Ketamine Anaesthesia to the Rescue in Paediatric Ophthalmic Procedures

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.  

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References

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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.

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Published

2021-08-01

How to Cite

Ademola-Popoola, D. S., Oladele, S., Aboyeji, A. O., Gero, N. R., Ige, O. A., & Oyelude, R. O. (2021). Ketamine Anaesthesia to the Rescue in Paediatric Ophthalmic Procedures. Transactions of the Ophthalmological Society of Nigeria, 6(1). Retrieved from https://tosn.org.ng/index.php/home/article/view/67

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