The effects of remifentanil infusion and intermittent propofol practices on hemodynamic and recovery time during colonoscopy
Yükleniyor...
Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: In the present study, we evaluated the effectiveness of intermittent remifentanil and propofol infusion on hemodynamic effects, side effects, recovery times, leaving the hospital period and the physician and patient satisfaction in sedo-analgesia practices. Methods: After institutional approval and informed consent, sedo-analgesia with 0,025 ?g/kg/dk remifentanil continuous infusion were performed in 54 ASA I-III patients for colonoscopy. After two minutes infusion of remifentanil, propofol 0,5 mg/kg was infused as hypnotic medicine. 0,25 mg/kg propofol intravenous added if additon doses are needed. During the colonoscopy, the total propofol dose, colonoscopy time, anesthesia time, wake up time and recovery time were recorded. Results: The mean age of the 54 patients in the study was 49,8 (22-70), 38 (71%), of the patients were male and 16 (29%) of the patients were female. Colonoscopy was performed for diagnosis in 42 patients and for follow-up in 12 patients. 5 (9%) of our patients had hypotension, 4 (7,2%) patients had apnea, 3 (5%) of them developed bradycardia and 10 (18%) of the patients had arm pain releated infusion. During colonoscopy, the mean of wake up time was 6.4 min, and the mean of recovery time was 28.5 minutes. Conclusion: In this article due to short effects, less side effects and antiemetic features of propofol, we think it can be used as intermittent infusion in sedation for colonoscopy. Also remifentanil infusion with propofol has the potential advantages of reducing amounts of intravenous propofol, less likelihood of problems from drug side-effects and fast recovery and discharge time.
Açıklama
Anahtar Kelimeler
Colonoscopy, Deep Sedation, Propofol
Kaynak
Duzce Medical Journal
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
15
Sayı
2
