title: [Propofol-ketamine vs propofol-fentanyl in short gynecologic surgery].
abstract: The study was performed to investigate efficacy and tolerability of the association propofol-ketamine as alternative to propofol-fentanyl. Forty female, classified ASA I-II, aged 18-50 years and scheduled for short gynecologic procedures under general anesthesia were included in a comparative, randomized, single blind study. Patients were divided in two groups; in group K anesthesia was induced with propofol 1.5 mg/kg and ketamine 1 mg/kg i.v. In group F anesthesia was induced with propofol 2.5 mg/kg and fentanyl 1.5 micrograms/kg. Arterial blood pressure (BP), heart rate (HR), respiratory rate (RR) and arterial O2 saturation (SATO2) were measured. Though preliminary, our data suggest that the association propofol-ketamine reach an adequate level of anesthesia with few and negligible effects on cardiorespiratory system, thus allowing a better operability and safety. The incidence of post operative psychotic disturbances seems to be low and moderate. We can't draw any definitive conclusion, but we think that other studies should be performed to clarify the possible role of ketamine in propofol anesthesia.
authors.affiliation: Servizio di Anestesia e Rianimazione, Ospedale S. Paolo di Milano.
authors.forename: A
authors.initials: A
authors.lastname: Sicignano
authors.forename: V
authors.initials: V
authors.lastname: Bellato
authors.forename: F
authors.initials: F
authors.lastname: Cancellieri
authors.forename: C
authors.initials: C
authors.lastname: Foroni
authors.forename: D
authors.initials: D
authors.lastname: Giubelli
authors.forename: G
authors.initials: G
authors.lastname: Latis
authors.forename: D
authors.initials: D
authors.lastname: Moro
authors.forename: A
authors.initials: A
authors.lastname: Riboni
authors.forename: S
authors.initials: S
authors.lastname: Vesconi
mesh_terms: D000293:Adolescent; D000328:Adult; D000758:Anesthesia; D004338:Drug Combinations; D005260:Female; D005283:Fentanyl; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D007649:Ketamine; D008875:Middle Aged; D015742:Propofol
chemical_list: D004338:Drug Combinations; D007649:Ketamine; D005283:Fentanyl; D015742:Propofol
vernacular_title: Propofol-ketamina vs propofol-fentanyl nella piccola chirurgia ginecologica.