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악 성형술 중 Epinephrine으로 인한 대사성 산증

Other Titles
 Epinephrine-induced Metabolic Acidosis during Orthognatic Surgery: A case report 
Authors
 남상범  ;  심연희  ;  박영찬  ;  김용범  ;  이종석 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.49(4) : 528-531, 2005 
Journal Title
KOREAN JOURNAL OF ANESTHESIOLOGY(대한마취과학회지)
ISSN
 2005-6419 
Issue Date
2005
MeSH
Epinephrine ; Orthognathic surgery ; Local anesthesia ; Lactic acidosis ; Topical administration
Keywords
Epinephrine ; Orthognathic surgery ; Local anesthesia ; Lactic acidosis ; Topical administration
Abstract
Epinephrine has a variety of clinical uses one is its use as a topical hemostatic agent on bleeding surfaces, such as in the mouth. We report a temporal association between the administration of topical epinephrine and the development of metabolic acidosis during general anesthesia. A 21 year-old patient, with facial asymmetry, had undergone orthognatic surgery. During the operation, serial blood gas analysis revealed the onset of a metabolic acidosis following the local infiltration (0.036 mg) and topical application of a high dose of epinephrine-BosminⓇ (1:1,000 epinephrine). The metabolic acidosis resolved within 5 hours.
Files in This Item:
T200501340.pdf Download
DOI
OAK-2005-06012
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Bum(김용범)
Nam, Sang Beom(남상범) ORCID logo https://orcid.org/0000-0002-9704-1866
Shim, Yon Hee(심연희) ORCID logo https://orcid.org/0000-0003-1921-3391
Lee, Jong Seok(이종석) ORCID logo https://orcid.org/0000-0002-7945-2530
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151441
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