A Study to Evaluate KM/Propofol versus KM Alone for Procedural Sedation in Children
Kinsara, A., Almehmadi, A., Abdulmajid, T., Ashoor, M., Al Saqabi, Q., Alrzoq, R., Abulhamail, B., Almatrafi, R., Almazrui, B., Alghamdi, B., Alshammari, F. (2017). A Study to Evaluate KM/Propofol versus KM Alone for Procedural Sedation in Children. EKB Journal Management System, 69(8), 2981-2985. doi: 10.12816/0042839
Abdulrahman Fayez Kinsara; Ahmad Abdulaziz M. Almehmadi; Turki Jafar Abdulmajid; Motaz Ashoor; Qusai Abdullah Al Saqabi; Rakan Abdulrahman Alrzoq; Badr Wadee S Abulhamail; Randa Fahad Almatrafi; Basim Salman w Almazrui; Basem Abdullah Alghamdi; Fawaz Sulaiman Ayed Alshammari. "A Study to Evaluate KM/Propofol versus KM Alone for Procedural Sedation in Children". EKB Journal Management System, 69, 8, 2017, 2981-2985. doi: 10.12816/0042839
Kinsara, A., Almehmadi, A., Abdulmajid, T., Ashoor, M., Al Saqabi, Q., Alrzoq, R., Abulhamail, B., Almatrafi, R., Almazrui, B., Alghamdi, B., Alshammari, F. (2017). 'A Study to Evaluate KM/Propofol versus KM Alone for Procedural Sedation in Children', EKB Journal Management System, 69(8), pp. 2981-2985. doi: 10.12816/0042839
Kinsara, A., Almehmadi, A., Abdulmajid, T., Ashoor, M., Al Saqabi, Q., Alrzoq, R., Abulhamail, B., Almatrafi, R., Almazrui, B., Alghamdi, B., Alshammari, F. A Study to Evaluate KM/Propofol versus KM Alone for Procedural Sedation in Children. EKB Journal Management System, 2017; 69(8): 2981-2985. doi: 10.12816/0042839

A Study to Evaluate KM/Propofol versus KM Alone for Procedural Sedation in Children

The Egyptian Journal of Hospital Medicine
Article 6, Volume 69, Issue 8, October 2017, Page 2981-2985  XML PDF (285.52 K)
Document Type: Original Article
DOI: 10.12816/0042839
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Authors
Abdulrahman Fayez Kinsara1; Ahmad Abdulaziz M. Almehmadi2; Turki Jafar Abdulmajid3; Motaz Ashoor4; Qusai Abdullah Al Saqabi5; Rakan Abdulrahman Alrzoq6; Badr Wadee S Abulhamail7; Randa Fahad Almatrafi8; Basim Salman w Almazrui9; Basem Abdullah Alghamdi10; Fawaz Sulaiman Ayed Alshammari11
1King Faisal Hospital Makkah
2Ibn Sina National College
3Al Immam Abdulrahman Al Faisal Hospital
4King Abdulalziz General Hospital Jeddah Radiology Department
5Al Jouf University
6Imam University
7King Abdulaziz University Hospital
8Al-Noor Specialty Hospital
9GP in Aseer Hospital
10GP - Najran University Hospital
11University of Hail
Abstract
Background: The co-administration of ketamine and propofol (CoKP) is thought to maximize the beneficial profile of each medication, while minimizing the respective adverse effects of each medication.
Objective: Our objective was to compare adverse events between ketamine monotherapy (KM) and CoKP for procedural sedation and analgesia (PSA) in a pediatric emergency department (ED).
Methods: This was a prospective, randomized, single-blinded, controlled trial of KM vs. CoKP in patients between 3 and 21 years of age. The attending physician administered either ketamine 1 mg/kg i.v. or ketamine 0.5 mg/kg and propofol 0.5 mg/kg i.v. The physician could administer up to three additional doses of ketamine (0.5 mg/kg/dose) or ketamine/propofol (0.25 mg/kg/dose of each). Adverse events (e.g., respiratory events, cardiovascular events, unpleasant emergence reactions) were recorded. Secondary outcomes included efficacy, recovery time, and satisfaction scores.
Results: Thirty-two patients were randomized to KM and 29 patients were randomized to CoKP. There was no difference in adverse events or type of adverse event, except nausea was more common in the KM group. Efficacy of PSA was higher in the KM group (99%) compared to the CoKP group (90%). Median recovery time was the same.
Conclusions: We found no significant differences in adverse events between the KM and CoKP groups. While CoKP is a reasonable choice for pediatric PSA, our study did not demonstrate an advantage of this combination over KM.
 
Keywords
Ketamine; propofol; Procedural Sedation
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