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[Administration of diprivan during urological surgery in children]
Insights
Diprivan anesthesia offers faster recovery than ketamine for pediatric urological surgeries. Diprivan (propofol) resulted in significantly shorter emergence times compared to ketamine narcosis.
Area of Science:
- Pediatric Anesthesiology
- Surgical Nursing
Context:
- Urological operations in children aged 6-14 years.
- Comparison of two anesthesia methods: ketamine vs. diprivan (propofol) with fentanyl.
- Premedication included atropine, dimedrol, and sibazone for all patients.
Purpose:
- To evaluate the efficacy and recovery profiles of ketamine versus diprivan-based anesthesia for pediatric urological procedures.
- To compare the duration of the waking up period between the two anesthetic agents.
Summary:
- Diprivan anesthesia was associated with a shorter waking up period (35.2 min) compared to ketamine (86.9 min) in pediatric patients undergoing urological surgery.
- While diprivan caused mild hypertension in all patients and involuntary movements in 37%, pain on injection occurred in 14%. Bradycardia was absent.
- Ketamine anesthesia was used in 56 children, while diprivan with fentanyl was used in 43 children.
Impact:
- Diprivan-based anesthesia demonstrates significant advantages over ketamine for pediatric urological surgery due to faster patient recovery.
- Findings suggest diprivan as a potentially superior anesthetic agent for improving patient throughput and reducing post-anesthesia care unit (PACU) times in pediatric surgical settings.
Abstract:
In 56 children, aged from 6 to 14 years, while performing urological operations the narcosis using ketamine was applied and in 43--basing on diprivan and anesthesy with phentanyl. In all the children premedication was conducted using atropine, dimedrol and sibazone. Pain in the vein while diprivan was injected occurred in 6 (14%) of children, involuntary movements--in 16 (37%). While application of diprivan in all the children the mild arterial hypertension was observed, bradycardia was absent on all stages of anesthesy period. The waking up period duration after conduction of anesthesy using ketamine had constituted at average (86.9 +/- 13.1) min, and using diprivan--(35.2 +/- 11.3) min (P < 0.01). Anesthesy basing on diprivan owes significant advantages in comparison with narcosis using ketamine during performance of urological operation in a child.