The target concentration of propofol required to prevent response to surgic
al incision was determined in 60 unpremedicated ASA I or II patients, who b
reathed either oxygen-enriched air or nitrous oxide 67% in oxygen. Propofol
was infused using a target-controlled infusion system incorporating the st
andard 'Diprifusor' pharmacokinetic model, with the target concentration fo
r each patient decided by up/down sequential allocation. Presence or absenc
e of movement in response to a groin incision was determined by the surgeon
. The calculated blood concentration at which 50% of patients responded (Cp
50(calc)), determined by probit analysis, was 6.8 mu g ml(-1) for patients
who breathed oxygen-enriched air and 4.9 mu g ml(-1) for those who breathed
nitrous oxide 67% in oxygen.