Ketamine Anaesthesia to the Rescue in Paediatric Ophthalmic Procedures

D. S. Ademola-Popoola; S. Oladele; A. O. Aboyeji; N. R. Gero; O. A. Ige; R. O. Oyelude

Authors

D. S. Ademola-Popoola Department of Ophthalmology, University of Ilorin, & University of Ilorin Teaching Hospital, Nigeria
S. Oladele Department of Ophthalmology, University of Ilorin Teaching Hospital, Nigeria
A. O. Aboyeji Department of Anaesthesia, University of Ilorin and University of Ilorin Teaching Hospital, Nigeria
N. R. Gero Department of Anaesthesia, University of Ilorin and University of Ilorin Teaching Hospital, Nigeria
O. A. Ige Department of Anaesthesia, University of Ilorin and University of Ilorin Teaching Hospital, Nigeria
R. O. Oyelude Department of Nursing Services, University of Ilorin Teaching Hospital, Ilorin, Nigeria

Keywords:

Ketamine Anaesthesia, EUA, Ophthalmic, Paediatric

Abstract

Background: Paediatric ophthalmic procedures including surgery and examinations often require some sedation/anaesthesia which may not be accessible or available for various reasons.¹ Ketamine has been found to be safe in paediatric age group.^2-5 The use of ketamine, was a paradigm shift which became vital as a result of COVID-19 pandemic which reduced the availability of anaesthetists, in addition to other logistic challenges at a large tertiary hospital. The administration of ketamine for sedation/ anaesthesia enabled us to deliver otherwise unavailable essential paediatric ophthalmic services6 during COVID-19 pandemic like the experience reported from elsewhere.⁷ The aim of this report is to describe the method and outcome of Ketamine anaesthesia as used for paediatric intraocular and extraocular procedures.

References

M S Pun, J Thakur, G Poudyal, R Gurung, S Rana, G Tabin, et al. Ketamine anaesthesia for paediatric ophthalmology surgery. Br J Ophthalmology. 2003 May; 87(5): 535–537

James A. The evolution of ketamine applications in children. Wiley online library. 2010 February

L. R. Kidd, S. C. Lyons, G. Lloyd. Paediatric procedural sedation using ketamine in a UK emergency department: a 7 year review of

practice. BJA: British Journal of Anaesthesia, 2016 April, Volume 116, Issue 4, 518–523, https://doi.org/10.1093/bja/aev555

Dolansky G, Shah A, Mosdossy G, Rieder M. What is the evidence for the safety and efficacy of using ketamine in children?. Paediatr Child

Health. 2008;13(4):307-308. doi:10.1093/pch/ 13.4.307

Ketamine use for procedural sedation. https://www.rch.org.au/clinicalguide/ guideline_ind ex/Ketamine_use_ for_ procedural_sedation/ cited 10th October 2021

List of urgent and emergent ophthalmic procedures https://www.aao.org/headline/ list-of-urge nt-emer gent-ophthalmicprocedures cited March 2020

Rajput VK, Tuvar S, Bhalsing S, Bhalsing S. Resurgence of combined intravenous Ketamine and regional anesthesia in pediatric ocular surgery in COVID-19 pandemic. Indian J Ophthalmol. 2021 Feb;69(2):395-399. doi: 10.4103/ijo.IJO_2839_20. PMID: 33463598; PMCID: PMC7933828.