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후두미세수술 시 Sufentanil의 유용성
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이윤우 | - |
dc.contributor.author | 장철호 | - |
dc.contributor.author | 남상범 | - |
dc.date.accessioned | 2015-06-10T11:57:58Z | - |
dc.date.available | 2015-06-10T11:57:58Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/108943 | - |
dc.description.abstract | BACKGROUND: Various anesthetic agents have been used in laryngeal microscopic surgery, because the airway is shared with the surgeon, there is a short operation duration and intense cardiovascular stimulation occurs during the surgery. Sufentanil is superior than other anesthetic agents in blocking the cardiovascular response to the airway stimulation and a short duration of effects. METHODS: Thirty patients undergoing elective laryngeal microscopic surgery were randomized to receive sufentanil 0.125 µg/kg (group 1, n = 10), sufentanil 0.25 µg/kg (group 2, n = 10) or sufentanil 0.5 µg/kg (group 3, n = 10). The bispectral index score, blood pressure, heart rate, recovery time from general anesthesia, the need for additional analgesics and naloxone and the postoperative complications associated with sufentanil were measured. RESULTS: The bispectral index, blood pressure and heart rate were similar in the three groups. Only four patients in group 3 required naloxone (P < 0.05). Three patients in group 1, one in group 2 and 0 in group 3 required an additional dose of sufentanil. Postoperative sore throat was detected in 6 patients in the immediate postoperative period and in 8 patients 6 hours after the end of anesthesia in group 1 (P < 0.05). CONCLUSIONS: Sufentanil is an effective analgesic for attenuating the cardiovascular responses of airway stimulation in laryngeal microscopic surgery. In addition, sufentanil 0.25 µg/kg is an appropriate dose for the rapid recovery and attenuation of the cardiovascular response in laryngeal microscopic surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 168~172 | - |
dc.relation.isPartOf | KOREAN JOURNAL OF ANESTHESIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 후두미세수술 시 Sufentanil의 유용성 | - |
dc.title.alternative | Efficacy of Sufentanil during Laryngeal Microscopic Surgery | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | 장철호 | - |
dc.contributor.googleauthor | 남상범 | - |
dc.contributor.googleauthor | 권태동 | - |
dc.contributor.googleauthor | 이현규 | - |
dc.contributor.googleauthor | 정금희 | - |
dc.contributor.googleauthor | 이윤우 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03022 | - |
dc.contributor.localId | A03485 | - |
dc.contributor.localId | A01253 | - |
dc.relation.journalcode | J03189 | - |
dc.identifier.eissn | 2005-7563 | - |
dc.subject.keyword | bispectral index | - |
dc.subject.keyword | cardiovascular response | - |
dc.subject.keyword | laryngeal microscopic surgery | - |
dc.subject.keyword | sufentanil | - |
dc.contributor.alternativeName | Lee, Youn Woo | - |
dc.contributor.alternativeName | Chang, Chul Ho | - |
dc.contributor.alternativeName | Nam, Sang Beom | - |
dc.contributor.affiliatedAuthor | Lee, Youn Woo | - |
dc.contributor.affiliatedAuthor | Chang, Chul Ho | - |
dc.contributor.affiliatedAuthor | Nam, Sang Beom | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 50 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 168 | - |
dc.citation.endPage | 172 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.50(2) : 168-172, 2006 | - |
dc.identifier.rimsid | 50355 | - |
dc.type.rims | ART | - |
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