TOTAL INTRAVENOUS ANESTHESIA FOR DIRECT LARYNGOSCOPY - PROPOFOL INFUSION COMPARED TO THIOPENTONE COMBINED WITH MIDAZOLAM AND METHOHEXITONE INFUSION

被引:8
作者
SONNE, NM [1 ]
CLAUSEN, TG [1 ]
VALENTIN, N [1 ]
HALCK, S [1 ]
MUNKSGAARD, A [1 ]
机构
[1] GENTOFTE HOSP,DEPT ANESTHESIA,COPENHAGEN,DENMARK
关键词
ANESTHETICS; INTRAVENOUS; PROPOFOL; THIOPENTONE; MIDAZOLAM; METHOHEXITONE; ALFENTANIL; HEMODYNAMICS; RECOVERY;
D O I
10.1111/j.1399-6576.1992.tb03459.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Total intravenous anaesthesia for direct laryngoscopy was investigated in 40 patients, randomized into four groups of 10 patients each. First, propofol infusion was compared to thiopentone combined with midazolam. Next, a comparison of propofol infusion with methohexitone infusion was undertaken. The propofol group showed significantly lower peroperative blood pressure compared to the thiopentone/midazolam group. The second propofol group required significantly less alfentanil to stabilize the blood pressure, compared to the methohexitone group. Completeness of recovery, assessed by means of a coin counting test, was faster in the propofol group compared to the thiopentone/midazolam group, while no difference could be demonstrated between the second propofol group and the methohexitone group. It is concluded that propofol seems to be superior to both thiopentone/midazolam and methohexitone with respect to the stability of peroperative blood pressure. Concerning recovery, propofol is superior to thiopentone/midazolam, but offers no advantage over methohexitone.
引用
收藏
页码:250 / 254
页数:5
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