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KMID : 0978920110120040191
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Korean Journal of Clinical Geriatrics
2011 Volume.12 No. 4 p.191 ~ p.196
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Effective Combination of Propofol and Thiopental for Reducing Vascular Pain during Geriatric Sedative Upper Gastrointestinal Endoscopy
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Shim Haeng-Seon
Yang Geun-Young
Shin Myoung-Keun
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Abstract
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Background: As elderly patients with the UGI (upper gastrointestinal) diseases have increased, need of the sedative agents also increase for satisfactory sedation and reducing anxiety. The purpose of this study was to assess the incidence of pain on injection and patient satisfaction when using a combination of propofol-thiopental as compared with propofol alone.
Methods: Sixty patients aged ≥60 years scheduled for sedative UGI endoscopy were randomly allocated to group P (propofol alone) or group PT (combination of propofol and thiopental). Pulse rate, oxygen saturation, incidence of pain on injection and patient satisfaction were assessed.
Results: There was a significant decrease of the incidence of the pain on injection in group PT compared with group P (P＜0.05). There were no significant differences in hemodynamic index between the two groups. There were no significant differences in patient satisfaction between the two groups in the recovery room.
Conclusion: We conclude that combination of propofol-thiopental during sedative UGI endoscopy in
geriatric patients was significant reduction in pain on injection than propofol alone.
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KEYWORD
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Upper gastrointestinal endoscopy, Geriatric patients, Propofol, Combination of propofol thiopental
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