[Intravenous Midazolam-ketamine Anaesthesia for Closed Reduction of Forearm Fractures in Children: Impact of Additional Axillary Plexus Anaesthesia]

Overview

Journal Anaesthesist

Specialty Anesthesiology

Date 2006 Jul 13

PMID 16832685

Authors

M Wissler

M Tomaske

K Stutz

A Schmitz

A Gerber

M Weiss

Affiliations

Soon will be listed here.

Abstract

Background: The aim of this study was to compare ketamine requirements in children undergoing closed reduction of forearm fractures under midazolam-ketamine anaesthesia with or without axillary plexus anaesthesia.

Methods: With hospital ethical committee approval, we retrospectively analyzed the records of children who received midazolam-ketamine anaesthesia in the years 2000-2001 (group A) and midazolam-ketamine anaesthesia combined with axillary plexus anaesthesia in the years 2002-2004 (group B) for closed reduction of forearm fractures. Requirements for ketamine and postoperative analgesics were noted. Groups were compared with the Mann-Whitney U-test or T-test and the chi2-test (p<0.05).

Results: A total of 455 children (group A 225/group B 230) were included in this study. The total amounts of ketamine were not statistically different between the two groups (p=0.154). However, ketamine requirements became less if the time interval between start of axillary plexus anaesthesia and start of intervention became more than 15 min (p<0.05). Patients in group B requested fewer analgesics in the postoperative period (p<0.01).

Conclusions: In the clinical routine of an emergency department the combination of midazolam-ketamine anaesthesia with axillary plexus anesthesia for closed reduction of forearm fractures in children did not result in lower requirements of ketamine.

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