Intravenous anesthesia


Anesthesia and Pain Medicine. 2002 Mar. 6(1): 32-36
ⓒ Korean Society for Intravenous Anesthesia
Anesthetic Management with Propofol in Uvulopalatopharyngoplasty (a review of 100 cases)
Ok Young Shin
Department of Anesthesiology, College of Medicine, Kyung Hee University, Seoul, Korea

BACKGROUND: This study was to describe an anesthesia with propofol-N2O-O2 in uvulopalatopharyngoplasty (UPPP) that is a surgical procedure for treatment of snoring and obstructive sleep apnea.
METHODS: One hundred patients, ASA physical status 1 or 2, were selected for general anesthesia for UPPP. All patients were premedicated with intramuscular midazolam 2 mg and glycopyrrolate 0.2 mg at 30 min before induction. General anesthesia was induced by target controlled infusion (TCI) of propofol with target concentration (Tc) of 5.0 microgram/ml and maintained with Tc of 2.5 3.5 microgram/ml combined with O2/N2O (2 L/min, 3 L/min), vecuronium 0.1 mg/kg and fentanyl 1 microgram/kg. Ketorolac (30 mg) was added for postoperative pain. The blood pressure, heart rate, extubation time and eye opening time were recorded.
RESULTS: Mean anesthesia time was 96 +/- 29.3 minutes, extubation time was 7.1 +/- 3.6 minutes and eye opening time was 8.9 +/- 2.9 minutes. The systolic and diastolic pressure were decreased significantly after drug administration. After intubation, the systolic pressure was significantly increased. The heart rate was increased significantly during induction. All patients were satisfied with anesthesia.
COUCLUSIONS: Anesthesia with propofol-N2O-O2 could be a suitable and safe anesthetic technique for UPPP.
Key words : Anesthesia, UPPP, Anesthetics, intravenous, propofol
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