Anesthesiologist-controlled versus patient-controlled propofol sedation for shockwave lithotripsy

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Jamal A Alhashemi, Abdullah M Kaki

Abstract

To compare anesthesiologist-controlled sedation (ACS) with patient-controlled sedation (PCS), with respect to propofol requirements, sedation, and recovery, in patients undergoing extracorporeal shockwave lithotripsy for urinary calculi. Sixty-four patients were randomized, in this double-blind study, to receive propofol sedation according to one of two regimens: infusion of 200 microg.kg(-1) .min(-1) for ten minutes reduced thereafter to 50-150 microg.kg(-1) .min(-1) titrated by an anesthesiologist, according to patient response (group ACS), or propofol administered by patient-controlled analgesia (bolus dose 300 microg.kg(-1), lockout interval three minutes, no basal infusion), (group PCS). All patients received midazolam 10 microg.kg(-1) iv and fentanyl 1 microg.kg(-1) iv preoperatively, followed by fentanyl infused at a rate of 0.5 microg.kg(-1) .hr(-1) throughout the procedure. Sedation and analgesia were assessed using the A-line ARX index and visual analogue scale, respectively. Psychomotor recovery and readiness for recovery room discharge were assessed using the Trieger dot test and postanesthesia discharge score, respectively. Patient satisfaction was assessed on a seven-point scale (1-7). In comparison to group PCS, ...Continue Reading

References

Jan 1, 1969·Anesthesia and Analgesia·M G NewmanJ C Miller
May 1, 1995·Journal of Clinical Anesthesia·H I KortisP Pollak
Jun 1, 1997·British Journal of Urology·C M ChinH C Chng
Apr 6, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Jamal A Alhashemi, Abdullah M Kaki

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Citations

Mar 8, 2008·Journal of Endourology·Iraklis C MitsogiannisMichael D Melekos
Dec 17, 2014·British Journal of Anaesthesia·C G Sheahan, D M Mathews
Feb 8, 2011·Gastrointestinal Endoscopy·Maxim MazanikovReino Pöyhiä
Dec 3, 2011·Pain Research and Treatment·Christian BachJunaid Masood
Nov 23, 2013·Revista brasileira de anestesiologia·Abdulselam EkinBayazit Dikmen
Mar 25, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Omar M AboumarzoukTarik Amer
Nov 11, 2008·Current Opinion in Anaesthesiology·Joshua H Atkins, Jeff E Mandel

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