COMPARISON OF CONVENTIONAL ANESTHESIA, TOTAL INTRAVENOUS KETAMINE ANDEPIDURAL BLOCK FOR ABDOMINAL HYSTERECTOMY

Techniques of total intravenous anaesthesia with ketamine and continuo us epidural block are compared with the conventional method of using h alothane, nitrous oxide and relaxant., Both ketamine and epidural tech niques were associated with minimal cardiovascular disturbances, low b lood loss and better quality of anaesthesia and recovery scores, The u sual psychomimetic effect associated with ketamine administration was observed in only one patient, Further experience of total intravenous ketamine anaesthesia with adjunctive use of fentanyl to attenuate card iovascular effects and midazolam for the pyschomimetic effect can furt her refine the technique, Cerebral function monitoring, if possible, w ill allow correlation of depth of anaesthesia with drug dosage and can ensure appropriate anaesthetic depth and recovery.