recovery criterias were significantly high in postoperative 20^ minutes compared to the postoperative 1stminutes. But no significant difference was found with respect to recovery time and quality.
CONCLUSION: We concluded that, either Ketamin infusion or Isoflurane inhalation on equally effective regiments with the aspect of postoperative recovery criteria in pediatric anaesthesia.
Keywords: Pediatric Anesthesia, Recovery, Ketamine, Isoflurane.
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