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Abstract
EFFECT OF KETAMINE AS SINGLE INDUCTION AGENT ON BLOOD GLUCOSE LEVEL IN PEDIATRIC AGE GROUP UNDERWENT APPENDECTOMY
*Ahmed Sabah Hasan and Alaa Hussein Al-Taei
ABSTRACT
Background: Both anesthesia and surgery has been reported to affect blood glucose levels in humans, therefore; it is necessary to identify the effects of anesthetic drugs on blood glucose to give an idea about the level of stress during appendectomy surgery. Aim: To demonstrate the effect of the ketamine on the blood glucose level during anesthesia of appendectomy in children of preschool age. Patients and methods: This simple randomized cross-sectional study was carried out in Medical City – Child well-form hospital and Child central teaching hospital between the period of the 1st of September 2020 till 15th of December 2020, American society of anesthesia I and II, pediatric age group with Appendectomy. All the 40 patients received IV 2 mg/kg ketamine as single induction agent with 1 mg/kg suxamethonium as muscle relaxant to facilitate intubation. For all of the patients, baseline random blood sugar was obtained before induction of anesthesia, 5 minutes and 30 minutes after induction. Results: The random blood sugar readings demonstrate that there was no significant changes between them. There was an increment in the pulse rate, systolic and diastolic blood pressure at 5 and 10 minutes from the induction. Conclusion: Induction by Ketamine in the preschool age groups increase the pulse rate, the systolic blood pressure and the diastolic blood pressure after 5 and 10 minutes from induction. Ketamine does not have influence on the glycemic level in pediatric age group.
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