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Postoperative Hypercarbia With Reanesthetization After Ketamine‐Halothane Anesthesia in an Infant: A Case Report

CASE REPORT A 12-month-old, 10-kg., healthy male infant, scheduled for correction of a cleft palate, was premedicated with 0.2 mg. of atropine sulfate and 40 mg. of sodium pentobarbital intramuscularly. Sixty minutes later, 100 mg. of ketamine was given intramuscularly for induction. The child was preoxygenated and given 30 mg. of succinylcholine hydrochloride intramuscularly to facilitate intubation. Anesthesia was maintained with halothane, using a Fluotec@ vaporizer and nitrous oxide in oxygen. The nitrous oxide was discontinued after 20 minutes, and the halothane concentration was reduced to 1 percent in a 4 L./min. flow of oxygen.