[Target-controlled propofol infusion for general anesthesia in three obese patients]

Masui. 2000 Jul;49(7):732-5.
[Article in Japanese]

Abstract

We report three cases in which the target-controlled propofol infusion technique was used in obese patients for general anesthesia. General anesthesia was induced by intravenous administration of fentanyl 150-300 micrograms and ketamine 50-80 mg and propofol 2 micrograms.ml-1 to achieve a target blood concentration by target-controlled infusion system. Anesthetic maintenance was achieved by ketamine 1 mg.kg-1.h-1 for 1 hour after the induction, propofol at target blood concentration of 2-3.5 micrograms.ml-1 and the intermittent epidural injection of 1.5% lidocaine through an epidural catheter. The surgical procedures were uneventful. The estimated blood concentrations of propofol at emergence from anesthesia calculated by ConGrace ranged from 1.49-1.69 micrograms.ml-1, and it took 230-300 seconds to emerge from anesthesia. The target-controlled propofol infusion technique appears useful to control the depth of anesthesia in obese patients.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Anesthesia, General / methods*
  • Anesthesia, Intravenous / methods*
  • Anesthetics, Intravenous / administration & dosage*
  • Anesthetics, Intravenous / blood
  • Cholelithiasis / surgery
  • Female
  • Humans
  • Infusions, Intravenous / methods
  • Male
  • Middle Aged
  • Obesity*
  • Propofol / administration & dosage*
  • Propofol / blood

Substances

  • Anesthetics, Intravenous
  • Propofol