During the last years, rectal preoperative medication in pediatric age has been considered a valid alternative to intramuscular administration. Rectal administration of pre-anesthetic drugs (ketamine, flunitrazepam, diazepam, atropine) provides a better bioavailability compared to the oral route; also systemic absorption has proved better compared to i.m. administration. To this purpose, during the first six months of 1997 we selected a pediatric population of 129 patients (age: 18 months - 8 years; body weight: 12,5 - 45,8 kg), undergoing general anesthesia for adenotonsillectomy, and divided it into three groups, disregarding weight and age. The first group has been given atropine and diazepam; the second ketamine and flunitrazepam; the third atropine, ketamine and flunitrazepam. The latter association, especially recommended for ENT procedures on the oro- pharynx, did not show any considerable adverse reaction (respiratory depression, increased salivary secretion, delirium).
|Translated title of the contribution||Rectal pre-anesthetic medication in ENT surgery|
|Number of pages||4|
|Publication status||Published - Jan 1998|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health