Intravenous Ketamine with Local Anaesthesia as an Alternative to General Anaesthesia for Orchidopexy in Children
- 1. Assistant Professor, Department of Anaesthesia, JIIU'S Indian Institute of Medical Science and Research, Warudi, Dist.-Jalna, Maharashtra, India
- 2. Assistant Professor, Department of Surgery, JIIU'S Indian Institute of Medical Science and Research, Warudi, Dist.-Jalna, Maharashtra, India
Description
Introduction: Undescended Testis is the most common birth defect of male genitalia. Two factors are very important in determining the type of anaesthesia in children, one is clinical presentation: palpable or impalpable and the second is unilateral or bilateral presentation. Material Method: This is a review of 243 Cases of Undescended Testis operated in our Institute over a period of 10 years. For cases of palpable testis with unilateral and occasionally bilateral presentation we used anaesthetic technique of Ketamine plus local infiltration. Results: Most Pediatric Surgeons prefer General Anaesthesia for children for doing Orchidopexy, but in selected cases like Unilateral, Palpable Undescended Testis Sedation by Intravenous Ketamine along with Local Anaesthesia can be safely used for Orchidopexy in children. With the use of Ketamine patients can be kept on spontaneous ventilation with oxygen by facemask, thereby avoiding the need for intubation and muscle relaxants that is required with use of General Anaesthesia.
Abstract (English)
Introduction: Undescended Testis is the most common birth defect of male genitalia. Two factors are very important in determining the type of anaesthesia in children, one is clinical presentation: palpable or impalpable and the second is unilateral or bilateral presentation. Material Method: This is a review of 243 Cases of Undescended Testis operated in our Institute over a period of 10 years. For cases of palpable testis with unilateral and occasionally bilateral presentation we used anaesthetic technique of Ketamine plus local infiltration. Results: Most Pediatric Surgeons prefer General Anaesthesia for children for doing Orchidopexy, but in selected cases like Unilateral, Palpable Undescended Testis Sedation by Intravenous Ketamine along with Local Anaesthesia can be safely used for Orchidopexy in children. With the use of Ketamine patients can be kept on spontaneous ventilation with oxygen by facemask, thereby avoiding the need for intubation and muscle relaxants that is required with use of General Anaesthesia.
Files
IJPCR,Vol15,Issue10,Article55.pdf
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Additional details
Dates
- Accepted
-
2023-10-03
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article55.pdf
- Development Status
- Active
References
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