[The dosage of sedative was reduced by patient-controlled sedation during epidural anesthesia].
The dosage of sedatives required for sedation was studied in patients who underwent total abdominal histerectomy under epidural anesthesia using patient-controlled sedation (PCS) and in those with anesthesiologist-controlled sedation (ACS). Patients in experimental groups received 1.0 or 1.5 mg bolus dose of midazolam by their request until desirable sedation was obtained using a computer-controlled device. In control group, anesthesiologists gave 1.5 mg bolus dose of midazolam and repeated until enough sedation was obtained. The total amount of midazolam was 12.15 +/- 3.90 mg (mean +/- SD) in ACS group and showed significant differences from experimental groups (PCS-1.0 group: 7.43 +/- 1.81 mg, PCS-1.5 group: 6.30 +/- 2.81 mg). The level of sedation showed wider variation in PCS groups than in ACS groups. The results suggest that PCS is a technique which allows reduction of sedatives in patients who undergo operation under local anesthesia.
Tsunoda
K
K
Department of Anesthesiology, Nippon Medical School, Tokyo.
D000328:Adult; D016058:Analgesia, Patient-Controlled / Q000379:methods*; D000767:Anesthesia, Epidural; D016292:Procedural Sedation / Q000379:methods*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008874:Midazolam / Q000008:administration & dosage*; D008875:Middle Aged; D017060:Patient Satisfaction
D008874:Midazolam