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KMID : 0980220020020020097
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Journal of the Korean Dental Society of Anesthesiology
2002 Volume.2 No. 2 p.97 ~ p.100
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Propofol Patient-Controlled Sedation Using Perfusor® fm (B. Braun, Germany) Infusion Pump in Dental Patients-Preliminary Study
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Park Chang-Joo
Kim Hyun-Jeong
Yeom Kwang-Won
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Abstract
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Background: Patient-controlled sedation (PCS) has been known for a safe and effective sedative method on the same pharmacological concepts of patient-controlled analgesia. Many different kinds of infusion devices have been used but they often have too long nominal infusion rate and lockout time. Perfusor® fm (B. Braun, Germany) is a new PCA device with 999.9 ml/hr nominal infusion rate and minimum 1 min lockout time. In this study, the feasibility of propofol PCS using Perfusor® fm was examined in order to provide a safe satisfactory sedation for dental patients.
Methods: Eleven healthy patients presenting for oral surgery were studied. Propofol PCS was performed using Perfusor® fm, which was set to deliver a bolus dose of 5 mg with 999.9 ml/hr nominal infusion rate and 1 min lockout time. Propofol loading dose was randomly assigned to a bolus dose × 0, 2, and 3 (initial bolus). Patients were told to press the bolus button as often as they needed to relieve discomfort.
Results: Total infused-dose of propofol was mean 1.8 mg/kg/hr and D (Delivery)/A (Attempt) ratio was mean 72.8%. All patients was awake and there were no clinically significant intraoperative side effects during the sedation. Almost all patients were very satisfied with this type of PCS.
Conclusion: Propofol PCS using Perfusor® fm infusion pump provided good conscious sedation for dental procedures.
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KEYWORD
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Infusion pumps, Patient-controlled sedation, Propofol
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