Ketamine as continuous intravenous infusion combined with diazepam in non-abdominal surgery. A randomized double-blind study. 1981

T Pedersen

Sixty-four women undergoing non-abdominal operations were anaesthetized with ketamine administered as continuous intravenous drip combined with diazepam. A double-blind, controlled study was done to assess the dosage, the cardiovascular stimulation, and whether psychotomimetic side effects could be reduced. At induction ketamine was given in a dose of 2 mg/kg in combination with diazepam/placebo 10 mg i.v. The infusion was maintained at 2-6 mg/min. The dose of ketamine during the anaesthesia was significantly reduced by diazepam, from 4.51 mg/min to 3.55 mg/min (p less than 0.001). The sympathomimetic effect of ketamine was significantly reduced by diazepam, as the increase in pulse rate as well as in blood pressure was diminished (p less than 0.05). The frequency of hallucinations dropped from 30.0% to 2.9% with diazepam, while the total frequency of psychotomimetic side effects fell from 36.6% to 11.8% (p less than 0.05). As this frequency of the psychotomimetic side effects still seems to be high with this method, it cannot be recommended to use a continuous drip of ketamine for routine operations on adults. On the other hand, ketamine infusion was found to produce favourable haemodynamic conditions, and this technique seems to be useful in poor-risk and hypovolaemic patients.

UI MeSH Term Description Entries
D007263 Infusions, Parenteral The administration of liquid medication, nutrient, or other fluid through some other route than the alimentary canal, usually over minutes or hours, either by gravity flow or often by infusion pumping. Intra-Abdominal Infusions,Intraperitoneal Infusions,Parenteral Infusions,Peritoneal Infusions,Infusion, Intra-Abdominal,Infusion, Intraperitoneal,Infusion, Parenteral,Infusion, Peritoneal,Infusions, Intra-Abdominal,Infusions, Intraperitoneal,Infusions, Peritoneal,Intra Abdominal Infusions,Intra-Abdominal Infusion,Intraperitoneal Infusion,Parenteral Infusion,Peritoneal Infusion
D007649 Ketamine A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors. 2-(2-Chlorophenyl)-2-(methylamino)cyclohexanone,CI-581,Calipsol,Calypsol,Kalipsol,Ketalar,Ketamine Hydrochloride,Ketanest,Ketaset,CI 581,CI581
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011292 Premedication Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION. Premedications
D011897 Random Allocation A process involving chance used in therapeutic trials or other research endeavor for allocating experimental subjects, human or animal, between treatment and control groups, or among treatment groups. It may also apply to experiments on inanimate objects. Randomization,Allocation, Random
D002986 Clinical Trials as Topic Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries. Clinical Trial as Topic
D003975 Diazepam A benzodiazepine with anticonvulsant, anxiolytic, sedative, muscle relaxant, and amnesic properties and a long duration of action. Its actions are mediated by enhancement of GAMMA-AMINOBUTYRIC ACID activity. 7-Chloro-1,3-dihydro-1-methyl-5-phenyl-2H-1,4-benzodiazepin-2-one,Apaurin,Diazemuls,Faustan,Relanium,Seduxen,Sibazon,Stesolid,Valium
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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