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소아 외래 환자 마취를 위한 Ketamine 경구 전투약

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dc.contributor.author이기영-
dc.contributor.author한석주-
dc.date.accessioned2021-09-28T07:46:01Z-
dc.date.available2021-09-28T07:46:01Z-
dc.date.issued1996-01-
dc.identifier.issn0302-5780-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/183164-
dc.description.abstractBackground: In children, fear of venipuncture and seperation from parents may produce stormy induction of anesthesia. Premedication administered by nontraumatic methods helps to decrease anxiety and minimize psychological trauma. Methods: To define a dose of oral ketamine that would facilitate smooth induction of anesthesia for pediatric outpatient surgery without causing significant side effects, sixty children(ASA Physical Status 1; aged 1-7 years) undergoing inguinal herniorrhaphy were assigned randomly to four separate groups that received 5 mg/kg, 7 mg/kg, 10 mg/kg, or no ketamine(control group) mixed in 0.2 ml/kg cola. They were evaluated preoperatively and postoperatively for acceptance of oral ketamine, reaction to separation from their parents, acceptance of facial mask for inhalation induction, emergence delirium and postanesthetic complications. Results: The 7 mg/kg and 10 mg/kg doses were well accepted; provided predictable sedation within 22-25 minutes; allowed calm seperation from parents and good induction conditions. However, the 10 mg/kg dose prolonged discharge time from recovery room, probably due to delayed recovery. Emergence deliriums were observed in two of all ketamine administered children(4.4%). And the incidences of postanesthetic complications such as vomiting, decreased appetite, lethargy, nausea, nightmare, behavioral change were slightly higher in ketamine administered groups, compared to the control group. Conclusion: The authors conclude that an oral dose of 7 mg/kg ketamine is well accepted in young children undergoing outpatient surgery for inguinal hernia and provides relatively predictable and satisfactory sedation without prolongation of discharge time and significant side effects.-
dc.description.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한마취과학회-
dc.relation.isPartOfJournal of Korean Society of Anesthesiologist(대한마취과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title소아 외래 환자 마취를 위한 Ketamine 경구 전투약-
dc.title.alternativeOral Ketamine Premedication for Pediatric Outpatient Anesthesia-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine (마취통증의학교실)-
dc.contributor.googleauthor이기영-
dc.contributor.googleauthor신양식-
dc.contributor.googleauthor이춘수-
dc.contributor.googleauthor박기용-
dc.contributor.googleauthor이동철-
dc.contributor.googleauthor김종래-
dc.contributor.googleauthor한석주-
dc.contributor.googleauthor황의호-
dc.identifier.doi10.4097/kjae.1996.30.1.58-
dc.contributor.localIdA02695-
dc.contributor.localIdA04288-
dc.relation.journalcodeJ01540-
dc.subject.keywordPremedication, oral-
dc.subject.keywordketamine-
dc.subject.keywordAnesthesia pediatric outpatient-
dc.contributor.alternativeNameLee, Ki Young-
dc.contributor.affiliatedAuthor이기영-
dc.contributor.affiliatedAuthor한석주-
dc.citation.volume30-
dc.citation.number1-
dc.citation.startPage58-
dc.citation.endPage67-
dc.identifier.bibliographicCitationJournal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.30(1) : 58-67, 1996-01-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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