성형외과 수술 시 Propofol을 사용한 수면 마취

Anaesthesia Using Propofol for Plastic Surgery

  • 이승룡 (포천중문의과대학교 분당차병원 성형외과학교실) ;
  • 이종연 (포천중문의과대학교 분당차병원 마취통증의학교실) ;
  • 강상윤 (포천중문의과대학교 분당차병원 성형외과학교실) ;
  • 조상헌 (동국대학교 일산불교병원 성형외과)
  • Lee, Seung Ryong (Department of Plastic and Reconstructive Surgery, Bundang CHA General Hospital, College of medicine, Pochun CHA University) ;
  • Lee, Jong Youn (Department of Anesthesia and Pain Medicine, Bundang CHA General Hospital, College of medicine, Pochun CHA University) ;
  • Kang, Sang Yoon (Department of Plastic and Reconstructive Surgery, Bundang CHA General Hospital, College of medicine, Pochun CHA University) ;
  • Cho, Sang Heon (Department of Plastic and Reconstructive Surgery, Dongguk University Internation Hospital)
  • 투고 : 2005.12.30
  • 발행 : 2006.05.10

초록

Propofol is widely used for supportive sedation in local and regional anaesthesia in plastic surgical procedure. We studied comparative effect of propofol comparing fontanel and midazolam that was previously used. From April 2003 to July 2005, 118 patients were reviewed whom propofol was used intravenous sedation in various plastic surgical procedures. In some cases, midazolam were used initially then converted to propofol. Patients were questioned for their satisfaction in group of propofol alone and midazoline and propofol combination. Vital sign(Blood pressure, Respiration rate) and $O_2$ saturaion, sedation time, side effect and subjective satisfaction were evaluated. The result reveals that propofol is effective medicine for supplement intravenous sedative medicine for plastic surgeries especially when it was used with combination of midazolam.

키워드

참고문헌

  1. Ro YJ, Kang CH, Ko H, Kim KW: Clinical studies on Propofol(Diprivan). Korean J Anesthesiol 25: 684, 1992 https://doi.org/10.4097/kjae.1992.25.4.684
  2. Song IS, Yoo YC, Yang WY, Park J: Effective intravenous conscious sedation using MAC(monitored anesthesia care) and BIS(bispectral index) in plastic surgery field. J Korean Soc Anesth Plast Surg 11: 40, 2005
  3. Roberts FL, Dixon J, Lewis GT, Tackley RM, Prys Roberts C: Induction and maintenance of propofol anaesthesia. Anaesthesia 43: 14, 1988 https://doi.org/10.1111/j.1365-2044.1988.tb09061.x
  4. Eriksson H, Korttila K: Recovery profile after desflurane with or without ondansetron compared with propofol in patients undergoing outpatient gynecological laparoscopy. Anesth Analg 82: 533, 1996 https://doi.org/10.1097/00000539-199603000-00019
  5. Borgeat A, Wilder-Smith OH, Saiah M, Rifat K: Subhypnotic doses of propofol possess direct antiemetic properties. Anesth Analg 74: 539, 1992
  6. Miller DR, Blew PG, Martineau RJ, Hull KA: Midazolam and awareness with recall duraing total intravenous anaesthesia. Can J Anaesth 43: 946, 1996 https://doi.org/10.1007/BF03011809
  7. Richardson MG, Wu CL, Hussain A: Midazolam premedication increases sedation but does not prolong discharge times after brief outpatient general anesthesia for laparoscopic tubal sterilization. Anesth Analg 85; 301, 1997 https://doi.org/10.1097/00000539-199708000-00011
  8. Fanard L, Van Steenberge A, Demeire X, van der Puyl F: Comparison between propofol and midazolam as sedative agents for surgery under regional anaesthesia. Anaesthesia 43(suppl): 87, 1988 https://doi.org/10.1111/j.1365-2044.1988.tb09082.x
  9. Smith C, McEwan AI, Jhaveri R, Wilkinson M, Goodman D, Smith LR, Canada AT, Glass PS: The interaction of fentanyl on the Cp50 of propofol for loss of consciousness and skin incision. Anesthesiology 81: 820, 1994 https://doi.org/10.1097/00000542-199410000-00008
  10. Park JH, Park CH, Lee SH, Yoon HJ: The study of conscious sedation in both mandibular 3rd molars extraction in Koreans. J Korean Assoc Maxiilofac Plast Reconstr Surg 26: 563, 2004