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Remifentanil-Propofol Sedation as an Ambulatory Anesthesia for Carpal Tunnel Release
Journal of Korean Neurosurgical Society ; : 429-433, 2010.
Article in English | WPRIM | ID: wpr-181255
ABSTRACT

OBJECTIVE:

This prospective study evaluated the use of continuous sedation using propofol and remifentanil when carpal tunnel release (CTR) was performed under local anesthesia.

METHODS:

We sedated 60 patients undergoing CTR using local anesthesia with remifentanil at loading and continuous doses of 0.5 microg kg(-1) and 0.05 microg kg(-1)min(-1), respectively, and propofol, using a target controlled infusion (TCI) pump set to a target of 2 microg mL(-1) (group A), or with the same drug doses except that the continuous remifentanil dose was 0.07 microg kg(-1)min(-1) (group B) or 0.1 microg kg-1min-1 (group C).

RESULTS:

In group B, the levels of pain when local anesthetics were administered (p = 0.001), intraoperative pain (p < 0.001) and anxiety (p = 0.001) were significantly lower than those of group A. Furthermore, the incidence of adverse events, including desaturation (p < 0.001) and vomiting (p = 0.043), was significantly lower in group B than in group C.

CONCLUSION:

Continuous sedation using an appropriate dose of remifentanil and propofol can be used as safe, efficacious ambulatory anesthesia in cases of CTR under local anesthesia, performed using only 2 mL of local anesthetic, with a high degree of patient satisfaction.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Anxiety / Piperidines / Vomiting / Carpal Tunnel Syndrome / Propofol / Incidence / Prospective Studies / Patient Satisfaction / Anesthesia / Anesthesia, Local Type of study: Diagnostic study / Incidence study / Observational study / Prognostic study Limits: Humans Language: English Journal: Journal of Korean Neurosurgical Society Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Anxiety / Piperidines / Vomiting / Carpal Tunnel Syndrome / Propofol / Incidence / Prospective Studies / Patient Satisfaction / Anesthesia / Anesthesia, Local Type of study: Diagnostic study / Incidence study / Observational study / Prognostic study Limits: Humans Language: English Journal: Journal of Korean Neurosurgical Society Year: 2010 Type: Article