European journal of anaesthesiology. Supplement
-
Target-controlled infusion (TCI) systems have dramatically simplified the technique of total intravenous infusion. Systems have been used successfully to provide patient sedation during a variety of surgical procedures. ⋯ Using the analgesic alfentanil, good quality post-operative analgesia can be achieved without under- or overdosing. The recent development of using effector-site drug concentrations as a guide to the extent of sedation should allow fine control of patient sedation with TCI systems.
-
Eur J Anaesthesiol Suppl · Jul 1996
Sedation during regional anaesthesia: indications, advantages and methods.
Patient management is a vital component of regional anaesthesia, and the appropriate method and level of sedation must be chosen for each patient on an individual basis. This may range from simple distraction through pharmacologically induced anxiolysis or hypnosis, to light general anaesthesia by the inhalational or intravenous routes. ⋯ Currently, midazolam and propofol are considered to be the most suitable drugs. Patient safety must never be compromised and pharmacological sedation must be administered by a trained practitioner, with appropriate patient monitoring and provision of supplementary oxygen.