الفهرس 
A C K N 0 W L E 0 G E M E N TOnly 14 pages are availabe for public view
 |  | from | 54 |  |  |
| | | from | 54 | | |
Abstract
This study was performed to evaluate the effects of thiopentone, propofol, or midazolam on ketamine anaesthesia by assessing haemodynamic parameters, lntraoperative events, and
ketamine emergence phenomena in 30 female patients undergoing
minor gynaecological procedures.
Patients were premedicated with 0.4 mg atropine sulfate before induction after which they were randomly al rocated into three groups according to the mg kg-1
adjuvant drug used prior to ketamine 2 -1 2 m 9 kg, pro p 0 f 0 11m g k g 0 r In i d a zo 1 am O. 1 m g kg. namely thiopentone Haemodynamic data including heart rate, systolic and diastolic blood pressure, as well as arterial oxygen saturation were recorded intraoperatively with observation of respiratory upsets, hypertonic, involuntary
movements, and effeciency of anaesthesia. During recovery the occurrance of del rium, degree of orientation ,and nausea and/or vomiting were recorded. After 24 hours, patients were asked about their night sleep as regards to the occurance of dreams, whether pleasant or unpleasant.
Ketamine produced satisfactory anaesthesia for minor gynaecological procedures. The addition of thiopentone did not change the cardiovascular responses of ketamine but
resulted in smooth recovery as with midazolam. On the other hand, p,ropofol did not improve recovery but increased the incidence of ketamine induced emergence eactions except for vomiting.