Induction of Anesthesia for Cesarean Section Using Small Dose of Ketamine .

Lee,  Young Bum; Kim,  Duck Hee; Choe,  Huhn

doi:1982.15.3.256

Clinical Research Article

Korean Journal of Anesthesiology 1982;15(3):256-262.
DOI: https://doi.org/10.4097/kjae.1982.15.3.256

Induction of Anesthesia for Cesarean Section Using Small Dose of Ketamine .

Young Bum Lee, Duck Hee Kim, Huhn Choe

Department of Anesthesiology, Jeonbug University College of Medicine, Jeonju, Korea.

Abstract

Safety for both mother and infant is an imperative element in anesthesia for cesarean section, and ketamine has been widely used in obstetrical anesthesia especially for analgesis for normal vagianl delivery. Small doses of ketamins(0.2~0.5mg/kg) provides satisfactory analgesia during delivery without significant marternal and fetal complications. We added nitrous oxide to the small dose of ketamine and applied it to the induction of anesthesia for cesarean section and the results were compared with those of thiopental. A small dose of ketamine with nitrous oxide may be superior to an ordinary dose of thiopental, in the effects on the maternal cardiovascular system and the Apgar score of the fetus although the Apgar score only is not sufficient to evaluate neonatal condition.