The effect of midazolam premedication on patient satisfaction during fiberoptic bronchoscopy under patient-controlled sedation / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 1-5, 2009.
Article
in Korean
| WPRIM
| ID: wpr-69658
ABSTRACT
BACKGROUND:
Patient-controlled sedation (PCS) with propofol is a safe and effective method of attenuating discomfort during fiberoptic bronchoscopy. The purpose was to evaluate the usefulness of midazolam in addition to PCS for fiberoptic bronchoscopy.METHODS:
We randomly assigned 155 patients undergoing diagnostic bronchoscopy to two groups. Group M (n = 79) received 0.03 mg/kg of midazolam for premedication while group P (n = 76) received a loading dose (0.05 ml/kg) of PCS solution composed of 200 mg (20 ml) of propofol and 1 mg (2 ml) of alfentanil. Both groups received the PCS solution 0.2 ml/kg/hr with a bolus of 1 ml and a lockout time of 1 min. Vital signs, pulmonologist satisfaction, patient satisfaction and amnesia were evaluated.RESULTS:
After the insertion of the bronchoscope, there was a slight decrease of SpO2 and an increase of blood pressure and heart rate in both groups with no significant differences between the two groups. The group P required more bolus injections (1.6 +/- 1.7 in the group M vs 2.5 +/- 2.2 in group P; P < 0.05). There was no difference in the satisfaction of pulmonologists, but the satisfaction of patients was higher in the group M (P < 0.05). More patients in the group P (93%) remembered the procedure than in the group M (70%) (P < 0.05).CONCLUSIONS:
PCS is an effective method for sedating patients undergoing fiberoptic bronchoscopy and midazolam provides more patient satisfaction and amnesia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Premedication
/
Blood Pressure
/
Midazolam
/
Bronchoscopy
/
Alfentanil
/
Propofol
/
Patient Satisfaction
/
Bronchoscopes
/
Vital Signs
/
Heart Rate
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2009
Type:
Article
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