Monitored Anesthesia Care Management Comprehensive plastic surgery of the nose of.doc

 PAGE \* MERGEFORMAT 11 Monitored Anesthesia Care Management Comprehensive plastic surgery of the nose of [Abstract] Objective: To investigate the management of Monitored Anesthesia Care (MAC) used in nasal comprehensive feasibility and safety of plastic surgery. Methods: 42 patients with ASA grade , grade comprehensive plastic surgery patients with nasal midazolam, fentanyl , propofol MAC, sedation maintenance of improved OAA / S score 2 to 4 minutes, mean arterial blood pressure (MAP), heart rate (HR), respiratory rate (RR), pulse oxygen saturation (SpO2), log RR lt; 8 min-1 60 s, SpO2 lt;90% 30 s, and the incidence of intraoperative movement in response; observation of postoperative nausea and vomiting, to assess patient satisfaction after surgery. Results: MAC process, MAP , HR smooth, RR less than 8 min-1 60 s the rate was 11.9% (5 / 42), SpO2 lt;90% 30 s the rate was 4.8% (2 / 42), 6 cases were movement in response occurred in 3 cases of female patients have nausea, vomiting, postoperative satisfaction score was (2.4 + -0.6) points. Conclusion: midazolam, fentanyl, propofol is safe and effective MAC used in integrated plastic nose surgery, patient satisfaction is high. [Keywords:] monitoring anesthesia management; propofol; comprehensive plastic surgery nose [Abstract] Objective: To evaluate the application of monitored anesthesia care (MAC) in patients undergoing comprehensive rhinoplasty. Methods: Monitored anesthesia care (MAC) with midazolam, fentanyl and propofol was performed in 42 ASA or patients undergoing comprehensive rhinoplasty. The level of sedation was maintained at 2-4 in accordance with modified OAA / S score (Observer s Assessment of Alertness / Sedation score). MAP, HR, RR, SpO2 were monitored and the incidence of RR lt;8 beats min-1 lasting over 60 s or SpO2 lt;90% lasting over 30 s was documented. We also recorded the patients body movement response to surgery, observed postoperative nausea and vomiting symptoms and