Respiratory complications associated with ketamine anesthesia for ophthalmic procedures following intraocular pressure measurement in children

Measurement of intraocular pressure (IOP) in children requires examination under anesthesia (EUA). The ideal anesthetic agent for this purpose is ketamine because it does not affect patient's IOP. Previous studies have shown ketamine to be safe. However, other studies have also noted that ketamine is sometimes associated with respiratory complications (RCs) and emesis. At our institution, perioperative staff noted that children who received intramuscular (IM) ketamine appeared to experience RCs more frequently than those who received intravenous (IV) ketamine or no ketamine. The aim of this study was to compare the occurrence of RCs between patients who received IM ketamine versus IV ketamine or no ketamine.

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