성형외과 영역의 수술 시 마취하 감시관리의 응용에 대한 고찰 Consideration on Application of Modified Monitored Anesthetic Care in Plastic Surgery

성형외과 영역의 수술 시 마취하 감시관리의 응용에 대한 고찰 Consideration on Application of Modified Monitored Anesthetic Care in Plastic Surgery\n\nPurpose: Many patients have fear for surgery owing to the injection of lidocaine and the possible pain in the course of the operation. To resolve such a problem the cases to do plastic surgery with monitored anesthetic care are increasing, in which something like sedatives is injected into vein without endotracheal intubation and under voluntary respiration, but the usage is now under the controversy.\n\nMethods: There were 25 patients who had surgery with local anesthesia, and another 25 patients who had surgery with monitored anesthetic care which belongs to ASA class 1 and 2 from January to April, 2009. Their anesthesia records were collected and surveys were given before and after the surgery and the surgery staff recorded OAA/S during the surgery. The postoperative surveys included the awakening during the surgery, pain, anxiety, and the degree of patient’s satisfaction through visual analogue scale to identify the difference between the two methods.\n\nResults: The OAA/S results according to time lapse show that it is possible to lead a fast effective sedation and recovery with monitored anesthetic care, and monitored anesthetic care enhances both surgeon’s convenience level and patient’s satisfaction level, and reduces awakening, pain, and anxiety, compared to local anesthesia.