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Article: Effect of Intravenous Ketamine Infusion on Hemodynamics of Patients Undergoing Cesarean Delivery after Spinal Anaesthesia: A Randomized, Double-Blind, Controlled Trial.

Aboelsuod, Mohamed Abdelgawad Abdelhalim / Elnaggar, Ahmed Mossad Ahmed / Alwafa, Tarek Abu Alkasem Abu / Ahmed, Mostafa Mohamed Hussien / Elbeltagy, Ahmed Salah Ahmed / Elbarbary, Mohamed Ibrahim Abdelkader

Turkish journal of anaesthesiology and reanimation

2023  Volume 51, Issue 5, Page(s) 420–426

Abstract: Objective: Hypotension is the most frequent side effect of intrathecal anaesthesia, with an incidence of more than 80%. Following neuraxial anaesthesia, perioperative shivering is a serious complication affecting 40-60% of patients undergoing surgery. ... ...

Abstract Objective: Hypotension is the most frequent side effect of intrathecal anaesthesia, with an incidence of more than 80%. Following neuraxial anaesthesia, perioperative shivering is a serious complication affecting 40-60% of patients undergoing surgery. This study aimed to determine the effectiveness of low-dose ketamine on blood pressure in patients undergoing cesarean delivery after spinal anaesthesia.
Methods: We included 126 female patients undergoing cesarean deliveries, American Society of Anesthesiologists (ASA)-(II and III), and aged 21-40 selected from the outpatient clinics of the anaesthesia department. Patients were randomized to two groups; Group K (63 patients), who received 0.3 mg kg
Results: Compared with the saline group, the average heart rate, blood pressure, and level of sedation were significantly higher in the ketamine group (
Conclusion: Ketamine decreases the incidence of hypotension and shivering in patients undergoing spinal anaesthesia during cesarean delivery. In addition, it resulted in improved sedation for the mother and prolonged postoperative analgesia without neonatal illness.
Language English
Publishing date 2023-10-26
Publishing country Turkey
Document type Journal Article
ISSN 2667-677X
ISSN 2667-677X
DOI 10.4274/TJAR.2023.231231
Database MEDical Literature Analysis and Retrieval System OnLINE

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