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Monitored anesthesia care for great saphenous vein stripping surgery with target controlled infusion of propofol and remifentanil: A prospective study

Title
Monitored anesthesia care for great saphenous vein stripping surgery with target controlled infusion of propofol and remifentanil: A prospective study
Authors
Cho S.Han J.I.Baik H.J.Kim D.Y.Chun E.H.
Ewha Authors
한종인김동연백희정천은희조수영
SCOPUS Author ID
한종인scopus; 김동연scopus; 백희정scopus; 천은희scopus
Issue Date
2016
Journal Title
Korean Journal of Anesthesiology
ISSN
2005-6419JCR Link
Citation
vol. 69, no. 2, pp. 155 - 160
Keywords
Deep sedationPropofolRemifentanilRespiration
Publisher
Korean Society of Anesthesiologists
Indexed
SCOPUS; KCI scopus
Abstract
Background: The aim of this study was to determine the appropriate target concentrations at the effect site of propofol and remifentanil when deep sedation was achieved by monitored anesthesia care (MAC) anesthesia and related respiratory depression during vein stripping surgery for varicose veins. Methods: In total, 51 adult patients who were scheduled for varicose vein stripping surgery were sedated with propofol and remifentanil during the surgery, after administration of midazolam. Target concentrations at the effect site of the two drugs were changed based on the patient’s status. Respiratory support was applied in the order of oxygen supply, chin lift, and assisted mask ventilation. Target concentrations at the effect site of propofol and remifentanil, the need for respiratory support, and a six-point rating scale satisfaction score were the outcome measurements. Results: Only one patient did not require oxygen, eight patients needed oxygen alone, 22 patients required use of the chin lift technique, and 20 patients were assisted with mask ventilation. There was no significant difference in the target concentration of propofol or remifentanil between the patients who required mask ventilation and those who did not. Fifty of the 51 patients reported a satisfaction score of 6. Conclusions: Although MAC using low target concentrations of propofol and remifentanil during vein stripping surgery was satisfactory to patients, close observation regarding the need for respiratory assistance was necessary. © the Korean Society of Anesthesiologists, 2016.
DOI
10.4097/kjae.2016.69.2.155
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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