Anesthesiology and Pain
بیهوشی و درد
JAP
Medical Sciences
http://jap.iums.ac.ir
1
admin
2228-6659
2322-3324
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fa
jalali
1391
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gregorian
2012
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online
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fulltext
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مقایسه اثرات سداتیو رمیفنتانیل با پروپوفول در اعمال جراحی کاتاراکت سالمندان تحت بلوک موضعی رترو بولبار
Comparison of sedative effect of remifentanil with propofol in senile cataract surgery under retrobulbar block
عمومى
General
پژوهشي
Original
<p class="MsoNormal" style="line-height: 150% margin: 0cm 0cm 10pt"><strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-language: FA mso-bidi-font-family: Nazanin">Background</span></strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-language: FA mso-bidi-font-family: Nazanin">:</span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% margin: 0cm 0cm 10pt"><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-language: FA mso-bidi-font-family: Nazanin">Because general anesthesia is not a good choice in elderly ASA>II patients candidate for cataract surgery performored by ophthalmology Residents and lack of cooperation in these patients, </span><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin">sedative effect and hemodynamic status and side effects of two drugs, Remifentanil & propofol<span style="mso-spacerun: yes"> </span>are compared.</span></p>
<p class="MsoNormal" style="text-align: justify margin: 0cm 0cm 0pt mso-layout-grid-align: none"><span style="line-height: 115% font-family: Nazanin color: black font-size: 16pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman""> </span></p>
<p class="MsoNormal" style="line-height: 150% margin: 0cm 0cm 10pt"><strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-language: FA mso-bidi-font-family: Nazanin">Methods :</span></strong><strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin"> </span></strong></p>
<p class="MsoNormal" style="text-align: justify margin: 0cm 0cm 10pt"><span style="line-height: 115% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin">In a Randomized clinical trial on 60 patients candidate for cataract surgery which were divided in two group each containing 30 patients were compared. In group A (remifentanil group), patients were sedated with a bolus dose of 0.5 µg/kg within 1 minute , and maintenance dose of 0.05 µg/kg/min. In group B ( propofol <span style="mso-spacerun: yes"> </span>group) , <span style="mso-spacerun: yes"> </span>patients were sedated with a bolus dose of 0.25 µg/kg, and maintenance dose of 25 µg/kg/min. After retrobulbar block was performored for all the patients by residents. Hemodynamic responses, including<span style="mso-spacerun: yes"> </span>HR , DBP , SBP<span style="mso-spacerun: yes"> </span>and O2Sat and sedation level according to MOAA/SS <span style="mso-spacerun: yes"> </span>were measured .</span></p>
<p class="MsoNormal" style="text-align: justify line-height: 150% margin: 0cm -2.5pt 10pt 0cm unicode-bidi: embed direction: rtl" dir="rtl"><span style="font-family: Calibri"><span style="line-height: 150% color: black font-size: 14pt mso-bidi-font-family: Nazanin mso-bidi-language: FA" dir="ltr">Modified Observers Assessment of Awareness/Sedation Scale<span style="mso-spacerun: yes"> </span>= <span style="mso-spacerun: yes"> </span>MOAA/SS<span style="mso-spacerun: yes"> </span></span></span></p>
<p class="MsoNormal" style="text-align: justify margin: 0cm 0cm 10pt"><span style="line-height: 115% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin"> </span></p>
<p class="MsoNormal" style="line-height: 150% margin: 0cm 0cm 10pt"><strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-language: FA mso-bidi-font-family: Nazanin">Results:</span></strong><strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin"> </span></strong></p>
<p class="MsoNormal" style="text-align: justify margin: 0cm 0cm 10pt"><span style="line-height: 115% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin"><span style="mso-spacerun: yes"> </span>Sedation was deeper in <span style="mso-spacerun: yes"> </span>group A <span style="mso-spacerun: yes"> </span>(Remifentanil ) measured in all times after Block and were statistically meaningful (p<0.05) .The heart rate was <span style="mso-spacerun: yes"> </span>reduced in<span style="mso-spacerun: yes"> </span>group A after 20 minutes after Block and were statistically meaningful ( p<0.05). 7 Cases <span style="mso-spacerun: yes"> </span>in group A ( Remifentanil ) had <span style="mso-spacerun: yes"> </span>nausea after drug administration <span style="mso-spacerun: yes"> </span>(P=0.011). </span></p>
<p class="MsoNormal" style="line-height: 150% margin: 0cm 0cm 10pt"><strong><span style="line-height: 150% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-language: FA mso-bidi-font-family: Nazanin">Conclusion: </span></strong></p>
<p class="MsoNormal" style="text-align: justify margin: 0cm 0cm 10pt"><span style="line-height: 115% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin"><span style="mso-spacerun: yes"> </span>Remifentanil can induce high level of sedation for patients compare to propofol. But Nausea could be troublesome and in this point propofol has less adverse effect. </span></p>
<p class="MsoNormal" style="text-align: justify margin: 0cm 0cm 10pt"><span style="line-height: 115% font-family: "Times New Roman","serif" color: black font-size: 16pt mso-bidi-font-family: Nazanin"> </span></p>
81
0
http://jap.iums.ac.ir/browse.php?a_code=A-10-25-43&slc_lang=fa&sid=1
Mahzad Alimian, Farnad Imani, Mahmoudreza Alebouyeh
Behrouz Zaman, Alirezqa Siamdoust, Reza Tarjoman
مهزاد
علیمیان
100319475328460090
100319475328460090
No
فرناد
ایمانی
100319475328460091
100319475328460091
No
محمودرضا
آل بویه
100319475328460092
100319475328460092
No
بهروز
زمان
100319475328460093
100319475328460093
No
علیرضا
صیام دوست
100319475328460094
100319475328460094
No
رضا
پرشکوه
100319475328460095
100319475328460095
No