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在牙科手术中,作为全静脉麻醉技术的一部分,对用于给犬只输注丙泊酚的靶控输注系统进行评估和优化。

Evaluation and optimisation of a target-controlled infusion system for administering propofol to dogs as part of a total intravenous anaesthetic technique during dental surgery.

作者信息

Beths T, Glen J B, Reid J, Monteiro A M, Nolan A M

机构信息

Zeneca Pharmaceuticals, Macclesfield, Cheshire.

出版信息

Vet Rec. 2001 Feb 17;148(7):198-203. doi: 10.1136/vr.148.7.198.

DOI:10.1136/vr.148.7.198
PMID:11265996
Abstract

The performance of a modified target-controlled infusion system was investigated in 16 dogs undergoing routine dental work, by comparing the predicted concentrations of propofol in venous blood samples with direct measurements; the optimum targets for the induction and maintenance of anaesthesia were also identified. The performance of a target-controlled infusion system is considered clinically acceptable when the median prediction error, a measure of bias, is not greater than +/-10 to 20 per cent, and the median absolute performance error, a measure of the accuracy, is not greater than 20 to 30 per cent. The results fell within these limits indicating that the system performed adequately. The optimal induction target was 3 microg/ml, and anaesthesia of adequate depth and satisfactory quality was achieved with maintenance targets of between 2.5 and 4.7 microg/ml propofol. The system was easy to use and the quality of anaesthesia was adequate for dental work.

摘要

通过比较静脉血样本中丙泊酚的预测浓度与直接测量值,研究了一种改良的靶控输注系统在16只接受常规牙科治疗的犬中的性能;还确定了麻醉诱导和维持的最佳目标。当中位预测误差(一种偏差度量)不大于±10%至20%,且中位绝对性能误差(一种准确度度量)不大于20%至30%时,靶控输注系统的性能在临床上被认为是可接受的。结果在这些范围内,表明该系统运行良好。最佳诱导目标为3微克/毫升,通过维持丙泊酚浓度在2.5至4.7微克/毫升之间,实现了深度足够且质量令人满意的麻醉。该系统易于使用,麻醉质量足以满足牙科治疗的需要。

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