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  1. An excellent alternative

    Dear Editor

    My experience with ketamine anaesthesia in paediatric ophthalmic surgery in a semi-rural setting is very positive. It provides a viable alternative to more expensive and infrastructure-intensive anaesthesia procedures, and is more than sufficient to complete most ophthalmic procedures.

    Reference

    (1) M S Pun, J Thakur, G Poudyal, R Gurung, S Rana, G Tabin, W V Good, and S Ruit. Ketamine anaesthesia for paediatric ophthalmology surgery. Br J Ophthalmol 2003;87:535-537.

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  2. I did not find ketamine either safe or effective.

    Dear Editor

    I read the article by Pun et al.[1] with interest. My experience with ketamine is (thankfully) limited to operating in Bosnia after the war. Out of the six patients one vomited on the field. Difficulty is encountered in re-ops due to lack of muscle paralysis. Ketamine also has well known after effects. In my opinion it is neither safe nor effective. Learning and using safe anesthesia techniques would be the best in any country.

    Reference

    (1) M S Pun, J Thakur, G Poudyal, R Gurung, S Rana, G Tabin, W V Good, and S Ruit. Ketamine anaesthesia for paediatric ophthalmology surgery. Br J Ophthalmol 2003;87:535-537.

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