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소아 사시 교정술에서 마취약제에 따른 안구심반사와 술 후 회복의 평가
DC Field | Value | Language |
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dc.contributor.author | 길혜금 | - |
dc.date.accessioned | 2020-01-23T05:28:12Z | - |
dc.date.available | 2020-01-23T05:28:12Z | - |
dc.date.issued | 1999 | - |
dc.identifier.issn | 0302-5780 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/174308 | - |
dc.description.abstract | Background: Oculocardiac reflex (OCR) and postoperative nausea/vomiting are major complications of pediatric strabismus surgery. The aim of the study was to assess, in children undergoing strabismus surgery, the incidence of OCR and postoperative emesis with a inhalational and a intravenous technique. Methods: 44 healthy children undergoing elective strabismus surgery as inpatients were randomly allocated to four anesthetic techniques: (1) induction with propofol, maintenance with propofol infusion and 50% N2O-O2 (propofol-N2O); (2) induction with propofol and fentanyl 1μg/kg bolus, maintenance with propofol infusion and 50% air-O2 (propofol-fentnyl-air); (3) induction with thiopental, maintenance with enflurane and 50% N2O-O2 (enflurane-N2O); (4) induction with thiopental and fentanyl 1μg/kg, maintenance with enflurane and 50% air-O2 (enflurane-fentanyl-air). Results: The incidence of an OCR significantly increased in the propofol-fentanyl-air group as compared to the enflurane-N2O or enflurane-fentanyl-air groups. Times to extubation were shorter in the propofol- N2O group than in the propofol-fentanyl-air or enflurane-fentanyl-air groups. Alertness scores were lower in the propofol-N2O group than in the enflurane-N2O or enflurane-fentanyl-air groups. Postanesthetic recovery scores and nausea/vomiting during the 24 hr after the operation did not show any differences among the groups. Conclusions: We concluded that children undergoing strabismus surgery anesthetized with propofolfentanyl-air had more episodes of OCR, propofol-N2O had shorter times to extubation and higher alertness scores, and the addition of N2O or fentanyl to anesthetic regimen was not associated with nausea and vomiting. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한마취과학회 | - |
dc.relation.isPartOf | Journal of Korean Society of Anesthesiologist (대한마취과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 소아 사시 교정술에서 마취약제에 따른 안구심반사와 술 후 회복의 평가 | - |
dc.title.alternative | Oculocardiac Reflex and Postoperative Recovery in Pediatric Strabismus Surgery: A Randomized Trial Comparing Four Anesthetic Techniques. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | 홍정연 | - |
dc.contributor.googleauthor | 길혜금 | - |
dc.contributor.localId | A00283 | - |
dc.relation.journalcode | J01540 | - |
dc.subject.keyword | Anesthetics | - |
dc.subject.keyword | intravenous: fentanyl | - |
dc.subject.keyword | propofol | - |
dc.subject.keyword | volatile: enflurane | - |
dc.subject.keyword | Complication: oculocardiac reflex | - |
dc.subject.keyword | vomiting | - |
dc.subject.keyword | Surgery | - |
dc.subject.keyword | strabismus | - |
dc.subject.keyword | intravenous | - |
dc.subject.keyword | fentanyl | - |
dc.subject.keyword | volatile | - |
dc.subject.keyword | enflurane | - |
dc.subject.keyword | Complication | - |
dc.subject.keyword | oculocardiac reflex | - |
dc.contributor.alternativeName | Kil, Hae Keum | - |
dc.contributor.affiliatedAuthor | 길혜금 | - |
dc.citation.volume | 37 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1046 | - |
dc.citation.endPage | 1053 | - |
dc.identifier.bibliographicCitation | Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.37(6) : 1046-1053, 1999 | - |
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