Patient-controlled propofol sedation for elderly patients: safety and patient attitude toward control

Patient-controlled sedation with propofol and remifentanil for ERCP: a randomized, controlled study

“…We did not include patients over 70 years of age or in American Society of Anesthesiologists class IV. Although there are data available to demonstrate the safety of PCS for elderly patients in cataract surgery and during colonoscopy, [31][32][33] further studies are needed to assess the suitability of patient-administered propofol sedation for high-risk patients during ERCP. Our study was not powered to establish the safety of PCS for ERCP, and further larger-scale studies are needed to assess this.…”

Patient-controlled sedation in procedural care

“…Studies on PCS have addressed issues of safety [36,37], patients' experiences [36,38,39], programming of pumps, and procedural details [37,40]. However, most studies are rather limited in the number of participants and show limitations in study design.…”

Optimal target concentration of remifentanil during cataract surgery with monitored anesthesia care

“…Several intravenous (IV) anesthetics such as propofol, midazolam, and short-acting opioids have been given based on patient-controlled sedation (PCS) or continuous infusion in elderly patients during cataract surgery [10][11][12][13][14][15][16][17], and continuous infusion with remifentanil and propofol has been used to alleviate periprocedural stress and pain [17]. However, no clinical study has assessed the use of propofol and remifentanil target-controlled infusion (TCI) systems in providing adequate levels of sedation and analgesia.…”