ĐÁNH GIÁ MỨC ĐỘ THUẬN LỢI CỦA PHẪU THUẬT RĂNG KHÔN BẰNG PHƯƠNG PHÁP AN THẦN ĐÍCH PROPOFOL (TCI)

Abstract

Objective: Evaluation the convenience of target controlled infusion (TCI) using propofol for wisdom teeth extraction procedure. Objective Summary: To evaluate the advantage of third molar surgery using the target controlled infusion (TCI) by propofol method.  Subjects and Methods: Clinical, randomized controlled trial.  Conducted on 60 patients with third molar extraction, aged 16-50, ASA I, II.  Group 1 (n = 30): General anesthesia to perform surgery at the Anesthesia Department, Hanoi Central Dental Hospital.  Group 2 (n = 30): Using the target brain sedative propofol concentration (Ce) by 10% propofol.  Assessment methods: general characteristics, degree of difficulty in lower third molar surgery according to pedersen, surgery time, patient movement level according to Ellis, level of sedation OAA / S, total lidocaine dose, degree  Surgeons' satisfaction according to VAS.  Results: Group 2 has an average age of 27.17 ± 9.27 years, equivalent to group 1 is 27.33 ± 8.62 years (p> 0.05); The average weight of group 2 was 56.67 ± 10.37 kg, equivalent to group 1 was 55.46 ± 10.15 kg (p> 0.05); total dose of lidocaine anesthetic was 205.9 ± 24.95 mg equivalent to group 1 was 191.1 ± 31.14mg (p> 0.05). Group 2 had a total mean propofol of 107.27 ± 13.86 mg, which was lower than group 1 with mean total propofol of 278.5 ± 73.31 (p <0.05), and group 1 sedation levels allow (5> OAA / S ≥ 3), 2 group has a way of hard Falence as the way of the time of the 2 group is the same (p> 0.05), No means (p> 0.05), The level of PTV very satisfied in group 2 is higher than group 1 (p <0.05). Conclusion: Using propofol TCI for third molar surgery has good sedative effect, facilitating surgeons..