BACKGROUND: Sedation and analgesia are related to unexpected adverse events in chronic renal failure patients undergoing arteriovenous fistula placement procedures under monitored anesthesia care (MAC). OBJECTIVE: Our goal was to investigate and compare the sedation and analgesia related effects and adverse effects of continuous intravenous use of midazolam and intermittent bolus doses of midazolam while intravenous remifentanil is used as a rescue medication in patients with chronic renal failure.
Age range
43 Years – 81 Years
Sex
ALL
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A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
The amount of total use of midazolam and remifentanil drug consumptions in milligrams during operation time period.
Timeframe: Through the operative time period up to two hours of time.
The evaluation of satisfaction of patient and surgeon by a questionnaire at the end of operation.
Timeframe: The collection of questionnaire at the end of operation in recovery room after recovery from sedation in a total of ten minutes time.
Modified Observer's Assessment of Alertness/Sedation Scale (MOSS/A) Scale
Timeframe: Through the operative time period up to two hours of time.
Modified Observer's Assessment of Alertness/Sedation Scale (MOSS/A) Scale
Timeframe: Through the operative time period up to two hours of time.
Verbal Numerical Rating Scale
Timeframe: Through the operative time period up to two hours of time.
Verbal Numerical Rating Scale
Timeframe: Through the operative time period up to two hours of time.
Recovery time
Timeframe: Through the recovery room time period before discharge up to one hour time.
Hospital stay
Timeframe: Through the duration of stay in hospital before discharge up to seventy two hours time.
Systolic blood pressure values during operation and in the recovery room.
Timeframe: Through the operative time period up to two hours of time and through the recovery room time period before discharge up to one hour time.
Heart rate values during operation and in the recovery room.
Timeframe: Through the operative time period up to two hours of time and through the recovery room time period before discharge up to one hour time.
Pulse oximetry values during operation and in the recovery room.
Timeframe: Through the operative time period up to two hours of time and through the recovery room time period before discharge up to one hour time.
Adverse events during operation and in the recovery room.
Timeframe: Through the operative time period up to two hours of time and through the recovery room time period before discharge up to one hour time.