Korean J Gastrointest Endosc > Volume 34(6); 2007 > Article
Korean Journal of Gastrointestinal Endoscopy 2007;34(6): 298-303.
의식하 진정 대장내시경 검사를 위한 Midazolam과 Propofol 병합요법의 효용성
구자설·최재현·정성우·한우식·이종섭·임형준·진윤태·전훈재·이홍식·이상우·김창덕·류호상
고려대학교 의과대학 내과학교실, 소화기연구소
Conscious Sedation with Midazolam Combined with Propofol for Colonoscopy
Ja Seol Koo, M.D., Jai Hyun Choi, M.D., Sung Woo Jung, M.D., Woo Sik Han, M.D., Jong Sup Lee, M.D., Hyung Joon Yim, M.D., Yoon Tae Jeen, M.D., Hoon Jai Chun, M.D., Hong Sik Lee, M.D., Sang Woo Lee, M.D., Chang Duck Kim, M.D. and Ho Sang Ryu, M.D.
Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea
Abstract

Background/Aims:
There is increasing interest in the use of propofol as a sedative agent for colonoscopy. We evaluated the safety and efficacy of the synergistic sedation with midazolam combined with low-dose propofol versus that of midazolam alone.
Methods:
A total of 56 patients from among those who underwent total colonoscopy between August 2004 and October 2004 were randomly assigned to one of three medication treatment groups. Group A (n=18) received low-dose midazolam (0.03 mg/kg IV) plus propofol, group B (n=19) received high-dose midazolam (0.07 mg/kg IV) plus propofol, and group C (n=19) received high-dose midazolam alone. The patients' vital signs were monitored throughout the course of the study. The recovery time and quality as well as the patients' comfort level were also assessed.
Results:
There were no significant differences in baseline characteristics among the treatment groups. There were also no differences in the duration and insertion time of the colonoscopy among the three groups. The patients' comfort level and cardiorespiratory parameters during colonoscopy were similar among the three groups. The sedation efficacy and recovery times were also similar among the three groups.
Conclusions:
Midazolam combined with low-dose propofol as a sedative for colonoscopy exhibits similar effects on safety, patient' comfort level and recovery time to those of midazolam alone.
Key Words: Conscious sedation, Colonoscopy, Midazolam, Propofol
주요어: 의식하 진정, 대장내시경검사, Midazolam, Propofol
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