Propofol-based fast-track for ambulatory surgery.

ABSTRACT

The purpose of this study was to provide data of propofol-based total intravenous anesthesia (TIVA) for ambulatory surgery in developing a fast-track technique. One hundred and forty-two patients scheduled for elective surgery were studied mean (SD) age 42.21 (16.23) years, male to female 7270, mean (SD) body weight 60.75 (11.67) kg and American Society of Anesthesiologists (ASA) physical status I/II/III 66/38/38. Mean (SD) thiopental induction 225 (55.69) mg was maintained with mean (SD) propofol 199.64 (86.26) mg for mean (SD) anesthetic time 29.02 (11.21) minutes. Various narcotics were used fentanyl 73.48 +/- 24.38 microg for 123 cases, morphine 3.27 +/- 1.10 mg for 10 cases, remifentanil 492 +/- 105.26 microg for 7 cases and pethidine 23.33 +/- 2.88 mg for 2 cases. Midazolam was given 2.70 +/- 1.05 mg. Patients were positioned in supine, lithotomy or lateral decubitus. One-fourth were PS III with a diagnosis of chronic renal failure and renal transplants coming for incision and drainage of perianal abscess. The mean (SD) wake-up time was 36.02 (17.69) seconds. Only one case (chronic renal failure) had severe hypotension after induction. Anesthetic agents and ideas of fast-track anesthesia were discussed.