Remifentanil-propofol versus fentanyl-propofol for monitored anesthesia care during hysteroscopy

被引：42

作者：

Ryu, Jung-Hee ^{[2
,3
]}

Kim, Jae-Hun ^{[2
,3
]}

Park, Kum-Suk ^{[2
,3
]}

Do, Sang-Hwan ^{[1
,2
]}

机构：

[1] Seoul Natl Univ, Bundang Hosp, Dept Anesthesiol & Pain Med, Songnam 463707, Gyeonggi Do, South Korea

[2] Seoul Natl Univ, Coll Med, Dept Anesthesiol & Pain Med, Songnam 463707, Gyeonggi Do, South Korea

[3] Seoul Natl Univ Hosp, Dept Anesthesiol & Pain Med, Seoul 110744, South Korea

来源：

JOURNAL OF CLINICAL ANESTHESIA | 2008年 / 20卷 / 05期

关键词：

fentanyl; hysteroscopy; monitored anesthesia care; propofol; remifentanil;

D O I：

10.1016/j.jclinane.2007.12.015

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Study Objective: To compare the efficacy of remifentanil-propofol with that of fentanyl-propofol for monitored anesthesia care during hysteroscopy. Design: Prospective, randomized study. Setting: Operating room and postanesthesia care unit of a university hospital. Patients: 30 ASA physical status I and II adult patients undergoing hysteroscopic procedures. Interventions: After propofol infusion, patients received a bolus of remifentanil (group R, 0.5 mu g/kg) or fentanyl (group F, 1 mu g/kg) 4 minutes before starting the procedure and then received a continuous infusion of remifentanil (group R, 0.05 mu g/kg per min) or bolus doses of fentanyl (group F, 0.5 mu g/kg). Measurements and Main Results: Patients in group R had lower pain scores than patients in group F (0-0 vs 0-7, P < 0.05) and more stable blood pressures (74 +/- 15 vs 85 +/- 9 mmHg, P < 0.05) one minute after the start of the procedure. However, no differences were observed in other variables (recovery profiles and satisfaction scores). Conclusion: Remifentanil seems to be a safe and effective analgesic adjunct for monitored anesthesia care of hysteroscopic surgery. (C) 2008 Elsevier Inc. All rights reserved.

引用

页码：328 / 332

页数：5

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