A comparison of Lidocaine and Ketamine for prevention withdrawal from injection of Rocuronium.
Khaleel Ahmad, Baber Zaheer, Sumara Tabassam, Sohail Iqbal, Naveed Ahmed Durrani, Imran Hyder, Mufassar Nishat
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ABSTRACT
Aim : To make comparison
of the effects of lidocaine and ketamine
in preventing withdrawal moments linked with IV injection of rocuronium .
Methods: About sixty candidates (ASA I & II) were chosen for this case research
and categorized into two groups via aid of random number table in such a manner that each group contained 30
individuals. Candidates belonging to group A
were administered ketamine in the dosage of 0.5mg/kg that was diluted in 2ml whereas group B candidates were administered 2ml of
1% lidocaine. On the dorsum of the hand, 20 gauge cannula
will be inserted intravenously and candidate will be administered midazolamin doage of 0.02mg/kg
intravenously for five minutes
before coming into in the Operation
theatre. After arrival of candidate , non-invasive routine monitoring of the candidates will be carried
out and free fluid flow fluid via cannula will be assured by gravity
with aid of IV fluid as normal saline.
At room temperature, the syringes will be placed. Administration of drugs will
be carried out via the injection port of intravenously cannula with a free
fluid flow intravenously.
Results: In
case of ketamine , the prevalence withdrawal movements was recorded as 43.3% and lidocaine as 40%. In case of both research groups, the mean withdrawal scores were similar (P value two tailed = 1.0 (>0.05). Two
candidates among these individuals i-e one from
each groups depicted generalized
response (3.3%). No noteworthy difference was recorded in case of lidocaine and
ketamine for preventing
withdrawal moments after administration of injection of rocuronium.
Conclusion:
Equal effectiveness of lidocaine 1% and Ketamine
0.5mg/kg 2ml (20mg) was recorded in deducing withdrawal moments after
administration of injection of
rocuronium intravenously .
Keywords: Lidocaine, ketamine, withdrawal movements