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The effects of anesthetic ketamine on young children

Armaros

Bluelighter
Joined
Feb 1, 2007
Messages
33
Seen articles stating it caused measurable damage in young and infant test animals brains. Would this data most likely be true for young children as well? Are the alternative drugs available for anesthesia safer? How does the age of the child effect the safety and long term effects? as well as dosage and number of times administered?
 
Occasional use of ketamine for emergency anesthesia shouldn't be a concern. Most damage is observed in chronic usage (e.g. abuse).

It would help if you posted some of these articles.
 
There are insufficient human data to either support or refute the clinical applicability of these findings.

At present, results from in populo studies remain too sparse and too inconsistent to allow any recommendations for specific practice guidelines or changes in paediatric anaesthesia practice. However, these studies do underscore the need for definitive studies in which outcome endpoints are specific and comprehensive, assessments are prospective and direct, and neuropsychological instruments used for assessment are validated and standardized.

I do agree that putting kids out with ketamine on the regular is probably not good for them. In fact, having to have surgery at all is probably developmentally disruptive, anesthesia or no anesthesia. As you can see from the first study you linked, almost all anesthetics are suspected to be bad for you in some way, but it's the lesser of two evils. Making children experience intense pain and anxiety is not good for them developmentally, either, so we make temporary trade-offs.

It's situational though. If I was staffing a pediatric burn ward I'd want to keep them numb rather than in blinding pain. If it's a baby with a boo-boo on his elbow, that's different...
 
Is milazopam and oxycodone not enough? do we really need to give them ketamine on top of it...or any of these other ridiculous chemicals. Not that benzos and opiates are that much better. but ketamine is linked to some serious shit.
 
for the situation i stated. a bandage change and ointment. im sure surgery is a different story
 
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