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Incidence of oxygen desaturation during intravenous ketamine and the effects of basic airway management maneuvers on it.

By:

Lamgade, Amit

Publication details: c2007.Description: xiv, 58pSubject(s):

NLM classification:

THS-00166

Online resources:

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Summary: ABSTRACT: Objectives: To evaluate and compare the incidence of oxygen desaturation during intravenous ketamine for short surgical procedure in spontaneously breathing patients and the effects of basic airway management maneuvers on it two different hilly areas of Nepal. Design and Methodology: A population based comparative study was done at two different hospitals situated in hilly regions of Nepal, situated 1361m and 1600m above the sea level respectively. Children aged between 3 months and 14 years were observed for their oxygen saturation with the help of pulse Oximeter during intravenous ketamine anaesthesia for short surgical procedures lasting less than 15 minutes. Patients showing oxygen desaturation ( SpO2<90%) were treated with basic airway management maneuvers like chin lift, jaw thrust, physical stimulation and oropharyngeal suction initially, and oxygen was supplemented when all the maneuvers failed to improve oxygen saturation within 1 minute. Results: 79 patients from Tansen mission hospital and 66 patients from Okhaldhunga community hospital were enrolled; the incidence of desaturation was 8(10%) and 11(16.1%) in Tansen and Okhaldhunga respectively. Among those who showed desaturation, all children from TMH and 10(90.9%) from OCH, showed desaturation within first 2 minutes of ketamine administration. 7(87.5%) and 8(72.7%) of the patients with desaturation from TMH and OCH respectively, were improved to > 90% with chin lift only and rest needed jaw thrust, but none of the patients needed physical stimulation, oropharyngeal suction, and most importantly supplemental oxygen. Conclusion: The incidence of oxygen desaturation is common within first few minutes of ketamine administration, Basic airway like chin lift and jaw thrust is enough to improve oxygen saturation, and physical stimulation, suction is usually procedure lasting less than 15 minutes if the person giving ketamine manage the airway skillfully.

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Item type	Current library	Call number	Status	Date due	Barcode
Thesis Report	Nepal Health Research Council Reference	THS00166/LAM/2007 (Browse shelf(Opens below))	Available		THS-00166

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Previous	THS00162/RAN/2008 A study on status of senior citizen of Kathmandu metropolitan city, Kathmandu, Nepal.	THS00164/TIM/2007 Knowledge regarding reproductive health among school going adolescent of Shram Rastriya secondary school, Chabahil, Kathmandu.	THS00165/TIM/2006 Visitor's perception towards Nurses communication and attitude in different wards of Tribhuvan university teaching hospital.	THS00166/LAM/2007 Incidence of oxygen desaturation during intravenous ketamine and the effects of basic airway management maneuvers on it.	THS00167/JHA/2008 New born care practices among mothers who delivered at home or institutions in Barhathwa VDC of Sarlahi district.	THS00168/ROY/2008 Awareness on EPI vaccation among the mothers having children aged 12-24 months in Morang district Nepal.	THS00169/SHR/2008 Socio-economic status and drug addiction: A study in youth vision center, kupondole, Lalitpur.	Next

Thesis Report.

ABSTRACT:

Objectives: To evaluate and compare the incidence of oxygen desaturation during intravenous ketamine for short surgical procedure in spontaneously breathing patients and the effects of basic airway management maneuvers on it two different hilly areas of Nepal.

Design and Methodology: A population based comparative study was done at two different hospitals situated in hilly regions of Nepal, situated 1361m and 1600m above the sea level respectively. Children aged between 3 months and 14 years were observed for their oxygen saturation with the help of pulse Oximeter during intravenous ketamine anaesthesia for short surgical procedures lasting less than 15 minutes. Patients showing oxygen desaturation ( SpO2<90%) were treated with basic airway management maneuvers like chin lift, jaw thrust, physical stimulation and oropharyngeal suction initially, and oxygen was supplemented when all the maneuvers failed to improve oxygen saturation within 1 minute.

Results: 79 patients from Tansen mission hospital and 66 patients from Okhaldhunga community hospital were enrolled; the incidence of desaturation was 8(10%) and 11(16.1%) in Tansen and Okhaldhunga respectively. Among those who showed desaturation, all children from TMH and 10(90.9%) from OCH, showed desaturation within first 2 minutes of ketamine administration. 7(87.5%) and 8(72.7%) of the patients with desaturation from TMH and OCH respectively, were improved to > 90% with chin lift only and rest needed jaw thrust, but none of the patients needed physical stimulation, oropharyngeal suction, and most importantly supplemental oxygen.

Conclusion: The incidence of oxygen desaturation is common within first few minutes of ketamine administration, Basic airway like chin lift and jaw thrust is enough to improve oxygen saturation, and physical stimulation, suction is usually procedure lasting less than 15 minutes if the person giving ketamine manage the airway skillfully.

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