Sedation with TCI-propofol and remifentanil versus TCt-remifentanil for short orthopedic procedures. Patients and surgeons satisfaction.

摘要

Background The aim of this prospective study was to compare two methods of sedation using target-controlled infusion (TCI) for short and less painful orthopedic procedures. Patients and method After written informed consent, 40 patients, ASA I-II, scheduled for osteosyn-thesis material removal from the ankle under local anesthesia were randomized into 2 groups: group PR received TCI propofol (Schneider) c_(p=)1.7 mug/ml and remifentanil 0.1 mug/kg/min in continuous infusion, and group R, received TCI remifentanil c_(p=) 2ng/ml. Sedation was assessed using Modified Wilson sedation scale at 5 minutes intervals during the procedure. Recovery times, pain (VAS), surgeon's satisfaction at the end of the procedure using a three level scale, patient's satisfaction at 24 hours postoperatively (IOWA Satisfaction Scale) and other side-effects were also recorded.