Ain-Shams Journal of Anaesthesiology

ORIGINAL ARTICLE
Year
: 2013  |  Volume : 6  |  Issue : 2  |  Page : 164--170

Patient satisfaction with low-dose ketamine versus lornoxicam in conjunction with propofol in outpatient hysteroscopy


Reem H. Elkabarity, John N. Bestarous 
 Department of Anesthesia and Intensive Care, Ain Shams University, Cairo, Egypt

Correspondence Address:
Reem H. Elkabarity
MSc, MD, Department of Anesthesiology, Intensive Care and Pain Management, Faculty of Medicine, Ain-Shams Univeristy, 11759 Cairo
Egypt

Purpose

The aim of this study was to compare the effect of adding low-dose ketamine or lornoxicam to propofol in outpatients undergoing hysteroscopy with respect to patient and doctor satisfaction, recovery and discharge time, and intraoperative and postoperative adverse effects.

Methods

This is a double-blind prospective study on 60 ASA I and II patients undergoing outpatient operative hysteroscopy. They were divided randomly into two equal groups: group KP and group LK. Patients in group KP received 0.25 mg/kg ketamine followed by 2% propofol boluses of 20 mg/ml until a bispectral index (BIS) of 70 was achieved; patients in group LK received 8 mg lornoxicam followed by the same propofol boluses until the same sedation level was achieved. Incremental boluses of 1–2 ml of propofol were given all through the procedure to achieve BIS 70. Time to reach BIS 70, total dose of propofol given, recovery and discharge time, patient and doctor satisfaction, and intraoperative and postoperative adverse effects were all assessed.

Results

Time to reach BIS 70 was statistically shorter in the ketamine–propofol group (2.1±1.1 min) than in the lornoxicam–propofol group (3.7±1 min). The total dose of propofol was statistically higher in the lornoxicam–propofol (197±15.8 mg) group than in the ketamine–propofol group (176.2±16 mg). Recovery time and discharge time were significantly shorter in the lornoxicam–propofol group than in the ketamine–propofol group. Patient and doctor satisfaction scores were significantly higher in the ketamine–propofol group than in the lornoxicam–propofol group. Postoperative hallucination and agitation were statistically higher in the ketamine–propofol (16.6%) group than in the lornoxicam–propofol group.

Conclusion

Addition of 0.25 mg/kg ketamine to propofol is a reliable method for providing satisfactory sedation and analgesia in patients undergoing outpatient hysteroscopy in comparison with lornoxicam–propofol.




How to cite this article:
Elkabarity RH, Bestarous JN. Patient satisfaction with low-dose ketamine versus lornoxicam in conjunction with propofol in outpatient hysteroscopy.Ain-Shams J Anaesthesiol 2013;6:164-170


How to cite this URL:
Elkabarity RH, Bestarous JN. Patient satisfaction with low-dose ketamine versus lornoxicam in conjunction with propofol in outpatient hysteroscopy. Ain-Shams J Anaesthesiol [serial online] 2013 [cited 2022 Oct 6 ];6:164-170
Available from: http://www.asja.eg.net/article.asp?issn=1687-7934;year=2013;volume=6;issue=2;spage=164;epage=170;aulast=Elkabarity;type=0