“…Although propfol is currently most used for induction of GA for CD, the hemodynamic advantage makes ketamine a preferred induction agent of GA for hypovolemic and hypotensive parturients like placenta abruption or uterine rupture. Ketamine 1.5 mg/kg can be given to prevent maternal awareness [93] and not to increase uterine tone [137]. Respirtatory depression of newborn has not been reported with this induction dose [93].…”
Section: Ketamine In Preeclampsia and Eclampsiamentioning
Ketamine was widely used in obstetric anesthesia soon after its invention. It was gradually less considered, if not forgotten, by medical community with the appearance of new general anaesthetics and more effective neuraxial analgesia. Research in the last 2 decades has reanimated ketamine as a potent analgesic and possible antidepressant. In this review, we will briefly summarize obstetric relevant pharmacology of ketamine; present the previous clinical experiences with ketamine in parturient; and discuss some controversies on its clinical application in obstetric anesthesia and possible future research.
“…Although propfol is currently most used for induction of GA for CD, the hemodynamic advantage makes ketamine a preferred induction agent of GA for hypovolemic and hypotensive parturients like placenta abruption or uterine rupture. Ketamine 1.5 mg/kg can be given to prevent maternal awareness [93] and not to increase uterine tone [137]. Respirtatory depression of newborn has not been reported with this induction dose [93].…”
Section: Ketamine In Preeclampsia and Eclampsiamentioning
Ketamine was widely used in obstetric anesthesia soon after its invention. It was gradually less considered, if not forgotten, by medical community with the appearance of new general anaesthetics and more effective neuraxial analgesia. Research in the last 2 decades has reanimated ketamine as a potent analgesic and possible antidepressant. In this review, we will briefly summarize obstetric relevant pharmacology of ketamine; present the previous clinical experiences with ketamine in parturient; and discuss some controversies on its clinical application in obstetric anesthesia and possible future research.
“…Η επίδραση της κεταµίνης στη σύσπαση της µήτρας µετά την έξοδο του νεογνού είναι αµφιλεγόµενη. Σύµφωνα µε κάποιες µελέτες ελαττώνεται ο ρυθµός των συσπάσεων 63 , ενώ κάποιες άλλες αναφέρουν ότι δεν µεταβάλλεται 64 .…”
Section: εικόνα 1: ο δακτύλιος του βαρβιτουρικού οξέοςunclassified
Η χορήγηση οποιουδήποτε αναισθητικού φαρµάκου έχει ως αποτέλεσµα την εµφάνιση του στην εµβρυϊκή κυκλοφορία, µετά από κάποιο χρονικό διάστηµα, το οποίο εξαρτάται από παράγοντες που αφορούν τη µητέρα, τον πλακούντα και το έµβρυο 15,16 .
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