Urban E C, Mutz I D, Muntean W, Fritsch G
Monatsschr Kinderheilkd (1902). 1980 Apr;128(4):177-9.
Ketamine anesthesia was used in children to perform 200 outpatient procedures (mainly spinal taps, bone marrow aspirations and biopsies). Atropine was administered in advance and a ketamine dose of 1.8--2.0 mg/kg i.v. was sufficient in most instances. The general anesthesia allows calm and accurate performance of the necessary procedures. Ketamine can be used repeatedly and was preferred by the majority of children for subsequent procedures. The application of Diazepam (2 mg i.v. or 5 mg rectally) reduced unpleasant wake-up dreams in older children. The children were under close observation until consciousness was regained. They left the outpatient clinic attended by their parents approximately one hour after the procedure.
氯胺酮麻醉用于儿童进行200例门诊手术（主要是腰椎穿刺、骨髓穿刺和活检）。预先给予阿托品，大多数情况下静脉注射1.8 - 2.0毫克/千克的氯胺酮剂量就足够了。全身麻醉可使必要的手术得以平静、准确地进行。氯胺酮可重复使用，大多数儿童在后续手术中更喜欢使用它。静脉注射地西泮（2毫克）或直肠给药（5毫克）可减少大龄儿童不愉快的苏醒梦境。儿童在密切观察下直至意识恢复。手术后约一小时，他们在父母的陪同下离开门诊。
