지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 123 - 131 (9page)
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초록· 키워드
오류제보하기
Background: The transrectal ultrasound-guided prostate biopsy (TRUS-PBx) is one of the most common procedures among day care center based urologic procedures. Our aim was to determine if pretreatment with meperidine could improve the quality of anesthesia in patients undergoing deep sedation for TRUS-PBx. Methods: Sixty male patients (30–80 years; American Society of Anesthesiologists physical status class I or II) scheduled for TRUS-PBx were allocated randomly into two groups. After pretreatment with normal saline (Group C) or intravenous (i.v.) meperidine 0.5 mg/kg (Group M), sedation was induced with i.v. propofol 1.5 mg/kg. Additional doses of i.v. propofol 0.5 mg/kg were administered upon patient movement. During the procedure, hemodynamic variables, patient movement, and the bispectral index were measured. After the procedure, the mean modified observer’s assessment of alertness/sedation score (MOASS), postprocedural pain, side effects, and patient satisfaction were evaluated. Results: During the procedure, patient movement was not significantly different between the two groups, but Group M required a significantly lower total propofol dose compared to that of Group C (P = 0.036). After the procedure, the MOASS was comparable between the two groups (P = 0.055), but Group M patients experienced significantly less postprocedural pain (P = 0.012), lower systolic and diastolic blood pressure at 45 (P = 0.044 and P = 0.014) and 60 minutes (P ＜ 0.001 and P = 0.006), and lower incidence of tenesmus than Group C (P = 0.020). Conclusions: Meperidine can be used as a safe, effective analgesic with deep sedation for patients undergoing TRUS-PBx.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Halpern EJ / 2000 / Using gray-scale and color and power Doppler sonography to detect prostatic cancer / AJR Am J Roentgenol 174:623~627
Autorino R / 2005 / How to decrease pain during transrectal ultrasound guided prostate biopsy : a look at the literature / J Urol 174:2091~2097
Hou CP / 2015 / Identifying the variables associated with pain during transrectal ultrasonography of the prostate / Patient Prefer Adherence 9:1207~1212
Lee C / 2014 / Current methods of analgesia for transrectal ultrasonography (TRUS)-guided prostate biopsy -- a systematic review / BJU Int 113(Suppl 2):48~56
Maccagnano C / 2011 / Anaesthesia in transrectal prostate biopsy: which is the most effective technique? / Urol Int 87:1~13
Autorino R / 2005 / How to decrease pain during transrectal ultrasound guided prostate biopsy : a look at the literature / J Urol 174:2091~2097
Hou CP / 2015 / Identifying the variables associated with pain during transrectal ultrasonography of the prostate / Patient Prefer Adherence 9:1207~1212
Lee C / 2014 / Current methods of analgesia for transrectal ultrasonography (TRUS)-guided prostate biopsy -- a systematic review / BJU Int 113(Suppl 2):48~56
Maccagnano C / 2011 / Anaesthesia in transrectal prostate biopsy: which is the most effective technique? / Urol Int 87:1~13
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