English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Background: Anesthesia is stressful for children and parents. Although anxiolytics can keep children calm, side effects may exist. No single method shows a clear advantage in keeping the child calm and cooperative. This study aimed to test the efficacy and safety of adding a small dose ketamine to midazolam-based oral premedication on child-parents separation and acceptance of face mask. Methods: Eighty preschool children scheduled for elective surgeries were included. Patients were allocated into 2 groups: A control group (group C), patients received oral midazolam 0.5mg/kg, and a study group (group S), patients the same dose of midazolam in addition to ketamine 2mg/kg. Child reaction to parent separation and parent satisfaction was rated according to separation and satisfaction scores. Induction of anesthesia was carried out using Sevoflurane 6 Vol% in 100% oxygen via face mask; child’s acceptance of the mask was reported. Results: Group (S) children were more cooperative regarding parents separation and acceptance of the face mask than group (C) children (P=0.000&0.02) respectively. No child developed deep sedation in both groups and Sedation score was more satisfactory in group (S), with better parent satisfaction in the same group (p=0.008, P=0.03respectively). Conclusion: Adding a small dose oral ketamine to midazolambased premedication in preschool children proved to be a safe and effective technique in improving child -parent separation and pleasant face mask acceptance.

Supplementary Low - Dose Oral Ketamine Provides Better Parental Separation and Face Mask Acceptance