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      Intravenous ketamine for postoperative analgesia.

      South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
      Clinical Trials as Topic, Humans, Infusions, Parenteral, Ketamine, administration & dosage, pharmacology, Morphine, Pain, Postoperative, prevention & control, Placebos, Respiration, drug effects

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          Abstract

          Thirty-six consecutive patients who had undergone major surgery were carefully studied for 6 hours postoperatively in an attempt to evaluate the relative analgesic and respiratory-depressant effect of morphine, ketamine, and placebo administered by continuous intravenous infusion. Side-effects, vital signs and respiratory measurements were recorded hourly by a consultant physician. With regard to the dosage and method of administration, ketamine was shown to be less effective than morphine for the first 3 hours postoperatively, but equally effective subsequently, whereas the patients who received ketamine showed a greater progressive tendency for their respiratory parameters to improve with time. Recommendations regarding the postoperative control of pain are made, and the need for further study is noted.

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