Peri-operative low dose ketamine to reduce postoperative morphine consumption

Category Primary study
Journal第四军医大学学报 (Journal of the Fourth Military Medical University)
Year 2004
1 临床资料全麻手术患者32例ASAⅠ~Ⅲ级,年龄20~62岁,无肝肾及中枢神经系统疾患、神经功能紊乱、糖尿病、药物成瘾及冠心病. 随机分为氯胺酮K组16例,对照C组16例. 所有患者入室前45~60 min口服咪达唑仑7.5 mg,开放静脉通路连接微泵. K组微泵1 g/L氯胺酮,C组生理盐水,皆50 mL,所有患者给予0.1 mL/kg后每分钟持续泵注0.002 mL/kg. 术中iv丙泊酚2 mg/kg,芬太尼2 μg/kg,维库溴铵0.1 mg/kg,镇痛肌松良好后行气管内插管. 术中血压或心率超过基础值的10%时,可予吗啡50 μg/kg. 缝合皮肤时停止药物泵入.
Epistemonikos ID: 75512ea25aa31c73d70de9c4153f1a66b24d4cda
First added on: Jul 05, 2016