Progress in the perioperative application of esketamine in children
Esketamine has been widely used in preoperative medication,intraoperative anesthesia,postoperative analgesia,outpatient and day surgery for pediatric patients.Preoperative medication can effec-tively alleviate preoperative anxiety in children and promote smooth separation from parents.Preoperative use of esketamine is not only beneficial for a relatively stable anesthesia induction process,but also can produce fewer adverse mental reactions and oral secretions.Continuous infusion of low-dose esketamine during surgery can effectively reduce the dosage of opioids in pediatric patients,without affecting the quality of re-covery,and alleviate postoperative pain.It can also be used for postoperative analgesia in pediatric patients.Esketamine alone or in combination with other sedatives and analgesics can be safely used for endoscopic ex-amination and treatment,diagnostic examination,and invasive catheterization anesthesia in pediatric pa-tients,effectively reducing the dosage of other sedatives and reducing the incidence of adverse reactions.This article reviews the progress of the application of esketamine in various aspects of pediatric patients,in order to provide reference for clinical application.
EsketamineChildAnesthesiaAnalgesiaSedationPerioperative period