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Y học lâm sàng

Nguyễn Minh Lý, Nguyễn Văn Kiên, Phạm Đức Đan(1)

ứng dụng phương pháp gây mê kiểm soát nồng độ đích trong gây mê ngoại trú

The results of using Target-Controlled Infusion (TCI) Anesthesia method for outpatients

Y Dược lâm sàng 108

2014

3

102-106

1859-2872

Objective: The purpose of this study was to assess the anesthetic safety and effectiveness of propofol administered for outpatients by Target - Controlled Infusion anaesthesia method (TO). Subject? and methods: the sample consisted of 60 patients aged from 18 to 70 years old with grade I or II in ASA classifications. All subjects, who were sent for colonoscopy or esophagogastroduodenoscopy, were received initial dose of propofol TCI 2.5 mcg/ml. The dose was then titrated according to clinical signs. Results: The complement time of the procedure was 23.7 +/- 11 minutes and the anaesthesia lasted for 28 +/- 7.5 minutes. The mean of plasma concentration (Cp) maintained during pr,?cedure was 2.9 +/- 0.25 mcg/ml, onset time at loss of consciousness was 68 +/- 12.4 minutes. Average doses of propofol, which were administered for induction and total procedure, were 58.8 +/- 15.5mg and 280 +/- 80.5mg, respectively. Heart rate and blood pressure decreased slightly and shortly after induction. The oxygen saturation, respiration rate were stable during procedures with minimal side effects. Full consciousness returned after 4.6 +/- 3.5 minutes and patients were discharged after 12.8 +/- 10.5 minutes with Aldrete score of 10. Conclusion: Using propofol TCI to induce and maintain anesthesia during colonoscopy and esophagogastroduodenoscopy was safe and convenient. 95 percent of surgeons and patients satisfied with the procedure.

TTKHCNQG, CVv 337