The Korean Journal of Pain

  • 제19권1호
  • /
  • Pages.77-80
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  • 2006
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
권호 표지

증식 치료와 근육내 자극술시의 수면 마취

The Sedation Anesthesia for Prolotherapy and Intramuscular Stimulation

  • 조대현 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 김명희 (포천중문의과대학교 분당차병원 통증클리닉) ;
  • 홍지희 (포천중문의과대학교 분당차병원 통증클리닉)
  • 투고 : 2005.12.19
  • 심사 : 2006.05.22
  • 발행 : 2006.06.30
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초록

Background: Painful experiences during procedures such as prolotherapy and intramuscular stimulation are stressful to patients and can affect the treatment outcome. We present a method for relieving pain and increasing the level of patient comfort during the procedure. Methods: Twenty six patients who requested sedation anesthesia during the procedure were examined. All patients were injected with 500 ml of 0.9% normal saline and were monitored by electrocardiography, blood pressure and pulse oximetry. The patients were supplied with oxygen (3 L/min) through a nasal cannula. Midazolam (0.02 mg/kg) and alfentanil ($8{\mu}g/kg$) was injected before the procedure and a bolus injection was administered during the procedure if patients felt any pain. The duration of the procedure, the total amount of drugs, the changes in the systolic blood pressure, heart rate, pulse oxygen saturation, sedation and pain level during procedure, satisfaction scale after the procedure, complications and the incidence of amnesia were evaluated. Results: Twenty one patients had a moderate level of sedation, 15 patients did not feel any pain during the procedure, 17 patients had high level of satisfaction (8-10). No patient experienced complications after the procedure, or unstable vital signs, and 6 patients could not remember the procedure. Conclusions: Sedation anesthesia is a safe method for relieving pain during the procedure, and most patients had a high level of satisfaction.

키워드

참고문헌

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