Publication: Propofol-based fast-track for ambulatory surgery
Issued Date
2004-06-01
Resource Type
ISSN
01252208
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2-s2.0-3543062218
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of the Medical Association of Thailand. Vol.87, No.6 (2004), 656-659
Suggested Citation
Siriwan Jirasiritham, Kamthorn Tantivitayatan, Sopon Jirasiritham Propofol-based fast-track for ambulatory surgery. Journal of the Medical Association of Thailand. Vol.87, No.6 (2004), 656-659. Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/21644
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Title
Propofol-based fast-track for ambulatory surgery
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Abstract
The purpose of this study was to provide data of propofol-based total intravenous anesthesia (TIVA) for ambulatory surgery in developing a fast-track technique. One hundred and forty-two patients scheduled for elective surgery were studied : mean (SD) age 42.21 (16.23) years, male to female 72 : 70, mean (SD) body weight 60.75 (11.67) kg and American Society of Anesthesiologists (ASA) physical status I/II/III 66/38/38. Mean (SD) thiopental induction 225 (55.69) mg was maintained with mean (SD) propofol 199.64 (86.26) mg for mean (SD) anesthetic time 29.02 (11.21) minutes. Various narcotics were used : fentanyl 73.48 ± 24.38 μg for 123 cases, morphine 3.27 ± 1.10 mg for 10 cases, remifentanil 492 ± 105.26 μg for 7 cases and pethidine 23.33 ± 2.88 mg for 2 cases. Midazolam was given 2.70 ± 1.05 mg. Patients were positioned in supine, lithotomy or lateral decubitus. One-fourth were PS III with a diagnosis of chronic renal failure and renal transplants coming for incision and drainage of perianal abscess. The mean (SD) wake-up time was 36.02 (17.69) seconds. Only one case (chronic renal failure) had severe hypotension after induction. Anesthetic agents and ideas of fast-track anesthesia were discussed.