| Both parents and children experience stress during anaesthesia. Children can benefit from anxiolytics, but there may be
side effects. There is no one method that clearly outperforms the others in calming the child and keeping him/her
cooperative. In this study, ketamine was added to midazolam-based oral premedication in order to determine whether
ketamine was efficacious and safe in improving separation and acceptance of face masks between children and their
parents. Elective surgeries were scheduled for 40 preschool children. Group C consisted of patients receiving oral
midazolam at 0.5 mg/kg, whereas group S included patients receiving midazolam at the same dose plus ketamine at 2
mg/kg. Using scores for parent satisfaction and child reaction to parent separation, we rated parent separation and child
reaction. The child's undertaking of the face mask was describe as being satisfactory following the investiture of
anaesthesia using Sevoflurane in 100% oxygen. A bigger difference was seen between children in group (S) versus
children in group (C). There were no cases of deep sedation in either group. Moreover, the sedation score in group (S) was
better, along with more satisfactory parent satisfaction. Children with an established midazolam-based premedication
regimen were shown to benefit from oral ketamine in addition to midazolam to improve separation with parents and
acceptance of a pleasant face maskddd |
