Target-controlled Propofol Infusion for Sedation during Gastrointestinal Fiberscopy-A Case Report.

  • TOKUMINE Joho
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus
  • SHOKITA Hayashi
    Department of Internal Medicine, Northern Okinawa Medical Center
  • TAKARA Itaru
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus
  • IHA Hiroshi
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus
  • NAKAMURA Seiya
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus
  • OKUDA Yoshiaki
    Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus

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Other Title
  • 上部消化管内視鏡検査に対するプロポフォールによる鎮静 TCI法を精神発達遅滞患者に用いた症例検討
  • A Case Report
  • TCI法を精神発達遅滞患者に用いた症例検討

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Abstract

The recent wide application of propofol sedation by target-controlled infusion (TCI) has resulted in smoother insertion of gastrointestinal fiberscopes. A 31-year-old male patient complicated with rigid-type cerebral palsy and mild mental retardation was to receive TCI with propofol for gastrointestinal fiberscopy. The initial blood concentration of propofol was 1.2μg/ml, but the target concentration had to be increased to 1.4μg/ml due to gagging and retching at insertion of the fiberscope. After the increase in administration, the procedure were performed smoothly without loss of consciousness. The patient and endoscopist were very satisfied with sedation. No postoperative side effects were experienced.

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