Yıl: 1999 Cilt: 29 Sayı: 4 Sayfa Aralığı: 467 - 470 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine

Öz:
This study was designed to investigate the anxiolytic effects as well as acceptance of spinal anesthesia after rectally administered midazolam, ketamine and atropine for postoperative sedation in children. Spinal anesthesia is an easy and safe method in the pediatric age group especially for outpatients. Spinal anesthesia was administered to 20 patients, aged between 2 months and 2 years, premedicated with 0.5 mg/kg midazolam + 5 mg/kg ketamine + 0.02 mg/kg atropine rectally. During vein puncture 14 children were asleep, 5 children were anxious and 1 child was crying and during spinal anesthesia 7 children were asleep, 10 children were anxious and 3 children were crying. Motor and sensorial blockade was observed in 17 childern. 12 of them were asleep, but 5 children were anxious during surgery. We found that rectal premedication with midazolam, ketamine and atropine increases tolerance to vein puncture and spinal anesthesia.
Anahtar Kelime: Midazolam Child Ketamine Anesthesia, Spinal Atropine Rectal premedication Preanesthetic Medication

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Allonen H, Anttila V, Klotz U. Efectkinetics of midazolam. A new hypnotic benzodiazepine derivative. Naunyn. Schmiedeberg’s Arch. Pharmacol. 316 (suppl.): R. 74, 1981.
  • 2. Schultetus RR, Paulus DA, Spohr GK. Haemodynamic effects of ketamine and thiopentone during anaesthetic induction caeserean section. Can. Anaesth. Soc. J. 32: 592, 1985.
  • 3. Cartwright PD, Pingel SM. Midazolam and diazepam in ketamine anaesthesia. Anaesthesia 38; 439, 1984.
  • 4. De Jang PC, Verburg MP. Comparison of rectal to intramuscular administration of midazolam and atropine for premedication of children. Acta Anaesthesiologica Scandinavica, 32 (6); 485–9, 1988.
  • 5. Blaise G, Roy WL. Spinal anesthesia in children. Anesth. Analg. (Cleve), 63; 1139, 1984.
  • 6. Lokken P, Bakstad OJ, Fonnelop E. Consesious sedation by rectal administration of midazolam or plus ketamin as alternatives to general anesthesia for dental treatment of uncooperative children. Scandinavian Journal of Dental Research, 102 (5); 274–78, 1994.
  • 7. Saint–Maurice C, Esteve C, Holzer J. Gaudiche O, Lauture D, Hetzel W. Bessere Akzeptanz Massnahmen zur Einletiung einer narkose nach rektaler pramedikation mit midazolam bei kindern. Anaesthesist 1987; 36: 629–33.
  • 8. Andersen G, Pedersen NA, Johansson G, Stjernholm, Reinstrup P. Rectal midazolam as premedicant in children: a dose response study. Paed Anaesth 1994; 4: 365–70.
  • 9. Krafft TC, Kramer N, Kunzelmann KH, Hickel R. Experience with midazolam as sedative in the dental treatment of uncooperative children. ASDC Journal of Dentistry for children, 60 (4–5); 295–9, 1993.
  • 10. Shane SA, Fuchs SM, Khine. Efficacy of rectal midazolam for the sedation of prescholl children undergoing laceration repair. Annals of Emergency Medicine, 24 (6); 1065–73, 1994.
  • 11. Beebe DS, Belani KG, Chang RN. Effectiveness of preperative sedation with rectal midazolam, ketamine or their combinatin in young children. Anesth. Analg., 75 (6); 880–4, 1992.
  • 12. Piotrowski R, Petrow N. Anaesthesia induction in children: propofol in comparison ith thiopental following premedication with midazolam. Anaesthetist, 39 (8); 398–405, 1990.
  • 13. Gray HT. A study of spinal anesthesia in infants and children. Lancet, 3; 913, 1909.
  • 14. Abajian C, Paul Mellish RW, Browne AF. Spinal anesthesia for surgery in the high–risk infant. Anesth. Analg., 63; 359–62, 1984.
  • 15. Broadman LM. Reigonal anaesthesia in paediatric practice. Can. J. Anaesth., 34; S 43, 1987.
  • 16. Collins VJ. Principles of anesthesiology, Vol 2, Lea Pebiger Philedelphia, 3rd Edition 1993, p 1535.
APA SARIHASAN B, BARIŞ S, YEŞİLTAŞ F, TÜR A, ŞAHİNOĞLU H, ÜSTÜN E, GÜLDOĞUŞ F, karakaya d, Kayhan Z (1999). Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. , 467 - 470.
Chicago SARIHASAN Binnur,BARIŞ Sibel,YEŞİLTAŞ Fadime,TÜR Ayla,ŞAHİNOĞLU Haydar,ÜSTÜN Emre,GÜLDOĞUŞ Fuat,karakaya deniz,Kayhan Zeynep Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. (1999): 467 - 470.
MLA SARIHASAN Binnur,BARIŞ Sibel,YEŞİLTAŞ Fadime,TÜR Ayla,ŞAHİNOĞLU Haydar,ÜSTÜN Emre,GÜLDOĞUŞ Fuat,karakaya deniz,Kayhan Zeynep Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. , 1999, ss.467 - 470.
AMA SARIHASAN B,BARIŞ S,YEŞİLTAŞ F,TÜR A,ŞAHİNOĞLU H,ÜSTÜN E,GÜLDOĞUŞ F,karakaya d,Kayhan Z Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. . 1999; 467 - 470.
Vancouver SARIHASAN B,BARIŞ S,YEŞİLTAŞ F,TÜR A,ŞAHİNOĞLU H,ÜSTÜN E,GÜLDOĞUŞ F,karakaya d,Kayhan Z Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. . 1999; 467 - 470.
IEEE SARIHASAN B,BARIŞ S,YEŞİLTAŞ F,TÜR A,ŞAHİNOĞLU H,ÜSTÜN E,GÜLDOĞUŞ F,karakaya d,Kayhan Z "Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine." , ss.467 - 470, 1999.
ISNAD SARIHASAN, Binnur vd. "Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine". (1999), 467-470.
APA SARIHASAN B, BARIŞ S, YEŞİLTAŞ F, TÜR A, ŞAHİNOĞLU H, ÜSTÜN E, GÜLDOĞUŞ F, karakaya d, Kayhan Z (1999). Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. Turkish Journal of Medical Sciences, 29(4), 467 - 470.
Chicago SARIHASAN Binnur,BARIŞ Sibel,YEŞİLTAŞ Fadime,TÜR Ayla,ŞAHİNOĞLU Haydar,ÜSTÜN Emre,GÜLDOĞUŞ Fuat,karakaya deniz,Kayhan Zeynep Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. Turkish Journal of Medical Sciences 29, no.4 (1999): 467 - 470.
MLA SARIHASAN Binnur,BARIŞ Sibel,YEŞİLTAŞ Fadime,TÜR Ayla,ŞAHİNOĞLU Haydar,ÜSTÜN Emre,GÜLDOĞUŞ Fuat,karakaya deniz,Kayhan Zeynep Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. Turkish Journal of Medical Sciences, vol.29, no.4, 1999, ss.467 - 470.
AMA SARIHASAN B,BARIŞ S,YEŞİLTAŞ F,TÜR A,ŞAHİNOĞLU H,ÜSTÜN E,GÜLDOĞUŞ F,karakaya d,Kayhan Z Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. Turkish Journal of Medical Sciences. 1999; 29(4): 467 - 470.
Vancouver SARIHASAN B,BARIŞ S,YEŞİLTAŞ F,TÜR A,ŞAHİNOĞLU H,ÜSTÜN E,GÜLDOĞUŞ F,karakaya d,Kayhan Z Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine. Turkish Journal of Medical Sciences. 1999; 29(4): 467 - 470.
IEEE SARIHASAN B,BARIŞ S,YEŞİLTAŞ F,TÜR A,ŞAHİNOĞLU H,ÜSTÜN E,GÜLDOĞUŞ F,karakaya d,Kayhan Z "Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine." Turkish Journal of Medical Sciences, 29, ss.467 - 470, 1999.
ISNAD SARIHASAN, Binnur vd. "Spinal anesthesia in children with rectal premedication with midazolam, ketamine and atropine". Turkish Journal of Medical Sciences 29/4 (1999), 467-470.