Analgesia-based Sedation Using Remifentanil during Percutaneous Endoscopic Lumbar Discectomy / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 36-41, 2006.
Article
in Korean
| WPRIM
| ID: wpr-162983
ABSTRACT
BACKGROUND:
The aim of this study was to examine the safety and efficacy of sedation and analgesia using remifentanil during percutaneous endoscopic lumbar discectomy (PELD).METHODS:
Eighty ASA patients with physical status 1 or 2 who underwent a PELD were enrolled in this study. They were randomized to receive one of two treatments a fentanyl bolus of 0.7microgram/kg 5 min before the procedure and of 0.7microgram/kg during the procedure (n = 40, group F), or a remifentanil titration at an infusion rate of 0.1-0.3microgram/kg/min available throughout the procedure according to the appeal of pain, level of sedation and side-effects (n = 40, group R). The observer's assessment of alertness/sedation (OAA/S) scale, blood pressure, heart rate, respiratory rate, SpO2, and end tidal CO2 were assessed and measured during and/or after the procedures. The visual analogue scale of pain (VAS), and the patient and endoscopist satisfaction scale were assessed after the procedures.RESULTS:
There were no significant differences between the two groups in terms of the recovery characteristics, incidence of complications and satisfaction score of patients. In 92.5% of the cases among the remifentanil group, the spine surgeon made uniform judgements that remifentanil worked better than the usually used fentanyl procedure, whereas in 7.5% of the cases the effects were indifferent. The VAS score of the R group was significantly lower than that of the F group.CONCLUSIONS:
We concluded that sedation and analgesia with remifentanil is very useful for painful local procedures such as PELDs.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spine
/
Blood Pressure
/
Fentanyl
/
Incidence
/
Diskectomy
/
Respiratory Rate
/
Heart Rate
/
Analgesia
Type of study:
Controlled clinical trial
/
Incidence study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2006
Type:
Article
Similar
MEDLINE
...
LILACS
LIS