Sedation and regional anaesthesia in the adult patient

被引：94
作者：
Hoehener, D. [1 ]
Blumenthal, S. [1 ]
Borgeat, A. [1 ]
机构：
[1] Orthoped Univ Clin Balgrist, Dept Anaesthesiol, CH-8008 Zurich, Switzerland
来源：
BRITISH JOURNAL OF ANAESTHESIA | 2008年 / 100卷 / 01期
关键词：
anaesthetic techniques; regional; sedation;
D O I：
10.1093/bja/aem342
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
This review discusses sedation for regional anaesthesia in the adult population. The first section deals with general aspects of sedation and shows that the majority of patients receiving sedation for regional anaesthesia are satisfied and would choose it again. Methods of assessing the level of sedation are discussed with emphasis on clinical measures. The pharmacology of the drugs involved in sedation is discussed, with propofol and remifentanil appearing to be the combination of choice for sedation in regional anaesthesia. The techniques for administering sedation are discussed and replacement of the traditional repeated boluses or continuous infusion with pharmacokinetic and patient-controlled systems is supported. Patient satisfaction studies suggest that patient-controlled systems are preferred.
引用
收藏
页码：8 / 16
页数：9
相关论文
共 115 条
[41]   Conscious sedation with propofol in elderly patients: a prospective evaluation [J].
Heuss, LT ;
Schnieper, P ;
Drewe, J ;
Pflimlin, E ;
Beglinger, C .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2003, 17 (12) :1493-1501
[42]   Safety of propofol for conscious sedation during endoscopic procedures in high-risk patients - A prospective, controlled study [J].
Heuss, LT ;
Schnieper, P ;
Drewe, J ;
Pflimlin, E ;
Beglinger, C .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2003, 98 (08) :1751-1757
[43]   Occupational exposure to sevoflurane during sedation of adult patients [J].
Hoerauf, KH ;
Hartmann, T ;
Zavrski, A ;
Adel, S ;
Burger, HJ ;
Koinig, H ;
Zimpfer, M .
INTERNATIONAL ARCHIVES OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH, 1999, 72 (03) :174-177
[44]   Remifentanil, propofol or both for conscious sedation during eye surgery under regional anaesthesia [J].
Holas, A ;
Krafft, P ;
Marcovic, M ;
Quehenberger, F .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 1999, 16 (11) :741-748
[45]   CONTEXT-SENSITIVE HALF-TIME IN MULTICOMPARTMENT PHARMACOKINETIC MODELS FOR INTRAVENOUS ANESTHETIC DRUGS [J].
HUGHES, MA ;
GLASS, PSA ;
JACOBS, JR .
ANESTHESIOLOGY, 1992, 76 (03) :334-341
[46]   Bispectral Index Monitoring during Sedation with Sevoflurane, Midazolam, and Propofol [J].
Ibrahim, AE ;
Taraday, JK ;
Kharasch, ED .
ANESTHESIOLOGY, 2001, 95 (05) :1151-1159
[47]   Speed of recovery and side-effect profile of sevoflurane sedation compared with midazolam [J].
Ibrahim, AE ;
Ghoneim, MM ;
Kharasch, ED ;
Epstein, RH ;
Groudine, SB ;
Ebert, TJ ;
Binstock, WB ;
Philip, BK .
ANESTHESIOLOGY, 2001, 94 (01) :87-94
[48]  
INAGAKI Y, 1994, ANESTH ANALG, V79, P368
[49]   Patient-maintained propofol sedation - Assessment of a target-controlled infusion system [J].
Irwin, MG ;
Thompson, N ;
Kenny, GNC .
ANAESTHESIA, 1997, 52 (06) :525-530
[50]   MEASURED CONTEXT-SENSITIVE HALF-TIMES OF REMIFENTANIL AND ALFENTANIL [J].
KAPILA, A ;
GLASS, PSA ;
JACOBS, JR ;
MUIR, KT ;
HERMANN, DJ ;
SHIRAISHI, M ;
HOWELL, S ;
SMITH, RL .
ANESTHESIOLOGY, 1995, 83 (05) :968-975
12345678910