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Journal of The Korean Society of Emergency Medicine 1996;7(2): 280-287. |
| THE EFFECT OF KETAMINE HYDROCHLORIDE (THE INDICATION OF INFANT AND CHILD PATIENT) |
| Kyoung Un Lee, Nam Soo Cho, Yong Bae Kim |
| Department of Emergency Medicine, Chosun University, College of Medicine |
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Published online: June 30, 1996. |
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| ABSTRACT |
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Our study was made on 96 cases of ketamine anesthesia, who visited to emergency department of Chosun university hospital. This patient was not controlled by verbal order and lidocaine anesthesia, and indication for the use of ketamine (from 1 to 5 years old).
Dosage of ketamine in the intramuscular injection was 5mg/kg , in the intravenous injection
was 2mg/kg.
The results were as follows;
1. After the ketamine injected, expending time doing induction was for 2 ~ 4 minutes in cases of intramuscular injection, and expending time doing induction was for 20 ~ 60 seconds in cases of intravenous injection
2. Afer the ketamine injected, patient's awake time was 50 ±5 minutes in case of intramuscular injection and that is 20±5 minutes in cases of intravenous injection.
3. Injected ketamine caused increased blood pressure, pulse rate, and respiration rate, and saturation of oxygen was maintained 92-98% level.
4. In adverse effect, the presence of spontaneous eye opening, mild a groan, purposeless involuntary movement and increased excretion of saliva was appeared.
5. Advantage of ketamine injection was that one attendant was enough for restraining the
patient, and reduced pain sense, and operator performed various procedures easily on stable condition
From the above results, it was considered in emergency department that indications for ketamine anesthesia are primary closure of simple facial laceration, burn dressing, and some diagnostic procedure(cardiac & ureteric catheterization, cystoscopy) in pediatric patients. It was considered, that all procedures should be performed under fulliill all the condition such as professional control devices(esp. central monitoring system) and basic CPR instruments and
ketamine anesthesia-skilled doctor. |
| Key words:
ketamine hydrochloride |
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