[Anesthetic management for wake-up test during reconstruction surgery of the anterior crucial ligament].
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.
Koyama
Shinichi
S
Department of Anesthesia, Osaka Koseinenkin Hospital, Osaka 553-0003.
Ohashi
Naotsugu
N
Iida
Yoko
Y
Kurita
Satoshi
S
Nakatani
Keiji
K
Toyoda
Yoshiro
Y
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
D008738:Methyl Ethers; D000077149:Sevoflurane; D005283:Fentanyl; D015742:Propofol