Ketamine 근육주사를 이용한 소아 진정 시 호기말 이산화탄소분압 측정의 유용성Utility of Capnography During Intramuscular Ketamine for Procedural Sedation in Children
- Other Titles
- Utility of Capnography During Intramuscular Ketamine for Procedural Sedation in Children
- Authors
- 김기환; 김호중; 임훈; 이명갑; 유병대; 전덕호; 조영순
- Issue Date
- 2010
- Publisher
- 대한응급의학회
- Keywords
- Ketamine; Capnography; Conscious sedation
- Citation
- 대한응급의학회지, v.21, no.5, pp.704 - 708
- Journal Title
- 대한응급의학회지
- Volume
- 21
- Number
- 5
- Start Page
- 704
- End Page
- 708
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/18261
- ISSN
- 1226-4334
- Abstract
- Purpose: The purpose of this study was to determine whether continuous capnography monitoring detects adverse respiratory and airway events earlier than pulse oximetry and the clinical exam can during intramuscular ketamine for procedural sedation in children.
Methods: This study was a prospective observational study conducted from April 2009 to March 2010 in an urban Korean teaching hospital. Pediatric patients who needed procedural sedation for primary closure were enrolled. After patients received intramuscular ketamine, they were monitored using clinical ventilation assessment, pulse oximetry and capnography.
Adverse respiratory and airway events were recorded Results: A total of 91 patients were enrolled. Of the 91patients, 16 (17%) had adverse respiratory events; 5 had hypoxia. Capnography was 100% sensitive for predicting hypoxia and apnea.
Conclusion: When intramuscular ketamine is administered for procedural sedation in children, capnography allows early detection of adverse respiratory events.
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Collections - College of Medicine > Department of Emergency Medicine > 1. Journal Articles
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