COMPARISON OF SEDATIVE EFFECT OF REMIFENTANIL WITH PROPOFOL IN SENILE CATARACT SURGERY UNDER RETRO BULBAR BLOCK

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ALIMIAN MAHZAD; IMANI FARNAD; ALEBOUYEH MAHMOUDREZA; ZAMAN BEHROUZ; SIANDOUST ALIREZA; TARJOMAN PORSHOKOUH REZA

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Journal: Journal of Anesthesiology and Pain Year:2012 | Volume:2 | Issue:7 Page(s): 81-87

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Title

COMPARISON OF SEDATIVE EFFECT OF REMIFENTANIL WITH PROPOFOL IN SENILE CATARACT SURGERY UNDER RETRO BULBAR BLOCK

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Keywords

REMIFENTANILQ2

PROPOFOLQ3

RETRO BULBAR BLOCKQ2

CATARACT SURGERYQ3

INTRAVENOUS SEDATIONQ2

Abstract

Aim and Background: As general anesthesia is not a suitable choice in elderly ASA>II patients candidate for CATARACT SURGERY performored by ophthalmology Residents and lack of cooperation in these patients, sedative effect and hemodynamic status and side effects of two drugs, REMIFENTANIL & PROPOFOL are compared in this study.Methods and Materials: In a Randomized clinical trial 60 patient candidates for CATARACT SURGERY were divided in two groups each containing 30 patients. In group A (REMIFENTANIL group), patients were sedated with a bolus dose of 0.5 mg/kg within 1 minute, and maintenance dose of 0.05 mg/kg/min. In group B (propofol group), patients were sedated with a bolus dose of 0.25 mg/kg, and maintenance dose of 25 mg/kg/min. After RETRO BULBAR BLOCKage was performored on all the patients by residents, Hemodynamic responses, including HR, DBP, SBP and O2Sat and sedation level according to MOAA/SS were measured. Modified Observers Assessment of Awareness/Sedation Scale=MOAA/SS.Findings: Sedation was deeper in group A (REMIFENTANIL) were statistically meaningful during the measured times after blockage. The heart rate was reduced in group A 20 minutes after blockage and were statistically meaningful (p<0.05).7 patients in group A (REMIFENTANIL) had nausea after drug administration (P=0.011).Conclusions: REMIFENTANIL can induce high level of sedation for patients compare to PROPOFOL.But Nausea could be troublesome and in this point PROPOFOL has less adverse effect.

Cites

COMPARING THE EFFECT OF REMIFENTANIL, PROPOFOL AND REMIFENTANIL PLUS PROPOFOL ON THE SEDATION SCORE AMONG PATIENTS UNDER PHACOEMULSIFICATION CATARACT SURGERY

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APA: Copy

ALIMIAN, MAHZAD, IMANI, FARNAD, ALEBOUYEH, MAHMOUDREZA, ZAMAN, BEHROUZ, SIANDOUST, ALIREZA, & TARJOMAN PORSHOKOUH, REZA. (2012). COMPARISON OF SEDATIVE EFFECT OF REMIFENTANIL WITH PROPOFOL IN SENILE CATARACT SURGERY UNDER RETRO BULBAR BLOCK. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), 2(7), 81-87. SID. https://sid.ir/paper/216344/en

Vancouver: Copy

ALIMIAN MAHZAD, IMANI FARNAD, ALEBOUYEH MAHMOUDREZA, ZAMAN BEHROUZ, SIANDOUST ALIREZA, TARJOMAN PORSHOKOUH REZA. COMPARISON OF SEDATIVE EFFECT OF REMIFENTANIL WITH PROPOFOL IN SENILE CATARACT SURGERY UNDER RETRO BULBAR BLOCK. JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN)[Internet]. 2012;2(7):81-87. Available from: https://sid.ir/paper/216344/en

IEEE: Copy

MAHZAD ALIMIAN, FARNAD IMANI, MAHMOUDREZA ALEBOUYEH, BEHROUZ ZAMAN, ALIREZA SIANDOUST, and REZA TARJOMAN PORSHOKOUH, “COMPARISON OF SEDATIVE EFFECT OF REMIFENTANIL WITH PROPOFOL IN SENILE CATARACT SURGERY UNDER RETRO BULBAR BLOCK,” JOURNAL OF ANESTHESIOLOGY AND PAIN (PERSIAN), vol. 2, no. 7, pp. 81–87, 2012, [Online]. Available: https://sid.ir/paper/216344/en

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