Setting targets for sedation with a target-controlled propofol infusion

Anaesthesia. 2000 Jul;55(7):666-9. doi: 10.1046/j.1365-2044.2000.01534.x.

Abstract

We studied 30 unpremedicated patients undergoing muscle biopsy under femoral nerve block to determine sedation levels reached with a Diprifusor target-controlled propofol infusion, in order to establish the equivalent of the ED50 for different levels of depth of sedation. Infusion was started at 0.8 microg x ml(-1) and altered by increments of 0.1 microg x ml(-1) after equilibrium between target and calculated concentrations, until the desired level of sedation was reached. The ED50 target propofol concentrations for sedation at sedation levels 2 (drowsy), 3 (drowsy, responds to verbal stimulation) and 4 (responsive to physical stimulation only) were 1.0 microg x ml(-1), 1.6 microg x ml(-1) and 2.1 microg x ml(-1), respectively. At sedation level 3, several patients exhibited spontaneous movement, hindering surgery. Oxygen supplementation is recommended for sedation at level 4.

MeSH terms

  • Adult
  • Anesthetics, Intravenous / administration & dosage*
  • Conscious Sedation / methods*
  • Dose-Response Relationship, Drug
  • Drug Delivery Systems*
  • Female
  • Femoral Nerve
  • Humans
  • Hypnotics and Sedatives / administration & dosage*
  • Male
  • Middle Aged
  • Nerve Block
  • Propofol / administration & dosage*
  • Prospective Studies

Substances

  • Anesthetics, Intravenous
  • Hypnotics and Sedatives
  • Propofol