P-ISSN 2587-2400 | E-ISSN 2587-196X
EJMO. 2019; 3(2): 120-125 | DOI: 10.14744/ejmo.2019.70524

The Safety and Efficacy of Propofol Combinations with Ketamine or Fentanyl in Lumbar Puncture Application in Children with Haematological Diseases: A Prospective, Randomised, Single-Blinded Study

Sengul Ozmert1, Feyza Sever1, Devrim Tanil Kurt1, Sibel Saydam1, Gulsen Keskin1, Yesim Andiran Senayli1, Mine Akin1, Serap Kirkiz2, Nese Yarali2
1University of Health Sciences Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital Anaesthesiolgy and Reanimation Department, 2University of Health Sciences Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital Pediatric Hematology Department

Objectives: The aim of the study was to evaluate reliability, efficiency and side effects of two different combinations that are ketamine-propofol and fentanyl-propofol, in pediatric hematology patients undergoing lumbar puncture (LP). Methods: A total of 100 paediatric cases, aged 4-14 years, who were planned to undergo LP procedure were administered two different sedo-analgesia protocols. An anesthetist administered ketamine 1 mg/kg intravascularly (iv) to the ketamine group (K), then after 1 min 2 mg/kg propofol was administered iv. In the fentanyl group (F), 1 mcg/kg fentanyl was given and after 1 min 2 mg/kg propofol was administered iv. All patients were monitorized and the heart rate, blood pressure, oxygen saturation, number of LP attempts, the side effects and also additional doses and the physician satisfaction were recorded. Results: The requirement for additional doses was higher in Group F (p<0.001) and the physician satisfaction was lower in Group F (p=0.021). When hemodynamic parameters were compared, the reduction in F group was determined as greater than that in K group (p<0.01). Conclusion: Safe and effective sedation has been obtained with both protocols during LP. However, the ketamine propofol combination had a lower requirement for additional doses and the physician satisfaction level was higher. Keywords: Child, fentanyl, ketamine, lumbar puncture, procedural sedation


Cite This Article

Ozmert S, Sever F, Tanil Kurt D, Saydam S, Keskin G, Andiran Senayli Y, Akin M, Kirkiz S, Yarali N. The Safety and Efficacy of Propofol Combinations with Ketamine or Fentanyl in Lumbar Puncture Application in Children with Haematological Diseases: A Prospective, Randomised, Single-Blinded Study. EJMO. 2019; 3(2): 120-125

Corresponding Author: Ozmert S.

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