Le propofol et l'AIVOC en neuro-anesthésie
| Autor: | A Fichten, R Krivosic-Horber, A.M Debailleul |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.drug_class medicine.medical_treatment Sedation General Medicine Surgery Hypnotic Anesthesiology and Pain Medicine Level of consciousness Bolus (medicine) Anesthesia Medicine medicine.symptom Cerebral perfusion pressure business Propofol Craniotomy medicine.drug Intracranial pressure |
| Zdroj: | Annales Françaises d'Anesthésie et de Réanimation. 23:375-382 |
| ISSN: | 0750-7658 |
| DOI: | 10.1016/j.annfar.2004.02.038 |
| Popis: | Propofol is an intravenous anaesthetic agent, which presents interesting features for its use in neuro-anaesthesia: it is a powerful hypnotic that does not increase the intracranial pressure. The delay of recovery is short even after several hours of continuous infusion. This is essential for a fast neurologic examination. Continuous infusion should be preferred to bolus in order to prevent hypotension and decrease of the cerebral perfusion pressure. Target-controlled infusion models based on effect site concentrations are now available through several softwares. This technique appears especially useful for awake craniotomy and functional neurosurgery. The level of consciousness is easily fixed between deep anaesthesia and light sedation permitting to ask the patient to move following orders. A sedation controlled by the patient himself is even possible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect