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ketamine vs ketofol

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https://www.readbyqxmd.com/read/26809929/ketamine-propofol-combination-ketofol-vs-propofol-for-procedural-sedation-and-analgesia-systematic-review-and-meta-analysis
#1
REVIEW
Mohammad Jalili, Maryam Bahreini, Amin Doosti-Irani, Rasoul Masoomi, Mona Arbab, Hadi Mirfazaelian
OBJECTIVE: This meta-analysis of trials was conducted to evaluate the analgesic and side effects of ketamine-propofol combination (ketofol) in comparison to propofol in procedural sedation and analgesia (PSA). METHODS: Medline, EMBASE, Scopus, CINHAL, and Cochrane Central Register of Controlled Trials were searched for clinical trial. The administration complications were the key outcomes of interest. RESULT: Eighteen clinical trials that met our criteria were included in the analysis...
March 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24046993/a-double-blind-randomized-trial-of-ketofol-versus-propofol-for-endodontic-treatment-of-anxious-pediatric-patients
#2
RANDOMIZED CONTROLLED TRIAL
N Mittal, A Goyal, K Gauba, A Kapur, K Jain
OBJECTIVE: To find out the safe and efficient sedative agent for primary molar pulpectomy in uncooperative pediatric patients. STUDY DESIGN: This double blind randomized trial enrolled 40 anxious and healthy 2-6 year olds. All subjects received IV propofol (1-1.5 mg/kg) or ketofol (1-1.5 mg/kg propofol with 0.25 mg/kg ketamine) as per group assignment after oral midazolam premedication (0.5 mg/kg). Sedation maintenance was done with propofol infusion at 25-75 microg/kg/min titrated to a predefined Worse level as per Houpt's sedation rating scale...
2013: Journal of Clinical Pediatric Dentistry
https://www.readbyqxmd.com/read/23972133/does-the-sedation-regimen-affect-adverse-events-during-procedural-sedation-and-analgesia-in-injection-drug-users
#3
MULTICENTER STUDY
Frank Xavier Scheuermeyer, Gary Andolfatto, Hong Qian, Eric Grafstein
OBJECTIVES: Injection drug users (IDUs) often undergo procedural sedation and analgesia (PSA) as part of emergency department (ED) treatment. We compared adverse events (AEs) using a variety of sedation regimens. METHODS: This was a retrospective analysis of a PSA safety audit in two urban EDs. Consecutive self-reported IDUs were identified, and structured data describing comorbidities, vital signs, sedation regimens (propofol [P], propofol-fentanyl [PF], fentanyl-midazolam [FM], ketofol [1:1 ketamine:propofol, KF], and ketamine-propofol [KP]) and AEs were collected...
September 2013: CJEM
https://www.readbyqxmd.com/read/22743378/ketamine-propofol-admixture-ketofol-is-associated-with-improved-hemodynamics-as-an-induction-agent-a-randomized-controlled-trial
#4
RANDOMIZED CONTROLLED TRIAL
Nathan J Smischney, Michael L Beach, Randy W Loftus, Thomas M Dodds, Matthew D Koff
BACKGROUND: Critically ill patients may require emergent intubations, and the use of some induction agents can lead to undesirable effects on hemodynamics. The use of "ketofol" (ketamine/propofol admixture) may allow for improved hemodynamic control. The primary aim of this study was to assess the hemodynamic effects of "ketofol" in a fixed-dose combination during induction of general anesthesia in a controlled environment. METHODS: This was a randomized, double-blinded, placebo-controlled trial conducted at the Dartmouth Hitchcock Medical Center...
July 2012: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/22623080/ketofol-in-electroconvulsive-therapy-anesthesia-two-stones-for-one-bird
#5
RANDOMIZED CONTROLLED TRIAL
Saban Yalcin, Harun Aydoğan, Salih Selek, Ahmet Kucuk, Hasan Husnu Yuce, Fatih Karababa, Tekin Bilgiç
PURPOSE: Propofol and ketamine have become progressively popular in electroconvulsive therapy (ECT) anesthesia, although propofol shortened seizure duration and ketamine might cause cardiotoxicity, psychotic episodes, and delayed recovery. Ketofol is a combination of ketamine and propofol, and the current study was designed to evaluate the effect of ketamine, propofol, and ketofol on hemodynamic profile, duration of seizure activity, and recovery times in patients undergoing ECT. METHODS: Ninety patients (44 women, mean age 27...
August 2012: Journal of Anesthesia
https://www.readbyqxmd.com/read/21843215/ketamine-propofol-versus-midazolam-fentanyl-for-procedural-sedation-and-analgesia-in-the-emergency-department-a-randomized-prospective-double-blind-trial
#6
RANDOMIZED CONTROLLED TRIAL
Amir Nejati, Reza Shariat Moharari, Haleh Ashraf, Ali Labaf, Keihan Golshani
OBJECTIVES: The authors performed a prospective, double-blinded, randomized trial with emergency department (ED) patients requiring procedural sedation and analgesia (PSA) for repair of deep traumatic lacerations and reduction of bone fractures, to compare the ketamine/propofol (ketofol) combination with the midazolam/fentanyl (MF) combination. METHODS: Sixty-two patients scheduled for PSA who presented between January 2009 and June 2009 were enrolled prospectively...
August 2011: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/21133742/propofol-versus-propofol-ketamine-for-brief-painful-procedures-in-the-emergency-department-clinical-and-bispectral-index-scale-comparison
#7
RANDOMIZED CONTROLLED TRIAL
William Phillips, Andrew Anderson, Martin Rosengreen, Jeremy Johnson, John Halpin
The ideal procedural sedation drug for emergency department (ED) use would be easily titrated, rapid in onset, brief in duration, and provide sedation and analgesia without respiratory or hemodynamic compromise. Although many agents have been tried, no single drug fits this profile. The authors evaluated the comparative effectiveness and safety of propofol versus propofol/ketamine combination for procedural sedation using bispectral index monitoring for measuring depth of sedation. A prospective, randomized case series of patients undergoing procedural sedation for fracture manipulation was studied in a Level 1 trauma center emergency department...
December 2010: Journal of Pain & Palliative Care Pharmacotherapy
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