Comparison of patient controlled sedation versus continuous infusion of propofol for sedation during spinal and epidural anaesthesia
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Tarih
2000
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Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
In our study we aimed to compare continuous infusion and patient controlled sedation (PCS) as an adjunct to spinal and epidural anaesthesia. Totally 50 patients in ASA I-II groups; aged between 19-76 years were divided in two groups; Group I (n=25) with continuous infusion and patients who applied PCS were Group II (n=25). 15 patients were performed epidural block and 35 patients spinal block. Group I received 3 mg/kg/hour propofol; group II received bolus doses of propofol 0.5 mg/kg and lock out time 5 minute with PCS. We measured mean arterial pressure (MAP), heart rate (HR), peripheric oxygen saturation (SpO2) and sedation levels; anxiety scores before sedation, on the 15th minute of sedation, at the and of operation and on the 15th and 30th minute after operation. In our results, when sedation started there were statistically significant decreases in MAP and HR on both groups. When we compared hemodynamic parameters before sedation at the end of operation and at the post-operative period, there was no significant difference. During sedation there were statistically significant decreases in SpO2 values only in Group I. Peroperatif sedation levels of Group I were greater than Group II. At the end of operation the sedation levels of Group I were significantly high. Mean duration of the procedures were similar in Group I and Group II. Total doses of propofol was significantly higher in Group I when compared with Group II. Recovery times were significantly shorter in Group II than Group I. Preoperative anxiety scores of both groups were high. At the end of operation and on the 30th minute postoperative anxiety scores of both groups were low. There were no difference between Group I and Group II. In Group I we observed hypotension at one patient, bradycardia at 3 patients and desaturation at 8 patients. As a result; POCS provided sufficient sedation and hemodynamic parameters were more stable. Lesser drug usage, rapid recovery and patients preference were other advantages.
Açıklama
Anahtar Kelimeler
Patient Controlled Sedation; Propofol; Regional Anaesthesia; Sedation Of Continuous Infusion, Anesthetic Agent; Propofol; Adult; Aged; Anesthesiological Techniques; Anxiety; Article; Bolus Injection; Bradycardia; Clinical Article; Continuous Infusion; Epidural Anesthesia; Heart Rate; Human; Hypotension; Intermethod Comparison; Mean Arterial Pressure; Oxygen Saturation; Regional Anesthesia; Scoring System; Sedation; Spinal Anesthesia
Kaynak
Turk Anesteziyoloji ve Reanimasyon
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
28
Sayı
9
