A comparison of the effects of ketamine-midazolam and ketamine-propofol combinations on vital signs of non-cooperative children with dental diseases in a crossover study with repeated measurements: The Bayesian approach

Background: Vital parameters must be monitored during sedation. This study aimed to evaluate the effects of ketamine-midazolam (KM) and ketamine-propofol (KP) combinations on the heart rate (HR) and oxygen saturation (SPO۲) of non-cooperative children. The model parameters were estimated using the Bayesian approach. Methods: The data were collected in a double-masked crossover study with repeated measurements (CSWRM). Twenty-two non-cooperative children ۳–۶ years old were included, and the linear mixed model was adopted for data analysis. The Bayesian estimation of the parameters and their ۹۵% credible interval were calculated in SAS ۹.۴.Results: The mean heart rate of KM recipients compared to KP recipients was significantly different by ۴.۴۷ beats per minute (bpm). The mean HR in KP was lower than KM's, but oxygen saturation (SPO۲) was not significantly different. Conclusion: Although the two drug combinations did not differ in SPO۲, they differed in HR. As such, the KP combination is recommended.

کلیدواژه ها:

Ketamine ، Midazolam ، propofol ، non-cooperative children ، crossover trial ، Bayesian approach