Patient Controlled Sedation Using Propofol during Regional Anesthesia for Cesarean Section / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 534-541, 2000.
Article
Dans Coréen
| WPRIM
| ID: wpr-211879
ABSTRACT
BACKGROUND:
During regional anesthesia for a cesarean section, adverse effects such as nausea and/or vomiting (N&V), visceral pain and shivering are common complications. A subhypnotic dose of propofol has been known to have an antiemetic effect perioperatively. Patient controlled sedation (PCS) using propofol might be a solution for emesis and other adverse effects occurring during regional anesthesia in cesarean deliveries.METHODS:
One hundred ten parturients scheduled for elective cesarean section were randomly divided into two groups PCS-spinal (n = 55) and PCS-epidural (n = 55). Spinal anesthesia was performed with 0.5% bupivacaine 10 mg and 10 microgram of fentanyl. Epidural anesthesia was performed with 2% lidocaine 25 ml + 100 microgram of fentanyl + 0.1 mg of epinephrine + 1.5 ml of 8.4% sodium bicarbonate in the PCS-epidural group. After delivery, PCS with propofol was applied to the patients in both groups (bolus dose 30 mg, lock-out time 3 min, no background infusion). We investigated incidences of adverse effects such as N&V, hypotension, intraoperative visceral pain, and shivering during the operation. We also assessed sedation scores (Grade 1 - 5) in the patients of both groups.RESULTS:
There was no difference in sensory levels between the groups. Although more patients in the PCS-epidural group complained of N&V (3.6%20%, P = 0.018) and shivering (0%14.5%, P = 0.036) in the PACU, there were no differences intraoperative adverse effects between both groups. The sedation score did not differ between the groups.CONCLUSIONS:
With PCS using propofol, adverse effects during cesarean section under both regional anesthesias are negligible.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Frissonnement
/
Vomissement
/
Bupivacaïne
/
Épinéphrine
/
Propofol
/
Césarienne
/
Fentanyl
/
Incidence
/
Hydrogénocarbonate de sodium
/
Douleur viscérale
Type d'étude:
Etude d'incidence
/
Étude pronostique
Limites du sujet:
Femelle
/
Humains
/
Grossesse
langue:
Coréen
Texte intégral:
Korean Journal of Anesthesiology
Année:
2000
Type:
Article
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