title: [Anesthetic management for wake-up test during reconstruction surgery of the anterior crucial ligament].
abstract: BACKGROUND
  Seven patients were subjected to intraoperative wake-up tests during reconstruction surgery of the anterior crucial ligament (ACL) to measure the tension of the reconstructed ligament.
  
  
  METHODS
  The patients were of 18 to 28 of age with ASA physical status 1. Anesthesia was maintained with nitrous oxide-sevoflurane-fentanyl or propofol-fentanyl under orotracheal intubation.
  
  
  RESULTS
  Patients anesthetized with nitrous oxide-sevoflurane-fentanyl did not perform smoothly in the wake-up test because of restless or delayed emergence from anesthesia, and two of them experienced intraoperative awareness. On the other hand, all patients anesthetized with propofol-fentanyl performed smoothly, and no patient experienced intraoperative awareness.
  
  
  CONCLUSIONS
  Propofol-fentanyl is better than nitrous oxide-sevoflurane-fentanyl as the method of anesthesia for wake-up tests of ACL reconstruction surgery.
authors: Department of Anesthesia, Osaka Koseinenkin Hospital, Osaka 553-0003.
authors: Shinichi
authors: S
authors: Koyama
authors: Naotsugu
authors: N
authors: Ohashi
authors: Yoko
authors: Y
authors: Iida
authors: Satoshi
authors: S
authors: Kurita
authors: Keiji
authors: K
authors: Nakatani
authors: Yoshiro
authors: Y
authors: Toyoda
mesh_terms: D000293:Adolescent; D000328:Adult; D000762:Anesthesia Recovery Period; D000768:Anesthesia, General / Q000379:methods*; D016118:Anterior Cruciate Ligament / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005283:Fentanyl; D006801:Humans; D008297:Male; D008738:Methyl Ethers; D019637:Orthopedic Procedures; D015742:Propofol; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D000077149:Sevoflurane
chemical_list: D008738:Methyl Ethers; D000077149:Sevoflurane; D005283:Fentanyl; D015742:Propofol