PT - JOURNAL ARTICLE AU - Ersoy, Ayşın AU - Kara, Deniz AU - Ervatan, Zekeriya AU - Çakırgöz, Mensure AU - Kıran, Özlem TI - Sedation in hypoalbuminemic geriatric patients under spinal anesthesia in hip surgery AID - 10.15537/smj.2015.10.12403 DP - 2015 Oct 01 TA - Saudi Medical Journal PG - 1191--1198 VI - 36 IP - 10 4099 - http://smj.org.sa/content/36/10/1191.short 4100 - http://smj.org.sa/content/36/10/1191.full SO - Saudi Med J2015 Oct 01; 36 AB - Objectives: To compare midazolam and propofol sedation in hypoalbuminemic geriatric patients under spinal anesthesia in hip surgery with bispectral index monitoring.Methods: This prospective and randomized study was completed in the Department of Anesthesiology, Okmeydani Training and Research Hospital, Istanbul, Turkey between February 2013 and December 2014. Sixty patients undergoing elective hip surgery under spinal anesthesia in the geriatric age group with albumin levels below 3 g/dl were randomly divided into Group I and Group II. After administration of spinal block, Group I were given 0.05 mg/kg bolus midazolam, and then 0.02-0.1 mg/kg/hr dose infusion was begun. In Group II, 1 mg/kg bolus propofol was given within 10 minutes, and then 1-3 mg/kg/hr infusion was begun. The systolic arterial pressure, diastolic arterial pressure, mean arterial pressure, heart rate, peripheral oxygen saturation values, respiratory rate, and Wilson’s 5-stage sedation score were recorded at 15-minute intervals. At the end of the operation, the recovery time and surgeon satisfaction were recorded.Results: The recovery times for patients in Group I were found to be longer than in Group II (p<0.05). The respiration rate in patients in Group I at the start of surgery, 15th minute of surgery, and after surgery were lower than in Group II (p<0.05).Conclusion: We conclude that propofol is more reliable in terms of hemodynamic stability than midazolam, as it causes less respiratory depression and faster recovery in the propofol group.