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.
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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