유소아 응급처치시 Ketamine hydrochloride의 효과 = THE EFFECT OF KETAMINE HYDROCHLORIDE(THE INDICATION OF INFANT AND CHILD PATIENT)

다국어 초록 (Multilingual Abstract)

Our study was made on 96 cases of ketamine anesthesia, who visited to emergency department of Chosun university hospital. This patient was not controlled by verbal order and lidocaine anesthesia, and indication for the use of ketamine(from 1 to 5 years old).
Dosage of ketamine in the intramuscular injection was 5mg/kg, in the intravenous injection was 2mg/kg.
The results were as follows;
1. After the ketamine injected, expending time doing induction was for 2∼4 minutes in cases of intramuscular injection, and expending time doing induction was for 20∼60 seconds in cases of intravenous injection
2. After the ketamine injected, patient`s awake time was 50±5 minutes in case of intramuscular injection, and that is 20±5 minutes in cases of intravenous injection.
3. Injected ketamine caused increased blood pressure, pulse rate, and respiration rate, and saturation of oxygen was maintained 92-98% level.
4. In adverse effect, the presence of spontaneous eye opening, mild a groan, purposeless involuntary movement and increased excretion of saliva was appeared.
5. Advantage of ketamine injection was that one attendant was enough for restraining the patient, and reduced pain sense, and operator performed various procedures easily on stable condition.
From the above results, it was considered in emergency department that indications for ketamine anesthesia are primary closure of simple facial laceration, burn dressing, and some diagnostic procedures( cardiac & ureteric catheterization, cystoscopy) in pediatric patients. It was considered, that all procedures should be performed under fullfill all the condition such as professional control devices(esp. central monitoring system) and basic CPR instruments and ketamine anesthesia-skilled doctor.