Proceedings of the 2016 International Conference on Mechatronics, Control and Automation Engineering

Computer-Assisted Target Control Infusion System for Elderly Patients during Endoscopic Retrograde Cholangiopancreateography

Authors
Kai Li, Bin Zhang, Zhihua Zhu, Jingpeng Jin, Yang Liu
Corresponding Author
Kai Li
Available Online July 2016.
DOI
https://doi.org/10.2991/mcae-16.2016.9How to use a DOI?
Keywords
computer-assisted pump; target control infusion; endoscopic retrograde cholangiopancreateography
Abstract
Objectives: The aim of this study was to investigate the safety and efficacy of propofol sedation with a computer-assisted target-controlled infusionsystem in elderly patients during endoscopic retrograde cholangiopancreateography (ERCP). Methods: Included were 150 consecutive EPCP procedures elderly patients under propofol sedation with a TCI system. Patients were divided into 3 groups: group A, age 50-70 years (n=50); group B, age71-80 years (n=50);group C, age >80 years (n=50). We compared the propofol dose and adverse events (hypotension and hypoxemia) during ERCP. Results: Older patients required a lower target concentration of propofol with higher age period: Median target concentration are respectively 2.6?g/mL,2.1?g/mL and 1.6?g/mL in the three groups. Hypotension tended to occur in the younger group, and hypoxemia occurred at a significantly higher rate in the older groups, although the number of cases was small. Low preoperative systolic blood pressure (<80 mm Hg) was associated with hypotension and abnormal pulmonary function was associated with hypoxemia in groups B and C. Conclusions: Elderly patients required lower doses of propofol with computer-assisted TCI system than younger patients. Attention to hypoxemia is necessary in elderly patients, particularly patients with abnormal pulmonary function.
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This is an open access article distributed under the CC BY-NC license.

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Volume Title
Proceedings of the 2016 International Conference on Mechatronics, Control and Automation Engineering
Series
Advances in Engineering Research
Publication Date
July 2016
ISBN
978-94-6252-237-4
ISSN
2352-5401
DOI
https://doi.org/10.2991/mcae-16.2016.9How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - CONF
AU  - Kai Li
AU  - Bin Zhang
AU  - Zhihua Zhu
AU  - Jingpeng Jin
AU  - Yang Liu
PY  - 2016/07
DA  - 2016/07
TI  - Computer-Assisted Target Control Infusion System for Elderly Patients during Endoscopic Retrograde Cholangiopancreateography
BT  - Proceedings of the 2016 International Conference on Mechatronics, Control and Automation Engineering
PB  - Atlantis Press
SP  - 34
EP  - 37
SN  - 2352-5401
UR  - https://doi.org/10.2991/mcae-16.2016.9
DO  - https://doi.org/10.2991/mcae-16.2016.9
ID  - Li2016/07
ER  -