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[Propofol and thoracic surgery].

J L Mourand1, M Neidhardt-Audion, N Schipman

  • 1Département d'Anesthésie-Réanimation, C.H.U. 25000 Besançon.

Cahiers D'Anesthesiologie
|October 1, 1987
PubMed
Summary
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Propofol anesthesia provides rapid recovery for thoracic surgery patients. This study found quick awakening and full mental recovery after anesthesia, with no cumulative effects observed.

Area of Science:

  • Anesthesiology
  • Thoracic Surgery

Context:

  • Thoracic surgery requires effective anesthesia and analgesia.
  • Optimizing anesthetic techniques is crucial for patient recovery and outcomes.

Purpose:

  • To evaluate the cardiovascular effects and recovery profile of propofol-based anesthesia during thoracic surgery.
  • To assess the efficacy of intercostal blockade combined with propofol anesthesia.

Summary:

  • Twenty patients undergoing thoracic surgery received anesthesia with propofol, vecuronium, and dextromoramide.
  • Intercostal blockade was used in 16 patients; epidural anesthesia in 4.
  • Cardiovascular effects during induction included bradycardia and a decrease in systolic arterial pressure in some patients, which stabilized post-incision.

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Impact:

  • Propofol anesthesia facilitated rapid awakening and recovery of mental faculties post-surgery.
  • No cumulative effects of propofol were observed, suggesting suitability for short-to-intermediate duration procedures.
  • The combination of intercostal blockade and propofol anesthesia appears effective for thoracic surgery, with manageable cardiovascular effects.