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Archives of Anesthesiology and Critical Care، جلد ۱، شماره ۱، صفحات ۱۳-۱۷
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| عنوان انگلیسی |
Comparing the Effects of Propofol-Ketamine and Sevoflurane-Ketamine on Emergence Delirium and Pain after General Anesthesia in Pediatric Patients Undergoing Interventional Cardiac Angiography |
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| چکیده انگلیسی مقاله |
Background: Emergence delirium (ED) is a frequent postoperative complication in children. Its prevalence is about 25-80% and is observed more commonly with rapid-acting volatile anesthetics than the older inhalation agents. Methods: 30 patients aging between 2 to 8 years were included in this randomized double blind study. We compared the effect of combination of two anesthetic drugs, Propofol-Ketamine and Sevoflurane- Ketamine, on ED and pain after general anesthesia in pediatric patients undergoing interventional cardiac angiography. Agitation was measured by PAED (Pediatric Anesthesia Emergence Delirium) scoring system) and pain by the CHEOPS (Children’s Hospital of Eastern Ontario Scale). Results: Emergence delirium in 10th minute of recovery was higher in propofol group (7.6±4.47 vs 5.07±3.31, p=0.047) but it was the same between the groups during the rest of recovery times. Pain scores were higher only at the moment of entrance to recovery room in sevoflurane group (6.27±1.99 vs 5.1±1.06, p< 0.001). Mean recovery time was shorter in the sevoflurane group than in the propofol group (33.83±15.239 vs 51.67±20.585, p=0.02). Nausea and vomitting was more frequent in the sevoflurane group (6.6% vs 0%, p, 0.001), which needed no treatment. Conclusion : There are some minor differences between sevoflurane-ketamine and propofol-ketamine anesthesia. If the length of recovery is not an issue and the patients are not at high risk of nausea and vomiting, either sevoflurane-ketamine combined anesthesia or propofol-ketamine infusion can be suitably used to anesthetise patients for the pediatric cardiac catheterization procedures. |
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| نویسندگان مقاله |
علیرضا ابراهیم سلطانی | alireza ebrahim soltani
children’s medical center, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
بنفشه nouralishahi | banafshe nouralishahi
chronic kidney diseases rresearch center ckdrc , shahid beheshti university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (Shahid beheshti university of medical sciences)
حسین صدرالسادات | hossein sadrossadat
farabi hospital, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
مهرداد گودرزی | mehrdad goudarzi
children’s medical center, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
هادی طباطبایی | hadi tabatabaei
children’s medical center, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
بهرنگ nooralishahi | behrang nooralishahi
children’s medical center, tehran university of medical sciences, tehran, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (Tehran university of medical sciences)
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| نشانی اینترنتی |
http://aacc.tums.ac.ir/index.php/aacc/article/view/10 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
Research Article(s) |
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