Prevention of emergence agitation in seven children receiving low-dose ketamine and propofol total intravenous anesthesia

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2011-06
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American English
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American Association of Nurse Anesthetists
Abstract

Emergence agitation (EA) can be a distressing side effect of pediatric anesthesia. We observed no recurrence of EA after a low-dose ketamine infusion was added to propofol total intravenous anesthesia in a series of seven pediatric oncology patients repetitively anesthetized for radiation therapy. EA had been documented in all seven patients but did not recur in any of 122 subsequent anesthetics in which this technique was used. Based on these findings, we recommend the addition of low-dose ketamine to propofol infusions for total intravenous anesthesia in order to prevent EA in children with a history of EA.

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Anghelescu, D. L., Rakes, L. C., Shearer, J., & Bikhazi, G. B. (2011). Prevention of emergence agitation in seven children receiving low dose ketamine and propofol total intravenous anesthesia. AANA Journal, 79(3), 238–242.
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