Induction of anaesthesia with propofol using a target-controlled infusion system

Anaesthesia. 1992 Jul;47(7):551-3. doi: 10.1111/j.1365-2044.1992.tb02321.x.

Abstract

Sixty patients premedicated with temazepam were allocated randomly to receive an infusion of propofol designed to achieve and maintain a target blood concentration of 3, 4 or 5 micrograms.ml-1. Induction time was measured from the start of infusion to loss of verbal contact. The success rate of inducing anaesthesia within 3 min of achieving the target concentration was 40% when the predicted target concentration was 3 micrograms.ml-1, 75% when the predicted target was 4 micrograms.ml-1 and 90% when the target was 5 micrograms.ml-1. There were no significant differences between the three groups for time to loss of verbal contact in patients who were induced successfully within 3 min. There were significant reductions in arterial pressure 3 min after achieving the target concentrations within the groups but not between them. The frequency of apnoea and pain on injection was small in all groups. Selecting a target concentration of 5 microgram.ml-1 would successfully induce anaesthesia in the majority of patients premedicated with temazepam without major haemodynamic or respiratory side effects.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anesthesia, Intravenous*
  • Drug Delivery Systems*
  • Female
  • Hemodynamics / drug effects
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Preanesthetic Medication
  • Propofol / administration & dosage*
  • Propofol / blood
  • Propofol / pharmacology
  • Random Allocation
  • Temazepam
  • Time Factors

Substances

  • Temazepam
  • Propofol