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Dose-dependent attenuation by fentanyl on cough during emergence from general anesthesia

DC Field Value Language
dc.contributor.author나성원-
dc.contributor.author유영철-
dc.contributor.author이정림-
dc.contributor.author정종주-
dc.date.accessioned2014-12-20T17:25:31Z-
dc.date.available2014-12-20T17:25:31Z-
dc.date.issued2011-
dc.identifier.issn0001-5172-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/94578-
dc.description.abstractBACKGROUND: Although fentanyl suppresses tracheal tube-induced cough during anesthetic recovery, it has not been proven if its antitussive effect is dose dependent and complication free. The purpose of this study is to evaluate the relationship between fentanyl doses and cough suppression during emergence from sevoflurane anesthesia. METHODS: Sixty patients undergoing thyroidectomy were randomly allocated to one of four groups (F0, F1, F1.5, and F2) according to the fentanyl dose (0 mcg/kg, 1 mcg/kg, 1.5 mcg/kg, or 2 mcg/kg). Fentanyl was administered immediately after sevoflurane discontinuation. Coughing was assessed throughout the periextubation period. The relationship between fentanyl dose and incidence of cough was analyzed using Cochran-Armitage trend test. Incidence of more than 30% elevation of mean arterial pressure (MAP) and heart rate (HR), awakening time, extubation time, and respiratory rate after extubation were recorded and compared using Mantel-Haenszel chi-square test and one-way analysis of variance. RESULTS: Fentanyl suppressed emergence cough in a dose-related manner (P = 0.002), and the ED(50) and ED(90) were 1.1 mcg/kg and 2.1 mcg/kg, respectively. The higher dose of fentanyl further reduced the number of patient with MAP and HR elevation (P = 0.003 and 0.005, respectively). Awakening time (8.4 ± 1.9 min) in F2 was comparable with that in F1 and F1.5. Respiratory rate (9 ± 2 bpm) and extubation time (11.9 ± 1.8 min) in F2 were only different from those in F0 (13 ± 3 bpm and 10.4 ± 1.1 min, respectively). CONCLUSIONS: Fentanyl suppressed cough in a dose-related manner during recovery from general sevoflurane anesthesia, and 2 mcg/kg may be considered as a proper dose.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1215~1220-
dc.relation.isPartOfACTA ANAESTHESIOLOGICA SCANDINAVICA-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAirway Extubation-
dc.subject.MESHAnesthesia Recovery Period-
dc.subject.MESHAnesthesia, General/adverse effects*-
dc.subject.MESHAnesthetics, Inhalation-
dc.subject.MESHAnesthetics, Intravenous/administration & dosage-
dc.subject.MESHAnesthetics, Intravenous/therapeutic use*-
dc.subject.MESHBlood Pressure/drug effects-
dc.subject.MESHCough/etiology-
dc.subject.MESHCough/prevention & control*-
dc.subject.MESHDose-Response Relationship, Drug-
dc.subject.MESHFemale-
dc.subject.MESHFentanyl/administration & dosage-
dc.subject.MESHFentanyl/therapeutic use*-
dc.subject.MESHHeart Rate/drug effects-
dc.subject.MESHHemodynamics/drug effects-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMethyl Ethers-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications/prevention & control*-
dc.subject.MESHRespiratory Mechanics-
dc.subject.MESHThyroid Neoplasms/surgery-
dc.subject.MESHThyroidectomy-
dc.titleDose-dependent attenuation by fentanyl on cough during emergence from general anesthesia-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorY.-C. YOO-
dc.contributor.googleauthorS. NA-
dc.contributor.googleauthorJ.-J. JEONG-
dc.contributor.googleauthorE.-M. CHOI-
dc.contributor.googleauthorB.-E. MOON-
dc.contributor.googleauthorJ.-R. LEE-
dc.identifier.doi10.1111/j.1399-6576.2011.02529.x-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01232-
dc.contributor.localIdA02484-
dc.contributor.localIdA03098-
dc.contributor.localIdA03722-
dc.relation.journalcodeJ00006-
dc.identifier.eissn1399-6576-
dc.identifier.pmid22092126-
dc.identifier.urlhttp://onlinelibrary.wiley.com/doi/10.1111/j.1399-6576.2011.02529.x/abstract-
dc.contributor.alternativeNameNa, Sung Won-
dc.contributor.alternativeNameYoo, Young Chul-
dc.contributor.alternativeNameLee, Jeong Rim-
dc.contributor.alternativeNameJeong, Jong Ju-
dc.contributor.affiliatedAuthorNa, Sung Won-
dc.contributor.affiliatedAuthorYoo, Young Chul-
dc.contributor.affiliatedAuthorLee, Jeong Rim-
dc.contributor.affiliatedAuthorJeong, Jong Ju-
dc.rights.accessRightsnot free-
dc.citation.volume55-
dc.citation.number10-
dc.citation.startPage1215-
dc.citation.endPage1220-
dc.identifier.bibliographicCitationACTA ANAESTHESIOLOGICA SCANDINAVICA, Vol.55(10) : 1215-1220, 2011-
dc.identifier.rimsid27430-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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