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Published: 2022-06-15
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DOI: https://doi.org/10.52852/tcncyh.v155i7.934
Issue
Vol. 155 No. 7 (2022)
Section
Các bài báo
How to Cite
Bình, N. Q. ., Tú, V. D. ., & Khánh, P. Q. . (2022). 21. Assessment of effectiveness of TCI sedation by propofol combined with local anesthesia lidocaine 2% in maxillofacial screw removal surgery. Journal of Medical Research, 155(7), 162-169. https://doi.org/10.52852/tcncyh.v155i7.934

21. Assessment of effectiveness of TCI sedation by propofol combined with local anesthesia lidocaine 2% in maxillofacial screw removal surgery

Nguyen Quang Binh, Vu Doan Tu, Pham Quoc Khanh

Main Article Content

Abstract

Maxillofacial screw removal surgery is a medium and small surgery usually performed under anesthesia. Recently, authors around the world have been using TCI propofol for similar surgeries with many advantages, but in Vietnam, this method has not been applied. Our RCT study compared 60 patients with jawbone screw removal under routine anesthesia or TCI propofol combined with local anesthesia with 2% lidocaine. The results show that the effectiveness of anesthesia of the two methods is similar to the indexes of anesthesia level, pain level, and patient cooperation. In addition, the time of sedation/anesthesia plus surgery of the TCI group (54.80 ± 8.21 minutes) was significantly (p < 0.05) shorter than that of the general anesthesia group (63.33 ± 21.15 minutes).

Article Details

Keywords

sedation, TCI propofol, maxillofacial surgery, screw removal

References

1. King BJ, Levine A. Controversies in anesthesia for oral and maxillofacial surgery. Oral Maxillofac Surg Clin N Am. 2017;29(4):515-523. doi: 10.1016/j.coms.2017.07.006.
2. Greenidge E, Krieves M, Solorzano R. Global anesthesia in oral and maxillofacial surgery. Oral Maxillofac Surg Clin N Am. 2020;32(3):427-436. doi: 10.1016/j.coms.2020.04.004.
3. Guarracino F, Lapolla F, Cariello C, et al. Target controlled infusion: TCI. Minerva Anestesiol. 2005;71(6):335-337.
4. Cashman JN, Dolin SJ. Respiratory and haemodynamic effects of acute postoperative pain management: evidence from published data. Br J Anaesth. 2004;93(2):212-223. doi: 10.1093/bja/aeh180.
5. Szederjesi J. Target controlled infusion: An anaesthetic technique brought in ICU. J Crit Care Med Univ Med Si Farm Din Targu-Mures. 2022;8(1):3-5. doi: 10.2478/jccm-2022-0001.
6. Glen JB. The development of “Diprifusor”: a TCI system for propofol. Anaesthesia. 1998;53 Suppl 1:13-21. doi: 10.1111/j.1365-2044.1998.53s115.x.
7. Wilson B, Lewis J, O’hare P, Lim C. Following the trend in maxillofacial surgery literature. Br J Oral Maxillofac Surg. 2021;59(6):643-647. doi: 10.1016/j.bjoms.2020.12.006.
8. Cummings DR, Yamashita DDR, McAndrews JP. Complications of local anesthesia used in oral and maxillofacial surgery. Oral Maxillofac Surg Clin N Am. 2011;23(3):369-377. doi: 10.1016/j.coms.2011.04.009.
9. Schraag S, Flaschar J, Georgieff M. Target controlled infusion (TCI)-status and clinical perspectives. Anasthesiologie Intensivmed Notfallmedizin Schmerzther AINS. 2000;35(1):12-20. doi: 10.1055/s-2000-10845.
10. Billard V, Cazalaà JB, Servin F, Viviand X. Target-controlled intravenous anesthesia. Ann Fr Anesth Reanim. 1997;16(3):250-273. doi: 10.1016/s0750-7658(97)86410-6.
11. Rodrigo C, Irwin MG, Yan BSW, Wong MH. Patient-controlled sedation with propofol in minor oral surgery. J Oral Maxillofac Surg Off J Am Assoc Oral Maxillofac Surg. 2004;62(1):52-56. doi: 10.1016/j.joms.2003.04.004.
12. Russell D. Intravenous anaesthesia: manual infusion schemes versus TCI systems. Anaesthesia. 1998;53 Suppl 1:42-45. doi: 10.1111/j.1365-2044.1998.53s113.x.
13. Abdullayev R, Yildirim E, Celik B, Topcu Sarica L. Analgesia nociception index: Heart rate variability analysis of emotional status. Cureus. 11(4):e4365. doi: 10.7759/cureus.4365.
14. Schraag S, Kreuer S, Bruhn J, Frenkel C, Albrecht S. Target-controlled infusion (TCI) - a concept with a future?: state-of-the-art, treatment recommendations and a look into the future. Anaesthesist. 2008;57(3):223-230. doi: 10.1007/s00101-008-1329-7.