J Korean Soc Plast Reconstr Surg.  1998 Jan;25(1):54-59.

Effect of supplemental intravenous anesthesia in plastic surgery under local anesthesia

• Lee TS
• Bang SI
• Kang H

Abstract

When operations in the field of plastic surgery are performed under local anesthesia, the degree of pain suffering the patients becomes different depending on the kind, dosage effective duration of anesthetic agent and the technique of the operator. Patients suffer from pain physically and psychologically when skin infiltration is carried out. Recently, out-patient surgery has increased in number, so the necessity of more complete analgesia for the patient undergoing surgery is required. Patients were operated under the local infiltrative anesthesia, and the supplemental intravenous anesthesia to kill pain. Patients were randomly divided into four groups differing in combinations of intravenous anesthetic agents, such as ketamine, midazolam, fentanyl that have potent analgesic sedative and amnesic effects. By random allocation patients received ketamine and midazolam(Group I), ketamine and fentanyl(Group II), midazolam and fentany l (Group III), ketamine, fentanyl arts midazolam(Group IV). The purpose of this study is to focus on the results obtained in four groups for finding out a more safe and less complicated combination of intravenous anesthetic agents and for standardization of dosage. In conclusion the group I (ketamine and midazolam) showed better results than other groups for the following reasons; no significant change in vital signs, no hypoxia no complication such as nausea, headache unpleasant dream, and hallucination, potent analgesia effects, amnesia. We have found this combination to be a highly satisfactory anesthesia and analgesia technique for outpatient plastic surgery from the standpoints of the surgeon and the patient.

Keyword

Intravenous anesthetics; Ketamine; Midazolam Fentanyl

MeSH Terms

Amnesia
Analgesia
Anesthesia
Anesthesia and Analgesia
Anesthesia, Intravenous*
Anesthesia, Local*
Anesthetics
Anesthetics, Intravenous
Anoxia
Dreams
Fentanyl
Hallucinations
Headache
Humans
Ketamine
Midazolam
Nausea
Outpatients
Random Allocation
Skin
Surgery, Plastic*
Vital Signs
Anesthetics
Anesthetics, Intravenous
Fentanyl
Ketamine
Midazolam