| Moderate intravenous sedation for office-based full face laser resurfacing using a continuous infusion propofol pump. | |
| | |
MedLine Citation:
|
PMID: 16003614 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: The purpose of this study was to compare the anesthetic requirements and hemodynamic and oxygenation variables involved between the bolus midazolam/fentanyl intravenous sedation-analgesia technique, and the same technique combined with continuous-infusion propofol. PATIENTS AND METHODS: This was a retrospective chart analysis of 41 consecutive patients undergoing full-face carbon dioxide laser resurfacing with either bolus midazolam/fentanyl (n = 15) or midazolam/fentanyl with continuous propofol infusion anesthesia (n = 26) techniques. Data recorded were noninvasive baseline and intraoperative hemodynamic measurements at 5-minute intervals for systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), pulse pressure (PP), pulse (P), and rate-pressure product (RPP), respiratory rate (RR), and oxygen saturation (SpO2). Data collected were reported as mean values with standard deviation. Statistical analyses were performed with the Student's t test and found statistically significant for P < .05. RESULTS: Statistically significant decreases in averages were seen in SBP (P < .001), DBP (P = .02), MAP (P = .004), P (P < .00l), RPP (P < .00l), and RR (P < .001), but not PP (P = .4) and SpO2 (P = .08) in the midazolam/fentanyl/continuous propofol infusion group compared with the midazolam/fentanyl only group. Changes from baseline were statistically significant only for MAP (P = .04), but statistically insignificant for all other measurements, SBP (P = .7), DBP (P = .4), P (P = .95), PP (P = .97), RPP (P = .6), RR (P = .6), and SpO2 (P = .4). Statistically significant smaller amounts of midazolam (P = .01) and fentanyl (P < .001) were used in the midazolam/fentanyl/continuous propofol infusion pump group. Length of procedure was statistically insignificant between groups (P = .4). Conclusion The addition of a continuous propofol pump maintained hemodynamic and oxygenation values close to baseline, while decreasing the amount of respiratory depressing opiates administered and without affecting the length of the procedure. |
| | |
Authors:
|
Joseph E Cillo; Richard Finn |
Related Documents
:
|
16543094 - Hydrodynamics of the spinal epidural space in pigs determined by constant-flow methods. 16595614 - Gabapentin attenuates the pressor response to direct laryngoscopy and tracheal intubation. 1466444 - Baroreflex control of heart rate during high thoracic epidural anaesthesia. a randomise... 3768764 - Esmolol for control of increases in heart rate and blood pressure during tracheal intub... 2760714 - Technical possibilities and limits of indirect automatic twenty-four-hour blood pressur... 16722694 - Reaction of oh + no2: high pressure experiments and falloff analysis. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons Volume: 63 ISSN: 0278-2391 ISO Abbreviation: J. Oral Maxillofac. Surg. Publication Date: 2005 Jul |
Date Detail:
|
Created Date: 2005-07-08 Completed Date: 2005-07-26 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8206428 Medline TA: J Oral Maxillofac Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 903-7 Citation Subset: AIM; D; IM |
Affiliation:
|
Oral and Maxillofacial Surgery, parkland Memorial Hospital, The University of Texas Southwestern Medical Center, Dallas, TX, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Aged, 80 and over Ambulatory Surgical Procedures Anesthesia, Dental / methods* Anesthesia, Intravenous / instrumentation Anesthetics, Intravenous / administration & dosage* Anesthetics, Local / administration & dosage Blood Pressure / drug effects Carbon Dioxide Conscious Sedation / methods* Facial Dermatoses / etiology, surgery* Heart Rate / drug effects Humans Infusion Pumps Keratosis / etiology, surgery* Laser Therapy / methods* Male Middle Aged Oxygen / blood Propofol / administration & dosage* Retrospective Studies Sunlight / adverse effects |
| Chemical | |
Reg. No./Substance:
|
0/Anesthetics, Intravenous; 0/Anesthetics, Local; 124-38-9/Carbon Dioxide; 2078-54-8/Propofol; 7782-44-7/Oxygen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Preservation of disc for treatment of traumatic temporomandibular joint ankylosis.
Next Document: Effect of mandibular setback via bilateral sagittal split ramus osteotomy on transverse displacement...