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Anestesia en México
versão On-line ISSN 2448-8771versão impressa ISSN 1405-0056
Resumo
ZAMORA-TOVAR, Rodolfo et al. Ketamina-Propofol vs Propofol para sedación en endoscopia digestiva superior. Anest. Méx. [online]. 2016, vol.28, n.3, pp.13-19. ISSN 2448-8771.
Sedation with ketamine / propofol (ketofol) for digestive endoscopy facilitates the ketamine / propofol procedure. It has the desirable clinical effects for this purpose. The combination of ketamine / propofol produces more deep sedation and decreases those undesirable respiratory events produced by the propofol.
Material and method:
A prospective comparative, longitudinal, experimental pilot study was conducted. Were studied 22 patients divided in two groups, scheduled electively for upper endoscopy. The level of sedation was compared, as well as the dose and effects adverse respiratory and changes in the blood pressure, with ketamine / propofol vs propofol.
Results:
Doses of ketamine/propofol was 2.8 versus 3.6 for propofol. The values arterial media pressure were more stable in the group of ketamine / propofol. Respiratory complications were less severe in the same group. A negative correlation of propofol was also found with the systolic pressure to 5 and 10 minutes in group B.
Conclusions:
the dose used in the ketamine/propofol group presents greater emodynamic stability, with null respiratory effects and good postoperative analgesia.
Palavras-chave : ketamine/propofol; Propofol; Upper endoscopy.
