Beneficial Effects of Adding Ketamine to Intravenous Patient-Controlled Analgesia with Fentanyl after the Nuss Procedure in Pediatric Patients
DC Field | Value | Language |
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dc.contributor.author | Cha, Moon Ho | - |
dc.contributor.author | Eom, Ji Hye | - |
dc.contributor.author | Lee, Yoon Sook | - |
dc.contributor.author | Kim, Woon Young | - |
dc.contributor.author | Park, Young Cheol | - |
dc.contributor.author | Min, Sam Hong | - |
dc.contributor.author | Kim, Jae Hwan | - |
dc.date.accessioned | 2021-09-06T08:15:26Z | - |
dc.date.available | 2021-09-06T08:15:26Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2012-03-01 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/105315 | - |
dc.description.abstract | Purpose: The aim of this prospective, double-blind, randomized study was to investigate the analgesic effects of low-dose ketamine on intravenous patient-controlled analgesia (IV-PCA) with fentanyl for pain control in pediatric patients following the Nuss procedure for pectus excavatum. Materials and Methods: Sixty pediatric patients undergoing the Nuss procedure were randomly assigned to receive fentanyl (Group F, n=30) or fentanyl plus ketamine (Group FK, n=30). Ten minutes before the end of surgery, following the loading dose of each solution, 0.5 pg/kg/hr of fentanyl or 0.5 mu g/kg/hr of fentanyl plus 0.15 mg/kg/hr of ketamine was infused via an IV-PCA pump (basal rate, I mL/hr; bolus, 0.5 mL; lock out interval, 30 min). Fentanyl consumption, pain score, ketorolac use, nausea/vomiting, ondansetron use, pruritus, respiratory depression, hallucination, dreaming, and parent satisfaction with pain control were measured throughout the 48 hours following surgery. Results: The pain scores, ketorolac use, and fentanyl consumption of Group FK were significantly lower than in Group F (p<0.05). The incidence of nausea/vomiting and ondansetron use in Group FK was significantly lower than in Group F (p<0.05). There were no reports of respiratory depression, hallucination or dreaming. Parent satisfaction with pain control was similar between the two groups. Conclusion: We concluded that low-dose ketamine added to IV-PCA with fentanyl after the Nuss procedure in pediatric patients can reduce pain scores, consumption of fentanyl, and incidence of nausea/vomiting without increasing side effects. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | YONSEI UNIV COLL MEDICINE | - |
dc.subject | POSTOPERATIVE PAIN MANAGEMENT | - |
dc.subject | MAJOR ABDOMINAL-SURGERY | - |
dc.subject | PECTUS EXCAVATUM REPAIR | - |
dc.subject | MORPHINE CONSUMPTION | - |
dc.subject | CHILDREN | - |
dc.subject | COMBINATION | - |
dc.title | Beneficial Effects of Adding Ketamine to Intravenous Patient-Controlled Analgesia with Fentanyl after the Nuss Procedure in Pediatric Patients | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Woon Young | - |
dc.contributor.affiliatedAuthor | Park, Young Cheol | - |
dc.contributor.affiliatedAuthor | Kim, Jae Hwan | - |
dc.identifier.doi | 10.3349/ymj.2012.53.2.427 | - |
dc.identifier.scopusid | 2-s2.0-84863156324 | - |
dc.identifier.wosid | 000300213600026 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, v.53, no.2, pp.427 - 432 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.citation.title | YONSEI MEDICAL JOURNAL | - |
dc.citation.volume | 53 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 427 | - |
dc.citation.endPage | 432 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART001635032 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalWebOfScienceCategory | Medicine, General & Internal | - |
dc.subject.keywordPlus | POSTOPERATIVE PAIN MANAGEMENT | - |
dc.subject.keywordPlus | MAJOR ABDOMINAL-SURGERY | - |
dc.subject.keywordPlus | PECTUS EXCAVATUM REPAIR | - |
dc.subject.keywordPlus | MORPHINE CONSUMPTION | - |
dc.subject.keywordPlus | CHILDREN | - |
dc.subject.keywordPlus | COMBINATION | - |
dc.subject.keywordAuthor | Fentanyl | - |
dc.subject.keywordAuthor | funnel chest | - |
dc.subject.keywordAuthor | ketamine | - |
dc.subject.keywordAuthor | patient-controlled analgesia | - |
dc.subject.keywordAuthor | pediatrics | - |
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