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부인과적 복강경수술 시 Propofol 또는 Enflurane 마취에 따른 사강률과 동맥혈 가스의 변화

Other Titles
 VD/VT and Arterial Blood Gas Changes during Gynecologic Laparoscopic Surgery under Enflurane or Propofol Anesthesia 
 이윤우  ;  심규대  ;  조정구  ;  신양식 
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.39(5) : 679-685, 2000-11 
Journal Title
 Journal of Korean Society of Anesthesiologist (대한마취과학회지) 
Issue Date
Anesthetics ; enflurane ; propofol ; Surgery ; laparoscopic ; Ventilation ; gas exchange ; Vd/Vt
Background : Laparoscopic gynecologic surgery is a standard procedure today for its small skin incision and short hospital admission stay. However pneumoperitoneum (PP) and Trendelenberg position induce adverse effects in hemodynamics and pulmonary gas exchange. The purpose of this study is to evaluate the effects of propofol compared with enflurane for pulmonary gas exchange in the Trendelenberg position and pneumoperitoneum. Methods : Twenty women were randomly allocated to either the enflurane (n = 10) or propofol (n = 10) with fentanyl-N₂O/O₂ anesthesia. PaCO₂, PaO₂, PETCO₂ were checked at pre-PP, 10 min after PP, 30 min after PP, and 10 min after CO₂ deflation. In addition the Vd/Vt ratio was calculated according to the Bohr equation. Vital sign and peak airway pressure were checked at each stage. Results : PaCO₂ and PETCO₂ increased and PaO₂ decreased significantly during PP in both groups. Vd/Vt increased significantly in the enflurane group at 30 min after PP. Peak airway pressure increased significantly in both groups. Blood preassure and heart rate were not changed significantly. All of the parameters were not significantly different between groups. Conclusions : Propofol compared with enflurane did not show any advantage in gas exchange during gynecologic laparoscopic surgery under Trendelenberg position and PP.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Lee, Youn Woo(이윤우)
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