Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia
BackgroundCoughing during emergence from general anesthesia may be detrimental in children. We compared the effect of a small dose of propofol or ketamine administered at the end of sevoflurane anesthesia on the incidence or severity of coughing in children undergoing a minimal invasive operation.Me...
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doaj-57f47ec75bbb401baf7f3b060cfc734a2020-11-25T03:08:00ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632011-01-01601252910.4097/kjae.2011.60.1.257102Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesiaHae Jin Pak0Won Hyung Lee1Sung Mi Ji2Youn Hee Choi3Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.Department of Anesthesiology and Pain Medicine, Chungnam National University School of Medicine, Daejeon, Korea.BackgroundCoughing during emergence from general anesthesia may be detrimental in children. We compared the effect of a small dose of propofol or ketamine administered at the end of sevoflurane anesthesia on the incidence or severity of coughing in children undergoing a minimal invasive operation.MethodsOne hundred and eighteen children aged between 3 and 15 years, American Society of Anesthesiologists (ASA) status I, were enrolled in this randomized double blind study. Anesthesia was induced with propofol or ketamine and maintained with sevoflurane in N2O/O2. Each group received propofol 0.25 mg/kg or ketamine 0.25 mg/kg and the control group received saline 0.1 ml/kg. The decision to perform tracheal extubation was based on specified criteria, including the resumption of spontaneous respiration. During emergence from anesthesia and extubation, coughing was observed and graded at predefined times.ResultsThe incidence of emergence without coughing was higher in the propofol group than in the ketamine and control group (19%, 11% and 6%, respectively), whereas the incidence of severe coughing was higher in the control group than in propofol and ketamine group (17.14%, 10.0% and 6.98%, respectively).ConclusionsThe addition of propofol 0.25 mg/kg decreased the incidence of coughing after sevoflurane general anesthesia in children undergoing non-painful procedures.http://ekja.org/upload/pdf/kjae-60-25.pdfcoughketaminepropofol |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hae Jin Pak Won Hyung Lee Sung Mi Ji Youn Hee Choi |
spellingShingle |
Hae Jin Pak Won Hyung Lee Sung Mi Ji Youn Hee Choi Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia Korean Journal of Anesthesiology cough ketamine propofol |
author_facet |
Hae Jin Pak Won Hyung Lee Sung Mi Ji Youn Hee Choi |
author_sort |
Hae Jin Pak |
title |
Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia |
title_short |
Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia |
title_full |
Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia |
title_fullStr |
Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia |
title_full_unstemmed |
Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia |
title_sort |
effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2011-01-01 |
description |
BackgroundCoughing during emergence from general anesthesia may be detrimental in children. We compared the effect of a small dose of propofol or ketamine administered at the end of sevoflurane anesthesia on the incidence or severity of coughing in children undergoing a minimal invasive operation.MethodsOne hundred and eighteen children aged between 3 and 15 years, American Society of Anesthesiologists (ASA) status I, were enrolled in this randomized double blind study. Anesthesia was induced with propofol or ketamine and maintained with sevoflurane in N2O/O2. Each group received propofol 0.25 mg/kg or ketamine 0.25 mg/kg and the control group received saline 0.1 ml/kg. The decision to perform tracheal extubation was based on specified criteria, including the resumption of spontaneous respiration. During emergence from anesthesia and extubation, coughing was observed and graded at predefined times.ResultsThe incidence of emergence without coughing was higher in the propofol group than in the ketamine and control group (19%, 11% and 6%, respectively), whereas the incidence of severe coughing was higher in the control group than in propofol and ketamine group (17.14%, 10.0% and 6.98%, respectively).ConclusionsThe addition of propofol 0.25 mg/kg decreased the incidence of coughing after sevoflurane general anesthesia in children undergoing non-painful procedures. |
topic |
cough ketamine propofol |
url |
http://ekja.org/upload/pdf/kjae-60-25.pdf |
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