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치과 환자에서의 Perfusor® fm 자가통증조절기를 이용한 Propofol 자가진정조절법
Propofol Patient-Controlled Sedation Using Perfusor® fm (B. Braun, Germany) Infusion Pump in Dental Patients-Preliminary Study

대한치과마취과학회지 2002년 2권 2호 p.97 ~ 100

박창주, 김현정, 염광원,

소속 상세정보

박창주 ( Park Chang-Joo ) - 서울대학교 치과대학 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
염광원 ( Yeom Kwang-Won ) - 서울대학교 치과대학 치과마취과학교실

KMID : 0980220020020020097

Abstract

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.