J Korean Soc Plast Reconstr Surg Search

CLOSE


Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(1):54-59.
Published online January 1, 1998.
Effect of supplemental intravenous anesthesia in plastic surgery under local anesthesia.
Tae Seop Lee, Sa Ik Bang, Hoon Kang
1Department of Plastic and Reconstructive Surgery, College of Medicine, Chung Buk University, Cheong Ju, Korea.
2Department of anesthesiology, College of Medicine, Chung Buk University, Cheong Ju, Korea.
Abstract
When operations in the field of plastic surgery are performed under local anesthesia, the degree of pain suffering the patients becomes different depending on the kind, dosage effective duration of anesthetic agent and the technique of the operator. Patients suffer from pain physically and psychologically when skin infiltration is carried out. Recently, out-patient surgery has increased in number, so the necessity of more complete analgesia for the patient undergoing surgery is required. Patients were operated under the local infiltrative anesthesia, and the supplemental intravenous anesthesia to kill pain. Patients were randomly divided into four groups differing in combinations of intravenous anesthetic agents, such as ketamine, midazolam, fentanyl that have potent analgesic sedative and amnesic effects. By random allocation patients received ketamine and midazolam(Group I), ketamine and fentanyl(Group II), midazolam and fentany l (Group III), ketamine, fentanyl arts midazolam(Group IV). The purpose of this study is to focus on the results obtained in four groups for finding out a more safe and less complicated combination of intravenous anesthetic agents and for standardization of dosage. In conclusion the group I (ketamine and midazolam) showed better results than other groups for the following reasons; no significant change in vital signs, no hypoxia no complication such as nausea, headache unpleasant dream, and hallucination, potent analgesia effects, amnesia. We have found this combination to be a highly satisfactory anesthesia and analgesia technique for outpatient plastic surgery from the standpoints of the surgeon and the patient.
Keywords: Intravenous anesthetics; Ketamine; Midazolam Fentanyl
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,196 View
  • 0 Download

Effects of Intravenous Anesthesia using Propofol TCI (Target Controlled Infusion) System in Plastic Surgery under Local Anesthesia.2001 September;28(5)



ABOUT
ARTICLE & SPECIALITY
Article category

Browse all articles >

Speciality

Browse all articles >

BROWSE ARTICLES
AUTHOR INFORMATION
Editorial Office
101-2003, Lotte Castle President, 109, Mapodaero, Mapo-gu, Seoul 04146, Korea
E-mail: apsedit@gmail.com                

Copyright © 2024 by Korean Society of Plastic and Reconstructive Surgeons.

Developed in M2PI

Close layer
prev next