CAO Yu, et al. Clinical observation on sedative effects of epidural anesthesia assisted with target controlled infusion of propofol. [J]. Journal of Chongqing Medical University (1):124-126(2005)
CAO Yu, et al. Clinical observation on sedative effects of epidural anesthesia assisted with target controlled infusion of propofol. [J]. Journal of Chongqing Medical University (1):124-126(2005) DOI: 10.13406/j.cnki.cyxb.2005.01.037.
Clinical observation on sedative effects of epidural anesthesia assisted with target controlled infusion of propofol
Objective:To observe the sedative effect of epidural anesthesia assisted with target controlled infusion(TCI) propofol.Methods:45 ASA Ⅰ~Ⅱ patients
who would accept hysterectomy
were randomly allocated to group Ⅰ (without propofol)
group Ⅱ(Target blood propofol concentration was set at 1.0μg/ml when epidural anesthesia level was confirmed) and group Ⅲ(Target blood propofol concentration was set at 1.5μg/ml).Heart rate and blood pressure were determined at the different moment from pre-operation to the end of the surgery.And the sedation degree was evaluated by the Observer’s Assessment of Alertness/Sedation (OAA/S) Scale.At the same time
efficacy of antitraction response and perioperative awareness were investigated.Results:In three groups
blood pressure significantly decreased when epidural anesthesia level was confirmed.Goup Ⅱ and Goup Ⅲ showed significantly lower than group Ⅰ in 5 min after propofol infusion.HR gradually decreased with operative courses
and no difference was significantly found in the three groups.53.3% of patients fell asleep;53.3% had effective antitraction response and 33.3% were aware in group Ⅱ.And the patients in goup Ⅲ all fell asleep;86.7% could prevent traction response during operation but no perioperative awareness.Conclusion:Target controlled infusion of propofol as an adjuvant for epidural anesthesia is applicable and can prevent viscus traction response during surgical exploration.And the sedative effects of blood propofol concentration of 1.5μg/ml are better than 1.0μg/ml through OAA/S Scale.