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개흉술 후 통증관리를 위한 ropivacaine의 흉부 경막외 지속 주입시 sufentanil의 적정 병용 용량
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 곽영란 | - |
dc.contributor.author | 김미경 | - |
dc.contributor.author | 윤덕미 | - |
dc.contributor.author | 이종화 | - |
dc.date.accessioned | 2015-07-14T16:53:03Z | - |
dc.date.available | 2015-07-14T16:53:03Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 2005-6419 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/111779 | - |
dc.description.abstract | BACKGROUND: Thoracotomy is considered one of the most painful surgical procedures. Thus optimal pain control is essential in the postoperative care of thoracotomy patients. In this randomized double-blinded study, we sought to determine an optimal dose-combination of sufentanil and ropivacaine 0.2% for postoperative epidural analgesia. METHODS: Forty-five of fifty-two patients that underwent thoracotomy were assigned to three groups to receive continuous high thoracic epidural analgesia with ropivacaine 0.2% + sufentanil 0.5µg/ml (group I), ropivacaine 0.2% + sufentanil 0.75µg/ml (group II), or ropivacaine 0.2% + sufentanil 1.0µg/ml (group III). Upon completion of surgery, a thoracic epidural catheter was inserted at the T1-3 level, and moved downward by 5-7 cm. Epidural continuous infusion was administered at 5 ml/hr. Resting VAS (visual analogue scale), dynamic VAS, forced vital capacity, and side effects were recorded at three times: immediate after extubation; 12 hours after arrival at the ICU; and 24 hours after arrival at the ICU. RESULTS: Resting VAS was significantly lower in group III immediately after extubation (P < 0.05) and dynamic VAS was significantly lower in group III immediately after extubation, and 12 hours after arriving at the ICU (P < 0.05) than in the other two groups. The differences in ketorolac dosing number, sedation scores, respiratory depression, pruritus, nausea/vomiting, and motor block were not significant between the three groups. CONCLUSIONS: We conclude that the combination of ropivacaine 0.2% and sufentanil 1.0µg/ml provides effective analgesia for post-thoracotomy pain with fewer side effects than the other two combinations tested. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 532~536 | - |
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 | 개흉술 후 통증관리를 위한 ropivacaine의 흉부 경막외 지속 주입시 sufentanil의 적정 병용 용량 | - |
dc.title.alternative | An Optimal Regimen of 0.2% Ropivacaine-Sufentanil as a Continuous Thoracic Epidural Infusion for Pain Control after Thoracotomy | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology (마취통증의학) | - |
dc.contributor.googleauthor | 김미경 | - |
dc.contributor.googleauthor | 곽영란 | - |
dc.contributor.googleauthor | 윤덕미 | - |
dc.contributor.googleauthor | 최병인 | - |
dc.contributor.googleauthor | 이종화 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.relation.journalcode | J03189 | - |
dc.identifier.eissn | 2005-7563 | - |
dc.subject.keyword | epidural analgesia | - |
dc.subject.keyword | sufentanil | - |
dc.subject.keyword | ropivacaine | - |
dc.subject.keyword | thoracotomy | - |
dc.contributor.alternativeName | Kwak, Young Lan | - |
dc.contributor.alternativeName | Kim, Mi Kyeong | - |
dc.contributor.alternativeName | Yoon, Duck Mi | - |
dc.contributor.alternativeName | Lee, Jong Wha | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 47 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 532 | - |
dc.citation.endPage | 536 | - |
dc.identifier.bibliographicCitation | KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.47(4) : 532-536, 2004 | - |
dc.identifier.rimsid | 37463 | - |
dc.type.rims | ART | - |
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