A Clinical Review of the Deep Sedation Anesthesia with Midazolam, Fentanyl and Esmolol for the Facial Chemical Peeling.

Chang,  Seong Ho; Kim,  Ji Yeon; Rhim,  Sung Yun; Lee,  Hye Won; Lim,  Hae Ja; Kim,  Nan Sook; Ahn,  Deok Sun

doi:1995.29.1.59

Clinical Research Article

Korean Journal of Anesthesiology 1995;29(1):59-63.
DOI: https://doi.org/10.4097/kjae.1995.29.1.59

A Clinical Review of the Deep Sedation Anesthesia with Midazolam, Fentanyl and Esmolol for the Facial Chemical Peeling.

Seong Ho Chang, Ji Yeon Kim, Sung Yun Rhim, Hye Won Lee, Hae Ja Lim, Nan Sook Kim, Deok Sun Ahn

Department of Anesthesiology, Plastic Surgery, College of Medicine, Korea University, Seoul, Korea.

Abstract

To investigate the clinical usefulness of the intravenous anesthesia of the facial chemical peeling with midazolam(0.1 mg/kg)-fentanyl(3 ug/kg) - esmolol(initial 500 ug/kg,maintenance 200 ug/kg/min), the authors took 133 cases into consideration. The results of the statistical evaluation were as follows: 1) Most of the cases were small pox scar(70.7%). 2) One point five percent of the cases dreamed during anesthesia. 3) Ninety-four point seven percents of the cases were in the emotion of "Peaceful and relaxed" and 60.1% of them were in the mood of Pleased or very pleased and the others were "So and so". 4) Ninety-one point seven percents of the cases were willing to choose the same anesthetic method next time. 5) Fifty-two point six percents of the cases showed hypertensive episodes during anesthesia. 6) The incidence of the cases with SaO lower than 85% was 36.8%. The anesthetic technique with intravenous midazolam-fentanyl-esmolol for the facial chemical peeling with trichloroacetic acid(TCA) gives the patient comfortness and preference for this anesthetic technique. Close monitoring of the respiration is needed, because it can depress respiratory function. And control of the high blood pressure during anesthesia seems to be needed.

Key Words: Midazolam; Fentanyl; Esmolol; Chemical Peeling; Outpatient Anesthesia