Evaluation of Ketamine-midazolam as Procedural Sedative Agent for Ease of Induction of Spinal Anesthesia in Patients Undergoing Abdominal Surgeries

Academia Anesthesiologica International

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Title Evaluation of Ketamine-midazolam as Procedural Sedative Agent for Ease of Induction of Spinal Anesthesia in Patients Undergoing Abdominal Surgeries
Creator Manasa S
Yuvaraj M K
Hosagoudar, Pradeep
Subject Procedural Sedation
Spinal Anaesthesia
Patient Satisfaction
Description Background: Most of the patients are anxious during induction of spinal anesthesia may lead to poor positioning, autonomic fluctuations. Pro- viding procedural sedation may alleviate those undesired difficulties. In this study, we evaluated intravenous ketamine-midazolam combination as procedural sedative agent for ease of induction of spinal anaesthesia. Subjects and Methods: This prospective study was conducted among 60 patients who were randomly divided into 2 groups. Group K received Inj Ketamine 0.5mg/kg with Inj Midazolam 0.02mg/kg as procedural sedative agent prior to spinal anaesthesia, Group C did not receive any procedural sedative drugs. Ease of identification of space, time to induce spinal anaesthesia, number of attempts, patient comfort score, patient satisfaction score was recorded and analyzed. Results: Demographic data were comparable between the groups, there was no statistically significant difference between the groups in terms of ease of identification of space, number of attempts, time to induce spinal anaesthesia. Patient comfort score was significantly higher in group K compared to group C (9.17 0.59 and 7.13 1.20 respectively). Patient satisfaction score was higher in group K than group C (95.33 7.30 and 71.67 12.27  respectively). Conclusion: Intravenous Ketamine-midazolam as procedural sedative agent may not significantly ease the induction of spinal anesthesia compared to patients without sedation. However, it resulted in better satisfaction and comfort to the patient than without sedation.
Publisher Society for Health Care & Research Development
Date 2021-12-31
Type info:eu-repo/semantics/article
Format application/pdf
Identifier https://aijournals.com/index.php/aan/article/view/2174
Source Academia Anesthesiologica International; Vol 6 No 2 (2021): July-December 2021; 6-10
Language eng
Relation https://aijournals.com/index.php/aan/article/view/2174/2815
Rights Copyright (c) 2021 Author

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