A comparative study of target controlled infusion (TCI) and manual controlled infusion (MCI) of propofol for sedation during cerebral protection in severe traumatic brain injured patient
Background. The aims of this study are to compare TCI with MCI propofol as sedation in severe traumatic brain-injured (TBI) patients. Methods. Post emergency craniotomy for severe mi patients (n = 50), were randomly assigned to receive propofol sedation over 24 hours using two modes of infusion:...
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| Format: | Article |
| Language: | English |
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Pusat Pengajians Sains Perubatan, Universiti Sains Malaysia
2010
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| Online Access: | http://eprints.usm.my/54122/ http://eprints.usm.my/54122/1/DR.%20WAN%20MOHD%20NAZARUDDIN%20WAN%20HASSAN-Eprints.pdf |
| _version_ | 1848882716069593088 |
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| author | Hassan, Wan Mohd Nazaruddin Wan |
| author_facet | Hassan, Wan Mohd Nazaruddin Wan |
| author_sort | Hassan, Wan Mohd Nazaruddin Wan |
| building | USM Institutional Repository |
| collection | Online Access |
| description | Background. The aims of this study are to compare TCI with MCI propofol as sedation
in severe traumatic brain-injured (TBI) patients.
Methods. Post emergency craniotomy for severe mi patients (n = 50), were randomly
assigned to receive propofol sedation over 24 hours using two modes of infusion: TCI
versus MCI (n = 25 in each groups). Sedation was monitored using bispectral index SSIS)
monitor and sedation agitation scale (SAS). TCI was titrated between 0.2-2.0 J.l.g mr and
MCI was between 0.3-4.0 mg kg-1 h-1 to achieve sedative state at BIS 60-70 and SAS 2-3.
Mean arterial pressure (MAP), heart rate (HR), intracranial pressure (ICP), cerebral
perfusion pressure (CPP), time taken and volume used to achieve BIS 70, total volume of
propofol over 24 hours and recovery time to BIS 90 were recorded.
Results. TCI achieved BIS 70 significantly faster than MCI (6.3 ± 2.9 min vs. 19.7 ± 7.0
min). Total volume of propofol at BIS 70 was significantly less in TCI (12.0 ± 2.9 ml
vs.17.8 ± 4.3 ml). Recovery time to BIS 90 was also significantly faster in TCI (24.4 ±
11.5 min vs. 57.3 ± 19.9 min). TCI showed significantly lower in HR and ICP trends over
24 hours. CPP trends were significantly higher in TCI. There were no significant
differences in MAP and total volume over 24 hours.
Conclusions. TCI modes had more advantages for propofol sedation in TBI by providing
faster onset and offset of sedation and better in controlling ICP and CPP. |
| first_indexed | 2025-11-15T18:39:20Z |
| format | Article |
| id | usm-54122 |
| institution | Universiti Sains Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T18:39:20Z |
| publishDate | 2010 |
| publisher | Pusat Pengajians Sains Perubatan, Universiti Sains Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | usm-541222022-08-16T06:56:28Z http://eprints.usm.my/54122/ A comparative study of target controlled infusion (TCI) and manual controlled infusion (MCI) of propofol for sedation during cerebral protection in severe traumatic brain injured patient Hassan, Wan Mohd Nazaruddin Wan R Medicine Background. The aims of this study are to compare TCI with MCI propofol as sedation in severe traumatic brain-injured (TBI) patients. Methods. Post emergency craniotomy for severe mi patients (n = 50), were randomly assigned to receive propofol sedation over 24 hours using two modes of infusion: TCI versus MCI (n = 25 in each groups). Sedation was monitored using bispectral index SSIS) monitor and sedation agitation scale (SAS). TCI was titrated between 0.2-2.0 J.l.g mr and MCI was between 0.3-4.0 mg kg-1 h-1 to achieve sedative state at BIS 60-70 and SAS 2-3. Mean arterial pressure (MAP), heart rate (HR), intracranial pressure (ICP), cerebral perfusion pressure (CPP), time taken and volume used to achieve BIS 70, total volume of propofol over 24 hours and recovery time to BIS 90 were recorded. Results. TCI achieved BIS 70 significantly faster than MCI (6.3 ± 2.9 min vs. 19.7 ± 7.0 min). Total volume of propofol at BIS 70 was significantly less in TCI (12.0 ± 2.9 ml vs.17.8 ± 4.3 ml). Recovery time to BIS 90 was also significantly faster in TCI (24.4 ± 11.5 min vs. 57.3 ± 19.9 min). TCI showed significantly lower in HR and ICP trends over 24 hours. CPP trends were significantly higher in TCI. There were no significant differences in MAP and total volume over 24 hours. Conclusions. TCI modes had more advantages for propofol sedation in TBI by providing faster onset and offset of sedation and better in controlling ICP and CPP. Pusat Pengajians Sains Perubatan, Universiti Sains Malaysia 2010 Article NonPeerReviewed application/pdf en http://eprints.usm.my/54122/1/DR.%20WAN%20MOHD%20NAZARUDDIN%20WAN%20HASSAN-Eprints.pdf Hassan, Wan Mohd Nazaruddin Wan (2010) A comparative study of target controlled infusion (TCI) and manual controlled infusion (MCI) of propofol for sedation during cerebral protection in severe traumatic brain injured patient. A comparative study of target controlled infusion (TCI) and manual controlled infusion (MCI) of propofol for sedation during cerebral protection in severe traumatic brain injured patient. |
| spellingShingle | R Medicine Hassan, Wan Mohd Nazaruddin Wan A comparative study of target controlled infusion (TCI) and manual controlled infusion (MCI) of propofol for sedation during cerebral protection in severe traumatic brain injured patient |
| title | A comparative study of target
controlled infusion (TCI) and
manual controlled infusion (MCI) of
propofol for sedation during
cerebral protection in severe
traumatic brain injured patient |
| title_full | A comparative study of target
controlled infusion (TCI) and
manual controlled infusion (MCI) of
propofol for sedation during
cerebral protection in severe
traumatic brain injured patient |
| title_fullStr | A comparative study of target
controlled infusion (TCI) and
manual controlled infusion (MCI) of
propofol for sedation during
cerebral protection in severe
traumatic brain injured patient |
| title_full_unstemmed | A comparative study of target
controlled infusion (TCI) and
manual controlled infusion (MCI) of
propofol for sedation during
cerebral protection in severe
traumatic brain injured patient |
| title_short | A comparative study of target
controlled infusion (TCI) and
manual controlled infusion (MCI) of
propofol for sedation during
cerebral protection in severe
traumatic brain injured patient |
| title_sort | comparative study of target
controlled infusion (tci) and
manual controlled infusion (mci) of
propofol for sedation during
cerebral protection in severe
traumatic brain injured patient |
| topic | R Medicine |
| url | http://eprints.usm.my/54122/ http://eprints.usm.my/54122/1/DR.%20WAN%20MOHD%20NAZARUDDIN%20WAN%20HASSAN-Eprints.pdf |