Literature DB >> 34336631

Reliable and Rapid Smooth Extubation After "Ketamine-Propfol Mixture" for Induction of General Anesthesia in Laparoscopic Drilling of Polycystic Ovary: A Randomized, Double-blind, Comparative Study.

Atef Mohammad Khalil1, Joseph Makram Botros1, Maged Labib Boules1, Safaa Gaber Ragab1.   

Abstract

BACKGROUND: Ketofol's effect on hemodynamics and the airway response during inducing general anesthesia has been studied previously. However, ketofol's effect on the smoothness of extubation has not been studied yet.
OBJECTIVES: We aimed to assess ketofol's effect on the smoothness of extubation and compare it with propofol for inducing general anesthesia.
METHODS: This double-blind, randomized, and controlled study was conducted on 106 class I and II female patients with the "American Society of Anesthesiologists Physical Status (ASAPS)," aged 18 - 40 years, scheduled for laparoscopic drilling for polycystic ovary disease under general anesthesia. The patients were assigned to two groups of 53 patients each: Group KP = ketofol and Group P = propofol.
RESULTS: There was an excellent sedation score during suction and extubation in the ketofol group. The airway response and smoothness of extubation were better in the ketofol group than in the propofol group.
CONCLUSIONS: Ketofol as an induction anesthetic agent more effectively attenuated the airway response during extubation than only propofol.
Copyright © 2021, Author(s).

Entities:  

Keywords:  General Anesthesia; Hemodynamics; Ketofol, Airway Response; Smoothness of Extubation

Year:  2021        PMID: 34336631      PMCID: PMC8314091          DOI: 10.5812/aapm.113919

Source DB:  PubMed          Journal:  Anesth Pain Med        ISSN: 2228-7523


  20 in total

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Journal:  Br J Anaesth       Date:  1993-10       Impact factor: 9.166

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Authors:  Sanjay Arora
Journal:  West J Emerg Med       Date:  2008-01

6.  Hemodynamic effects of propofol: data from over 25,000 patients.

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Journal:  Anesth Analg       Date:  1993-10       Impact factor: 5.108

Review 7.  Adverse events associated with ketamine for procedural sedation in adults.

Authors:  Reuben J Strayer; Lewis S Nelson
Journal:  Am J Emerg Med       Date:  2008-11       Impact factor: 2.469

8.  Fentanyl attenuates cardiovascular responses to tracheal extubation.

Authors:  K Nishina; K Mikawa; N Maekawa; H Obara
Journal:  Acta Anaesthesiol Scand       Date:  1995-01       Impact factor: 2.105

9.  Rapid and reliable smooth extubation - Comparison of fentanyl with dexmedetomidine: A randomized, double-blind clinical trial.

Authors:  P Rani; V R Hemanth Kumar; M Ravishankar; T Sivashanmugam; R Sripriya; M Trilogasundary
Journal:  Anesth Essays Res       Date:  2016 Sep-Dec

10.  Effect of ketofol versus propofol as an induction agent on ease of laryngeal mask airway insertion conditions and hemodynamic stability in pediatrics: an observational prospective cohort study.

Authors:  Bacha Aberra; Adugna Aregawi; Girmay Teklay; Hagos Tasew
Journal:  BMC Anesthesiol       Date:  2019-03-20       Impact factor: 2.217

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2.  The Effect of Pneumoperitoneum-induced Hypertension During Laparoscopic Cholecystectomy Under General Anesthesia on Postoperative Pain: A Randomized Clinical Trial.

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3.  A Comparative Study on the Effects of Ketofol, Dexmedetomidine, and Isofol in Anesthesia of Candidates for Dilatation and Curettage.

Authors:  Mahzad Yousefian; Ali Mohammadian Erdi; Negin Haghshenas
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