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- Shinichi Koyama, Naotsugu Ohashi, Yoko Iida, Satoshi Kurita, Keiji Nakatani, and Yoshiro Toyoda.
- Department of Anesthesia, Osaka Koseinenkin Hospital, Osaka 553-0003.
- Masui. 2007 Aug 1;56(8):937-41.
BackgroundSeven patients were subjected to intraoperative wake-up tests during reconstruction surgery of the anterior crucial ligament (ACL) to measure the tension of the reconstructed ligament.MethodsThe patients were of 18 to 28 of age with ASA physical status 1. Anesthesia was maintained with nitrous oxide-sevoflurane-fentanyl or propofol-fentanyl under orotracheal intubation.ResultsPatients anesthetized with nitrous oxide-sevoflurane-fentanyl did not perform smoothly in the wake-up test because of restless or delayed emergence from anesthesia, and two of them experienced intraoperative awareness. On the other hand, all patients anesthetized with propofol-fentanyl performed smoothly, and no patient experienced intraoperative awareness.ConclusionsPropofol-fentanyl is better than nitrous oxide-sevoflurane-fentanyl as the method of anesthesia for wake-up tests of ACL reconstruction surgery.
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