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소아 사시 교정술에서 마취약제에 따른 안구심반사와 술 후 회복의 평가

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dc.contributor.author길혜금-
dc.date.accessioned2020-01-23T05:28:12Z-
dc.date.available2020-01-23T05:28:12Z-
dc.date.issued1999-
dc.identifier.issn0302-5780-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/174308-
dc.description.abstractBackground: 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.statementOfResponsibilityopen-
dc.languageKorean-
dc.publisher대한마취과학회-
dc.relation.isPartOfJournal of Korean Society of Anesthesiologist (대한마취과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.title소아 사시 교정술에서 마취약제에 따른 안구심반사와 술 후 회복의 평가-
dc.title.alternativeOculocardiac Reflex and Postoperative Recovery in Pediatric Strabismus Surgery: A Randomized Trial Comparing Four Anesthetic Techniques.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine (마취통증의학교실)-
dc.contributor.googleauthor홍정연-
dc.contributor.googleauthor길혜금-
dc.contributor.localIdA00283-
dc.relation.journalcodeJ01540-
dc.subject.keywordAnesthetics-
dc.subject.keywordintravenous: fentanyl-
dc.subject.keywordpropofol-
dc.subject.keywordvolatile: enflurane-
dc.subject.keywordComplication: oculocardiac reflex-
dc.subject.keywordvomiting-
dc.subject.keywordSurgery-
dc.subject.keywordstrabismus-
dc.subject.keywordintravenous-
dc.subject.keywordfentanyl-
dc.subject.keywordvolatile-
dc.subject.keywordenflurane-
dc.subject.keywordComplication-
dc.subject.keywordoculocardiac reflex-
dc.contributor.alternativeNameKil, Hae Keum-
dc.contributor.affiliatedAuthor길혜금-
dc.citation.volume37-
dc.citation.number6-
dc.citation.startPage1046-
dc.citation.endPage1053-
dc.identifier.bibliographicCitationJournal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.37(6) : 1046-1053, 1999-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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