Korean J Anesthesiol.  1998 Mar;34(3):531-536. 10.4097/kjae.1998.34.3.531.

The Effects of Propofol as s Sole Intravenous Anesthetics on Endourologic Transurethral Lithotripsy

• Goo YG
• Joo KH
• Shin HW
• Kim WY
• Suh KS
• Yuh HS
• Yoo TK

• KMID: 2032415
• DOI: http://doi.org/10.4097/kjae.1998.34.3.531

Abstract

BACKGROUND
Propofol is an intravenous anesthetic characterized by rapid induction and prompt recovery. Recently, its is used widely in clinical practice, especially when early discharge is advisable. We conducted this study for the evaluation of the effects of propofol as a sole intravenous anesthetic on the operation with minimal pain such as TUL(transurethral lithotripsy).
METHODS
Patients were recruited for ASA class 1 and 2 from those who received TUL operation. Propofol was administered 2 mg/kg for induction and continuously infused at the rate of 1.2~1.4 mg/kg/hr after the loss of consciousness. With the stabilization of the vital signs, we reduced the dose of propofol to 1.0~1.2 mg/kg/hr. We checked the patients' movement, vital signs, recovery time and monitored the appearance of the symtoms such as nausea, vomiting postoperatively.
RESULTS
1) The average time of operation was 15+/-12 minutes. 2) The average recovery time was 15+/-9 minutes(range 2~30 min). 3) Blood pressure and peripheral oxygen saturation(SpO2) were declined during anesthesia, but SpO2 was normalized in the recovery room. 4) No significant complications were observed. 5) Mild movement of the patient was noticed in the begining of operation, but it did not affect the surgical procedure.
CONCLUSIONS
Propofol was effective as a sole intravenous anesthetic to minimize postoperative complications such as nauea, vomiting for TUL with minimal pain.

Keyword

Anesthetics, intravenous: propofol; Surgery: transurethral lithotripsy; endourologic procedure

MeSH Terms

Anesthesia
Anesthetics, Intravenous*
Blood Pressure
Humans
Lithotripsy*
Nausea
Oxygen
Postoperative Complications
Propofol*
Recovery Room
Unconsciousness
Vital Signs
Vomiting
Anesthetics, Intravenous
Oxygen
Propofol