Comparison of the effects of ketamine-midazolam and ketamin-propofol anesthesia on recovery of circumcision operations

To compare the effects of ketaminemidazolam or ketaminepropofol on analgesia, sedation and recovery time in children premedicated with midazolam for circumcision operations. Eighty American Society of Anesthesiologists physical status I-II, 5-12 years old children who undergone circumcision operations were included in the study. Both groups were administered of midazolam 0.04 mg/kg intravenously in the presence of besides their parents in the pre-operative holding area. Patients were induced with midazolam-ketamine in Group I or ketaminepropofol in Group II. There were no differenses observed between the groups according to sedation and analgesia. None of patients needed additional hypnotic agent doses. Recovery was faster in ketamine-midazolam group. Midazolamketamine provided faster recovery than ketaminepropofol in pediatric circumcision operations. No complication was observed during sedation. It is observed that ketaminemidazolam has provided a faster recovery in circumcision operation.