ISSN:
1365-2044
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Medicine
Notes:
We propose the use of an intravenous propofol/propofol auto-co-induction technique as an alternative to propofol/midazolam for induction of anaesthesia. We have studied 54 unpremedicated ASA 1 or 2 patients undergoing day-stay anaesthesia for minor orthopaedic surgery. All received 10 μg.kg−1 of alfentanil before induction, followed by either midazolam 0.05 mg.kg−1, propofol 0.4 mg.kg−1 or saline, and 2 min later, a propofol infusion at a rate of 50 mg.kg−1.h−1 until loss of eyelash reflex. We compared pre- and postinduction haemodynamic changes, complications at insertion of a laryngeal mask airway and recovery from anaesthesia in the three groups. Both co-induction techniques showed less postinduction hypotension and significant reduction of the total induction dose of propofol when compared to the control group. In the propofol/propofol group there was a decreased incidence of apnoea during induction of anaesthesia. These patients were discharged from hospital 2 h after the end of anaesthesia whereas patients in the midazolam/propofol group were discharged after 2½ h (p 〈 0.001).
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1046/j.1365-2044.1999.00658.x
