당일 입원 환자의 치과 수술 시 Propofol을 이용한 Monitored-Aesthesia Care (MAC)의 안정성 및 유용성에 관한 연구
Safety and Availability of Monitored-Anesthesia Care using Propofol during Implant Surgery of the One-day Admission Patients
김범수, 김영균, 윤필영, 이용인,
소속 상세정보
김범수 ( Kim Beom-Su ) - 분당서울대학교병원 치과 구강악안면외과
김영균 ( Kim Young-Kyun ) - 분당서울대학교병원 치과 구강악안면외과
윤필영 ( Yun Pil-Young ) - 분당서울대학교병원 치과 구강악안면외과
이용인 ( Lee Yong-In ) - 분당서울대학교병원 치과 구강악안면외과
KMID : 0980220070070020120
Abstract
Background: Propofol has been used extensively for short-acting intravenous sedative agent during monitored anesthesia care (MAC). This study was designed to evaluate the safety and availability of MAC using propofol in implant surgery of the one-day admission patients.
Methods: In this study, subjects were divided into two groups according to ASA physical status. The heart rate, blood pressure, peripheral oxygen saturation and ECG of a patient were estimated under MAC by an anesthesiologist and the vital signs were recorded in recovery room periodically afterwards. The subjective satisfaction with regard to outpatient ambulatory surgery under MAC procedure was evaluated the next day.
Results: Systolic and diastolic blood pressure were significantly decreased during MAC in ASA I group, but other remarkable changes in vital sign were not observed. There was no significant difference in pain and anxiety level between ASA I and ASA II, III group. Satisfaction rate was high in both groups.
Conclusion: Monitored-Anesthesia Care using propofol during implant surgery of the one-day admission patients might be safe and available procedure because heart rate, blood pressure and oxygen saturation are stable before and during surgery, and adequate control of pain and anxiety is supported.
키워드
MAC; Propofol; One-day admission patient
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