title: [Comparison of manual infusion of propofol and target-controlled infusion: effectiveness, safety and acceptability].
abstract: BACKGROUND
  Diprifusor TCI is a newly developed target-controlled system for the infusion of propofol. Purpose of this study is to evaluate the acceptability, efficacy and safety of Diprifusor TCI in comparison with the manually controlled technique.
  
  
  METHODS
  This multicentre, randomised, parallel group study was carried out in 160 patients undergoing surgical procedures of 10 min to 4 h duration in 8 centres. In each centre 20 male or female patients, aged > or = 18 years, ASA I-III were randomised to treatment with either Diprifusor TCI (TCI group--80 patients) or manually controlled infusion (MI group--80 patients). Assessments included hemodynamics; adverse events, including accidents, actual or possible; recovery times; anesthetist ratings of quality of induction and maintenance, and of ease of control and use of technique. Ratings were summed up in a global quality score (study end-point).
  
  
  RESULTS
  Induction doses were significantly lower (median values 1.4 vs 1.9 mg/kg) and maintenance infusion rate significantly higher (median values 10.2 vs 8.8 mg/kg/h) in the TCI group; anesthetists ratings obtained maximum scores in most patients of either group, but more frequently in the TCI group, with significant differences for ease of control (good 91.2% TCI vs 74.7% IM; adequate 8.8 vs 21.5%; poor 0 vs 3.8%), and of use of technique (good 91.2% TCI vs 60.8% IM; adequate 8.8 vs 39.2%); the global quality score showed a significant advantage for the TCI system (median value 12 vs 11).
  
  
  CONCLUSIONS
  The TCI technique is effective and safe, and has a better acceptability than the manually controlled infusion technique.
authors.affiliation: Istituto di Anestesia e Rianimazione, Università degli Studi, Napoli.
authors.forename: B
authors.initials: B
authors.lastname: Mazzarella
authors.forename: C
authors.initials: C
authors.lastname: Melloni
authors.forename: S
authors.initials: S
authors.lastname: Montanini
authors.forename: G P
authors.initials: GP
authors.lastname: Novelli
authors.forename: V A
authors.initials: VA
authors.lastname: Peduto
authors.forename: E
authors.initials: E
authors.lastname: Santandrea
authors.forename: E
authors.initials: E
authors.lastname: Vincenti
authors.forename: J
authors.initials: J
authors.lastname: Zattoni
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000771:Anesthesia, Intravenous; D018686:Anesthetics, Intravenous / Q000008:administration & dosage* / Q000009:adverse effects; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D015742:Propofol / Q000008:administration & dosage* / Q000009:adverse effects
chemical_list: D018686:Anesthetics, Intravenous; D015742:Propofol
vernacular_title: Confronto tra l'infusione manuale di propofol e l'infusione a target controllato: efficacia, sicurezza ed accettabilità.