A prospective randomized controlled study of the efficacy of ketamine for postoperative pain relief in children after adenotonsillectomy

被引:42
作者
Aspinall, RL [1 ]
Mayor, A [1 ]
机构
[1] Royal United Hosp, Dept Anaesthet, Bath BA1 3NG, Avon, England
来源
PAEDIATRIC ANAESTHESIA | 2001年 / 11卷 / 03期
关键词
anaesthesia : tonsillectomy; drugs; morphine; ketamine;
D O I
10.1046/j.1460-9592.2001.00676.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background: Adenotonsillectomy is commonly needed by children with obstructive sleep apnoea syndrome. This population is at high risk of life threatening airway obstruction in the postoperative period. Methods: Fifty children were studied to test the efficacy of an alternative analgesic to the use of opioids in providing analgesia in the immediate postoperative period. Patients were randomized to receive either 0.1 mg.kg(-1) morphine or 0.5 mg.kg(-1) ketamine at induction. Results: Ketamine was as effective as morphine with no additional side-effects. Conclusions: Ketamine is a safe and effective alternative to morphine to provide analgesia in the immediate postoperative period after tonsillectomy.
引用
收藏
页码:333 / 336
页数:4
相关论文
共 15 条
[1]  
ALI NJ, 1991, AM REV RESPIR DIS, V143, pA381
[2]   Analgesic efficacy of paracetamol in children using tonsillectomy as a pain model [J].
Anderson, B ;
Kanagasundarum, S ;
Woollard, G .
ANAESTHESIA AND INTENSIVE CARE, 1996, 24 (06) :669-673
[3]  
BENEDIKSDOTTIR B, 1990, SLEEP RELATED BREATH
[4]   Masked bleeding posttonsillectomy with ondansetron [J].
Courtman, SP ;
Rawlings, E ;
Carr, AS .
PAEDIATRIC ANAESTHESIA, 1999, 9 (05) :467-467
[5]   OBSTRUCTIVE SLEEP-APNEA IN CHILDREN UNDERGOING ROUTINE TONSILLECTOMY AND ADENOIDECTOMY [J].
CROFT, CB ;
BROCKBANK, MJ ;
WRIGHT, A ;
SWANSTON, AR .
CLINICAL OTOLARYNGOLOGY, 1990, 15 (04) :307-314
[6]   COMPARISON OF CAUDAL AND ILIOINGUINAL ILIOHYPOGASTRIC NERVE BLOCKS FOR CONTROL OF POST-ORCHIOPEXY PAIN IN PEDIATRIC AMBULATORY SURGERY [J].
HANNALLAH, RS ;
BROADMAN, LM ;
BELMAN, AB ;
ABRAMOWITZ, MD ;
EPSTEIN, BS .
ANESTHESIOLOGY, 1987, 66 (06) :832-834
[7]   Postal survey of the anaesthetic techniques used for paediatric tonsillectomy surgery [J].
Hatcher, IS ;
Stack, CG .
PAEDIATRIC ANAESTHESIA, 1999, 9 (04) :311-315
[8]   Ketamine: Teaching an old drug new tricks [J].
Kohrs, R ;
Durieux, ME .
ANESTHESIA AND ANALGESIA, 1998, 87 (05) :1186-1193
[9]   POSTOPERATIVE MORPHINE REQUIREMENTS, NAUSEA AND VOMITING FOLLOWING ANESTHESIA FOR TONSILLECTOMY - COMPARISON OF INTRAVENOUS MORPHINE AND NONOPIOID ANALGESIC TECHNIQUES [J].
MATHER, SJ ;
PEUTRELL, JM .
PAEDIATRIC ANAESTHESIA, 1995, 5 (03) :185-188
[10]  
MURRAY WB, 1987, S AFR MED J, V72, P839