Korean Journal of Gastrointestinal Endoscopy 1999;19(5): 716-720.
상부 위장관 내시경의 전처치로서 Propofol의 효과 ( The Effect of Propofol for Sedation during Upper Gastrointestinal Endoscopy )
이진웅(Jin Woong Lee),윤태용(Tae Yong Yoon),김영용(Yeong Yong Kim),이승현(Seung Hyun Lee),김대식(Dae Sik Kim),윤지호(Ji Ho Yoon),이동채(Dong Chae Lee),최요안(Yuo An Chae),박찬웅(Chan Woong Park)
Abstract
Background/Aims: This research was conducted in order to study the clinical usefulness and stability of the propofol used for sedation during upper gastrointestinal endoscopy. Methods: The objective of this research was to study one hundred patients, who were chosen based upon their preference to be examined through diagnostic upper gastrointestinal endoscopy accompanied with propofol from July 1998 to August 1998, and who showed normality in the pulmonary function test and ECG. The elements observed were hemodynamic variations, injection dosage, injection time, recovery time and side effects. Results: All patatints had no recollection of the procedure during gastrointestinal endoscopy. It was found that the older the patients were, the less amount of propofol sleep was indued. Systolic blood pressure, diastolic blood pressure and the mean arterial blood pressure were lowered noticeably after sleep, compared with those before the injection of propofol, while the heart rate hardly changed. Conclusions: Profopol is believed to be a useful sedative for upper gastrointestinal endoscopy. As blood pressre can be lowered however, a cautious attitude should be considered when injecting propofol in the elderly or in patients who have cardiovascular disease. (Korean J Gastrointest Endosc 19: 716∼720, 1999)