J Korean Dent Soc Anesthesiol.  2007 Dec;7(2):120-125. 10.17245/jkdsa.2007.7.2.120.

Safety and Availability of Monitored-Anesthesia Care Using Propofol during Implant Surgery of the One-day Admission Patients

• Kim BS
• Kim YK
• Yun PY
• Lee YI

• KMID: 2425009
• DOI: http://doi.org/10.17245/jkdsa.2007.7.2.120

Abstract

BACKGROUND
Propofol has been used extensively for short-acting intravenous sedative agent during monitored anesthesia care (MAC). This study was designed to evaluate the safety and availability of MAC using propofol in implant surgery of the one-day admission patients.
METHODS
In this study, subjects were divided into two groups according to ASA physical status. The heart rate, blood pressure, peripheral oxygen saturation and ECG of a patient were estimated under MAC by an anesthesiologist and the vital signs were recorded in recovery room periodically afterwards. The subjective satisfaction with regard to outpatient ambulatory surgery under MAC procedure was evaluated the next day.
RESULTS
Systolic and diastolic blood pressure were significantly decreased during MAC in ASA I group, but other remarkable changes in vital sign were not observed. There was no significant difference in pain and anxiety level between ASA I and ASA II, III group. Satisfaction rate was high in both groups.
CONCLUSION
Monitored-Anesthesia Care using propofol during implant surgery of the one-day admission patients might be safe and available procedure because heart rate, blood pressure and oxygen saturation are stable before and during surgery, and adequate control of pain and anxiety is supported.

Keyword

MAC; Propofol; One-day admission patient

MeSH Terms

Ambulatory Surgical Procedures
Anesthesia
Anxiety
Blood Pressure
Electrocardiography
Heart Rate
Humans
Outpatients
Oxygen
Propofol*
Recovery Room
Vital Signs
Oxygen
Propofol