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Post-operative requirement after cesarean section: A comparison of anesthetic induction with Ketamin or Thiopental
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A.R.Kholdbarin (M.D) *   1, P.Soltani (M.D) |
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Abstract: (31135 Views) |
| In a randomized study we compared postoperative pain and analgesic requirement in patients who underwent elective cesarean section under general anesthesia induced with Thiopental 4 mg/kg (N=25) or Ketamin 1 mg/kg (N=25). Anesthesia was maintained with N2O and Halothane. Postoperative pain was measured with OPS scale and analgesia was provided with Morphine. Median time to first need of analgesic was greater in Ketamine group compared with Thiopental group. Median Morphine consumption over 24 hour was less in Ketamine group compared with Thiopental group. No patient had recall of intraoperative events in Ketamine group however in Thiopental group 12% of patients had such recalls. Apgar score was similar between groups. Induction of anesthesia for cesarean section using Ketamine is associated with a lower postoperative analgesic requirement compared with Thiopental. Patients who had anesthesia for cesarean section induced with Ketamine required less analgesic drugs in the first 24 hours postoperative period compared with patients who received Thiopental. Ketamin unlike Thiopental has analgesic properties that may reduce sensitization of pain pathways and extend into post-operative period. |
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| Keywords: Thiopental, Ketamin, Stress response, Preemptive analgesia |
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Full-Text [PDF 1223 kb]
(18838 Downloads)
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Type of Study: Original Articles |
Subject:
General
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| * Corresponding Author Address: Department of anesthesiology ,Firoozgar hospital ,Iran Medical Science Universiyt |
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