Of propofol combined with fentanyl in painless colonoscopy in the clinical observation of.docVIP

 PAGE \* MERGEFORMAT 10 Of propofol combined with fentanyl in painless colonoscopy in the clinical observation of Authors: Feng Ru Xin, Han Song, ZHANG Gang, Liu Lijuan [Keywords:] propofol; fentanyl; MAC technology; colonoscopy [Abstract] Objective To study the implementation of the custody of propofol-fentanyl anesthesia management (monitored anesthesia care, MAC) technology, used in colonoscopy in the effectiveness and safety. Methods 200 routine colonoscopy were randomly divided into two MAC groups (n = 100) and the control group (n = 100), the control group received routine colonoscopy. MAC group to fentanyl 1 μ g / kg intravenous injection, followed by propofol 1 ~ 2 mg / s speed of bolus, Ramsay sedation grade 5 Across colonoscopy, intraoperative 5 ~ 10 mg / min rate to maintain MAC. Results painless MAC group rate of 100%, of which 98 cases of quiet sleep (98%), a slight movement of limbs in 16 cases (16%), significantly affect the operation of four cases of physical activity (4%), awake time is short, and few adverse reaction, check in vital signs. The control group patients have different degrees of abdominal distention, abdominal pain, shouting, physical activities and other discomfort, adverse reactions more. Conclusion of propofol-fentanyl MAC technology for colonoscopy sedation analgesia precise and safe. [Keywords:] propofol; fentanyl; MAC technology; colonoscopy Clinical observation on MAC by propofol combined with fentanyl in colonoscopy [Abstract] Objective To investigate the effect and safety of monitored anesthesia care (MAC) by propofol combined with fentanyl in colonoscopy. Methods 200 patients attending for colonoscopy were randomly chosen and divided into control group (n = 100) and MAC group (n = 100). Control group was given normal colonoscopy.MAC group was given fentanyl (1μ g / kg) and propofol (1 ~ 2 mg / s) intravenously.If the patients reached class Ⅴ of Ramsay score, inserted the colonoscope, and maintained with propofol 5