Stuart P C, Stott S M, Millar A, Kenny G N, Russell D
Department of Anaesthesia, University of Glasgow, UK.
Br J Anaesth. 2000 May;84(5):638-9. doi: 10.1093/bja/84.5.638.
The target concentration of propofol required to prevent response to surgical incision was determined in 60 unpremedicated ASA I or II patients, who breathed either oxygen-enriched air or nitrous oxide 67% in oxygen. Propofol was infused using a target-controlled infusion system incorporating the standard 'Diprifusor' pharmacokinetic model, with the target concentration for each patient decided by up/down sequential allocation. Presence or absence of movement in response to a groin incision was determined by the surgeon. The calculated blood concentration at which 50% of patients responded (Cp50calc), determined by probit analysis, was 6.8 micrograms ml-1 for patients who breathed oxygen-enriched air and 4.9 micrograms ml-1 for those who breathed nitrous oxide 67% in oxygen.
在60例未使用术前药的美国麻醉医师协会(ASA)I级或II级患者中,确定了预防对手术切口产生反应所需的丙泊酚目标浓度。这些患者吸入富氧空气或67%氧化亚氮与氧气的混合气体。使用包含标准“得普利麻输注器”药代动力学模型的靶控输注系统输注丙泊酚,通过上下顺序分配确定每位患者的目标浓度。由外科医生确定对腹股沟切口的反应中是否存在活动。通过概率分析确定,吸入富氧空气的患者中50%产生反应时的计算血药浓度(Cp50calc)为6.8微克/毫升,吸入67%氧化亚氮与氧气混合气体的患者为4.9微克/毫升。