The Effect of Ketamine with Remifentanil for Improving the Quality of Anaesthesia and Recovery in Paediatric Patients Undergoing Middle-Ear Ventilation Tube Insertion

Abstract

Intraoperative patient movement scores were significantly lower, and surgeon satisfaction scores were significantly higher, in the KR group than in the K group. Time to recovery was significantly shorter in the KR group than in the K group. In conclusion, remifentanil was a good adjuvant to ketamine, improving the quality of anaesthesia and postoperative recovery in children undergoing MEVTI.

Remifentanil–ketamine vs. propofol–ketamine for sedation in pediatric patients undergoing colonoscopy: A randomized clinical trial

“…14 , 15 Lee et al evaluated the effects of ketamine with remifentanil to improve the quality of anesthesia and postoperative recovery, following brief procedures in pediatric patients undergoing middle-ear ventilation tube insertion. 6 They reported a lower patient movement scores, higher surgeon satisfaction scores, and shorter time to recovery in ketamine-remifentanil group compared with only ketamine group.…”

“…In previous studies, ketamine combined with either propofol or remifentanil has been used safely in children. 4 , 6 However, when ketamine is used in combination with propofol or remifentanil, children may still become in pain or discomfort, disoriented, and movement during the procedure. 4 , 6 …”

“… 4 , 6 However, when ketamine is used in combination with propofol or remifentanil, children may still become in pain or discomfort, disoriented, and movement during the procedure. 4 , 6 …”

Age as a Determinant to Select an Anesthesia Method for Tympanostomy Tube Insertion in a Pediatric Population

“…This study found that local anesthesia can be successfully used for TTI in older children, particularly those aged 5 years and older, while face-mask inhalation or intravenous anesthesia was more commonly used in preschool-aged children. In clinical practice, however, it is currently standard to perform TTI under intravenous anesthesia using ketamine, facemask inhalation anesthesia, or both [ 4 ], despite potentially dangerous side effects. For example, children requiring TTI often have an upper respiratory tract infection, which increases the risk of laryngospasm with inhalational anesthesia [ 2 , 5 ].…”