Sedoanalgesia in pediatric daily surgery.
OBJECTIVE
The present report was focused on clinical advantages of sedoanalgesia in the pediatric outpatient surgical cases.


METHODS
Sedoanalgesia has been used to sedate patients for a variety of pediatric procedures in our department between 2007 and 2010. This is a retrospective review of 2720 pediatric patients given ketamine for sedation with midazolam premedication. Ketamine was given intravenously (1-2 mg/kg) together with atropine (0.02 mg/kg) and midazolam (0.1 mg/kg) + a local infiltration anesthetic 2 mg/kg 0.5% bupivacaine hydrochloride.


RESULTS
Median age of the patients included in the study was 5.76 ± 2.12 (0-16 years). The main indications for ketamine include circumcision (69%), inguinal pathologies (inguinal hernia (17%), orchidopexy (2.68%), hydrocele (3.38%), hypospadias (1.94%), urethral fistula repair (0.33%), urethral dilatation (0.25%), and other conditions. All of our patients were discharged home well. In this regard, we have the largest group of patients ever given ketamine.


CONCLUSIONS
Sedoanalgesia might be used as a quite effective method for daily surgical procedures in children.
Department of Pediatric Surgery, School of Medicine, University of Duzce Duzce, Turkey.
Aybars
A
Ozkan
Mesut
M
Okur
Murat
M
Kaya
Ertugrul
E
Kaya
Adem
A
Kucuk
Mesut
M
Erbas
Leyla
L
Kutlucan
Leyla
L
Sahan
Child; ketamine; pediatric surgical procedures; sedoanalgesia