IJCEM Copyright © 2008-All rights reserved. Published by e-Century Publishing Corporation, Madison, WI 53711
Int J Clin Exp Med 2013;6(7):576-582

Original Article
Sedoanalgesia in pediatric daily surgery

Aybars Ozkan, Mesut Okur, Murat Kaya, Ertugrul Kaya, Adem Kucuk, Mesut Erbas, Leyla Kutlucan, Leyla Sahan

Departments of Pediatric Surgery, Pediatrics, Pharmacology, School of Medicine, University of Duzce, Duzce, Turkey; Departments of
Pediatric Surgery, Anesthesiology, School of Medicine, Canakkale On Sekiz Mart University, Canakkale, Turkey; Department of
Anesthesiology, State Hospital of Duzce, Duzce, Turkey; Department of Anesthesiology, State Hospital of Isparta, Isparta, Turkey
Received June 9, 2013; Accepted June 24, 2013; Epub August 1, 2013; Published August 15, 2013

Abstract: Purpose: The present report was focused on clinical advantages of sedoanalgesia in the pediatric outpatient surgical cases.
Method: Sedoanalgesia has been used to sedate patients for a variety of pediatric procedures in our department between 2007 and
2010. This is a retrospective review of 2720 pediatric patients given ketamine for sedation with midazolam premedication. Ketamine
was given intravenously (1-2 mg/kg) together with atropine (0.02 mg/kg) and midazolam (0.1 mg/kg) + a local infiltration anesthetic 2
mg/kg 0.5% bupivacaine hydrochloride. Result: Median age of the patients included in the study was 5.76 ± 2.12 (0-16 years). The main
indications for ketamine include circumcision (69%), inguinal pathologies (inguinal hernia (17%), orchidopexy (2.68%), hydrocele
(3.38%), hypospadias (1.94%), urethral fistula repair (0.33%), urethral dilatation (0.25%), and other conditions. All of our patients were
discharged home well. In this regard, we have the largest group of patients ever given ketamine. Conclusion: Sedoanalgesia might be
used as a quite effective method for daily surgical procedures in children. (IJCEM1306004).

Keywords: Child, ketamine, pediatric surgical procedures, sedoanalgesia

Address correspondence to: Dr. Aybars Ozkan, Dpartment of Pediatric Surgery, School of Medicine, University of Duzce, 81620, Duzce,
Turkey. Tel: +90 380 5421387; Fax: +90 380 5421386; Mobile Phone: +90 533 347 6096; E-mail: aybarsozkan@yahoo.com;
aybarsozkan@duzce.edu.tr