Comparison of the Effect of Electrical Stimulations on the Chin Skin on Autonomic Nervous Activities During Propofol Sedation With or Without Midazolam

作者: Karin Sawaguchi , Nobuyuki Matsuura , Tatsuya Ichinohe

DOI: 10.1016/J.JOMS.2016.03.040

关键词:

摘要: Purpose The aim of this study was to compare the effect electrical stimulations on chin skin autonomic nervous activities evaluated by use power spectrum analysis heart rate (HR) variability during intravenous sedation using propofol with or without midazolam. Materials and Methods Thirty-eight healthy adult male volunteers underwent midazolam (group MP) alone P) in a randomized crossover manner. In group MP, participants received (0.04 mg/kg) target-controlled infusion predicted blood concentration 1.0 μg/mL. P, maintained at 1.5 μg/mL. observed variables were bispectral index value, systolic pressure, HR, high-frequency component (HF), low-frequency (LF), LF/HF ratio. Measurements conducted over 100-second periods carried out before, during, after emergence from administering 0.2 mg flumazenil. paired t test, Wilcoxon repeated-measures variance, Friedman χ 2 r test used for statistical analyses. Results mean age body weight 24.6 ± 2.8 years 67.0 7.9 kg, respectively. Bispectral values, HR showed similar changes both groups. ratio MP lower than that before sedation; it also P sedation. Conclusions Intravenous combination inhibited sympathetic activation induced greater extent alone.

参考文章(48)
Yukiko Matsuki, Yuzuru Kaneko, Satoru Sakurai, Tatsuya Ichinohe, Selection of Agents for Intravenous Sedation in the Department of Dental Anesthesiology, Tokyo Dental College Chiba Hospital : On the Basis of Patient's Background Dentistry in Japan. ,vol. 43, pp. 131- 134 ,(2007)
Gustavo A. Reyes del Paso, Wolf Langewitz, Lambertus J. M. Mulder, Arie van Roon, Stefan Duschek, The utility of low frequency heart rate variability as an index of sympathetic cardiac tone: A review with emphasis on a reanalysis of previous studies Psychophysiology. ,vol. 50, pp. 477- 487 ,(2013) , 10.1111/PSYP.12027
K. UEDA, Y. OGAWA, K. AOKI, N. HIROSE, D. GOKAN, J. KATO, S. OGAWA, K. IWASAKI, Antagonistic effect of flumazenil after midazolam sedation on arterial-cardiac baroreflex. Acta Anaesthesiologica Scandinavica. ,vol. 57, pp. 488- 494 ,(2013) , 10.1111/AAS.12035
Emily L. Newman, Kiersten S. Smith, Aki Takahashi, Adam Chu, Lara S. Hwa, Yang Chen, Joseph F. DeBold, Uwe Rudolph, Klaus A. Miczek, α2-containing GABA(A) receptors: A requirement for midazolam-escalated aggression and social approach in mice Psychopharmacology. ,vol. 232, pp. 4359- 4369 ,(2015) , 10.1007/S00213-015-4069-9
R. L. Horner, D. Brooks, L. F. Kozar, K. Gan, E. A. Phillipson, Respiratory-related heart rate variability persists during central apnea in dogs: mechanisms and implications Journal of Applied Physiology. ,vol. 78, pp. 2003- 2013 ,(1995) , 10.1152/JAPPL.1995.78.6.2003
Floor M.D. Oosterink, Ad De Jongh, Irene H.A. Aartman, What are people afraid of during dental treatment? Anxiety-provoking capacity of 67 stimuli characteristic of the dental setting European Journal of Oral Sciences. ,vol. 116, pp. 44- 51 ,(2008) , 10.1111/J.1600-0722.2007.00500.X
Johan Sellgren, Hans Ejnell, Mikael Elam, Johan Pontén, B. Gunnar Wallin, Sympathetic muscle nerve activity, peripheral blood flows, and baroreceptor reflexes in humans during propofol anesthesia and surgery. Anesthesiology. ,vol. 80, pp. 534- 544 ,(1994) , 10.1097/00000542-199403000-00009
J. Sellgren, H. Ejnell, J. Pontén, H. G. Sonander, Anesthetic modulation of the cardiovascular response to microlaryngoscopy Acta Anaesthesiologica Scandinavica. ,vol. 39, pp. 381- 389 ,(1995) , 10.1111/J.1399-6576.1995.TB04082.X
Volker Dörges, Volker Wenzel, Susanne Dix, Alexander Kühl, Thomas Schumann, Michael Hüppe, Heiko Iven, Klaus Gerlach, The effect of midazolam on stress levels during simulated emergency medical service transport: a placebo-controlled, dose-response study. Anesthesia & Analgesia. ,vol. 95, pp. 417- 422 ,(2002) , 10.1097/00000539-200208000-00034