Recent advances in patient-controlled sedation

Current Opinion in Anaesthesiology

Volumn 21, Issue 6, 2008, Pages 759-765

  Atkins, Joshua H ^a   Mandel, Jeff E ^a,b  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b Department of Anesthesiology and Critical Care ^*  (United States)

Author keywords

Patient controlled sedation; Patient maintained sedation; Procedural sedation; Propofol

Indexed keywords

ALFENTANIL; ANALGESIC AGENT; FENTANYL; MIDAZOLAM; PROPOFOL; REMIFENTANIL;

CATARACT EXTRACTION; CLINICAL TRIAL; COLONOSCOPY; CURETTAGE; DRUG EFFICACY; DRUG SAFETY; ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY; EXTRACORPOREAL LITHOTRIPSY; FIBEROPTIC BRONCHOSCOPY; GASTROINTESTINAL ENDOSCOPY; HIP ARTHROPLASTY; HUMAN; KNEE ARTHROPLASTY; LOADING DRUG DOSE; LOCUS OF CONTROL; MAXIMUM PLASMA CONCENTRATION; MEDICAL DECISION MAKING; NOCICEPTION; PATIENT CONTROLLED ANALGESIA; PATIENT SATISFACTION; PRIORITY JOURNAL; PROSTATE BIOPSY; REVIEW; SEDATION; STAPEDECTOMY; TOOTH EXTRACTION; TRANQUILIZING ACTIVITY; UNSPECIFIED SIDE EFFECT;

ANALGESIA, PATIENT-CONTROLLED; CONSCIOUS SEDATION; EQUIPMENT DESIGN; HUMANS; HYPNOTICS AND SEDATIVES; INFUSION PUMPS; PAIN; PIPERIDINES; PROPOFOL;

EID: 56849089462     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACO.0b013e3283184001     Document Type: Review

References (41)

1. Rudkin GE, Osborne GA, Curtis NJ. Intra-operative patient-controlled sedation. Anaesthesia 1991; 46:90-92.
2. Salomons TV, Johnstone T, Backonja MM, et al. Individual differences in the effects of perceived controllability on pain perception: critical role of the prefrontal cortex. J Cogn Neurosci 2007; 19:993-1003.
3. Koyama T, McHaffie JG, Laurienti PJ, et al. The subjective experience of pain: where expectations become reality. Proc Natl Acad Sci U S A 2005; 102:12950-12955.
4. Berns GS, Chappelow J, Cekic M, et al. Neurobiological substrates of dread. Science 2006; 312:754-758.
5. Lee DW, Chan KW, Poon CM, et al. Relaxation music decreases the dose of patient-controlled sedation during colonoscopy: a prospective randomized controlled trial. Gastrointest Endosc 2002; 55:33-36.
6. Westenskow DR. Fundamentals of feedback control: PID, fuzzy logic, and neural networks. J Clin Anesth 1997; 9:33S-35S.
7. Smith AF, Thorpe SJ, Cook LB. Patient-controlled sedation using propofol: randomized, double-blind dose refinement. Eur J Anaesthesiol 1999; 16:18-22.
8. Shieh JS, Chang LW, Wang MS, et al. Pain model and fuzzy logic patient-controlled analgesia in shock-wave lithotripsy. Med Biol Eng Comput 2002; 40:128-136.
9. Gray JM, Kenny GN. Development of the technology for 'Diprifusor' TCI systems. Anaesthesia 1998; 53 (Suppl 1):22-27.
10. Glen JB. The development of 'Diprifusor': a TCI system for propofol. Anaesthesia 1998; 53 (Suppl 1):13-21.
11. White M, Kenny GN, Schraag S. Use of target controlled infusion to derive age and gender covariates for propofol clearance. Clin Pharmacokinet 2008; 47:119-127.
12. Korman B, Jennings LS. Rapid attainment of steady-state plasma drug concentrations within precise limits in multicompartment mammillary systems. J Pharmacokinet Biopharm 1999; 27:325-328.
13. Irwin MG, Thompson N, Kenny GN. Patient-maintained propofol sedation. Assessment of a target-controlled infusion system. Anaesthesia 1997; 52:525-530.
14. Stonell CA, Leslie K, Absalom AR. Effect-site targeted patient-controlled sedation with propofol: comparison with anaesthetist administration for colonoscopy. Anaesthesia 2006; 61:240-247.
15. Anderson KJ, Leitch JA, Green JS, et al. Effect-site controlled patient maintained propofol sedation: a volunteer safety study. Anaesthesia 2005; 60:235-238.
16. Chapman RM, Anderson K, Green J, et al. Evaluation of a new effect-site controlled, patient-maintained sedation system in dental patients. Anaesthesia 2006; 61:345-349.
17. Mandel JE, Tanner JW, Lichtenstein GR, et al. A randomized, controlled, double-blind trial of patient-controlled sedation with propofol/remifentanil versus midazolam/fentanyl for colonoscopy. Anesth Analg 2008; 106:434-439. This study employs PCS in both arms of a study comparing propofol-remifentanil with midazolam-fentanyl in blinded fashion with no discretionary supplemental sedation or analgesia. This demonstrates the ability of PCS to achieve equivalent sedation endpoints in comparisons of drugs with different pharmacokinetics without operator bias.
18. Mandel JE. An experimentally-derived mathematical model of patient controlled sedation. http://www.anestech.org/media/Publications/Annual_2008/ 2008_STA_Abstracts.pdf. [Accessed 7 September 2008] S26.
19. Astrøm KJ, Hågglund T. Automatic tuning of simple regulators with specifications on phase and amplitude margins. Automatica 1984; 20:645-651.
20. Mandel JE. A method for producing predictable transitions in response probability for mixed-effect models of propofol/remifentanil using single syringe infusion. http://www.anestech.org/media/Publications/Annual_2008/ 2008_STA_Abstracts.pdf. [Accessed 7 September 2008] S29.
21. Rudkin GE, Osborne GA, Finn BP, et al. Intra-operative patient-controlled sedation. Comparison of patient-controlled propofol with patient-controlled midazolam. Anaesthesia 1992; 47:376-381.
22. Leitch JA, Anderson K, Gambhir S, et al. A partially blinded randomised controlled trial of patient-maintained propofol sedation and operator controlled midazolam sedation in third molar extractions. Anaesthesia 2004; 59:853-860.
23. Agostoni M, Fanti L, Arcidiacono PG, et al. Midazolam and pethidine versus propofol and fentanyl patient controlled sedation/analgesia for upper gastrointestinal tract ultrasound endoscopy: a prospective randomized controlled trial. Dig Liver Dis 2007; 39:1024-1029.
24. Alhashemi JA, Kaki AM. Anesthesiologist-controlled versus patient-controlled propofol sedation for shockwave lithotripsy. Can J Anaesth 2006; 53:449-455.
25. Joo HS, Perks WJ, Kataoka MT, et al. A comparison of patient-controlled sedation using either remifentanil or remifentanil-propofol for shock wave lithotripsy. Anesth Analg 2001; 93:1227-1232.
26. Campbell L, Imrie G, Doherty P, et al. Patient maintained sedation for colonoscopy using a target controlled infusion of propofol. Anaesthesia 2004; 59:127-132.
27. Lee DW, Chan AC, Wong SK, et al. The safety, feasibility, and acceptability of patient-controlled sedation for colonoscopy: prospective study. Hong Kong Med J 2004; 10:84-88.
28. Crepeau T, Poincloux L, Bonny C, et al. Significance of patient-controlled sedation during colonoscopy. Results from a prospective randomized controlled study. Gastroenterol Clin Biol 2005; 29:1090-1096.
29. Gillham MJ, Hutchinson RC, Carter R, et al. Patient-maintained sedation for ERCP with a target-controlled infusion of propofol: a pilot study. Gastrointest Endosc 2001; 54:14-17.
30. Dell RG, Cloote AH. Patient-controlled sedation during transvaginal oocyte retrieval: an assessment of patient acceptance of patient-controlled sedation using a mixture of propofol and alfentanil. Eur J Anaesthesiol 1998; 15:210-215.
31. Ganapathy S, Herrick IA, Gelb AW, et al. Propofol patient-controlled sedation during hip or knee arthroplasty in elderly patients. Can J Anaesth 1997; 44:385-389.
32. Herrick IA, Craen RA, Gelb AW, et al. Propofol sedation during awake craniotomy for seizures: patient-controlled administration versus neurolept analgesia. Anesth Analg 1997; 84:1285-1291.
33. Hwang J, Jeon Y, Park HP, et al. Comparison of alfetanil and ketamine in combination with propofol for patient-controlled sedation during fiberoptic bronchoscopy. Acta Anaesthesiol Scand 2005; 49:1334-1338.
34. Yun MJ, Oh AY, Kim KO, et al. Patient-controlled sedation vs. anaesthetic nurse-controlled sedation for cataract surgery in elderly patients. Int J Clin Pract 2008; 62:776-780.
35. Coimbra C, Choinière M, Hemmerling TM. Patient-controlled sedation using propofol for dressing changes in burn patients: a dose-finding study. Anesth Analg 2003; 97:839-842.
36. Kekeç Z, Akin A, Kilinç S, et al. The role of patient-controlled apparatus for sedation in the emergency department. Mt Sinai J Med 2005; 72:385-388.
37. Lee DW, Chan AC, Wong SK, et al. Can visual distraction decrease the dose of patient-controlled sedation required during colonoscopy? A prospective randomized controlled trial. Endoscopy 2004; 36:197-201.
38. Rodrigo MR, Irwin MG, Tong CK, et al. A randomised crossover comparison of patient-controlled sedation and patient-maintained sedation using propofol. Anaesthesia 2003; 58:333-338.
39. Bernard JM, Faintreny A, Lienhart A, et al. Patient-controlled premedication by i.v. midazolam for ambulatory surgery. Acta Anaesthesiol Scand 1996; 40:331-337.
40. Bavisha KA, Elias M, Paris S, et al. Comparison of patient-controlled and operator-controlled conscious sedation for restorative dentistry. Eur J Anaesthesiol 2004; 21:284-288.
41. Frölich MA, Dennis DM, Shuster JA, et al. Precision and bias of target controlled propofol infusion for sedation. Br J Anaesth 2005; 94:434-437.