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간엽 절제술시 중심정맥압이 출혈량에 미치는 영향

Other Titles
 Central Venous Pressure and Its Effect on Blood Loss During Hepatic Lobectomy 
 최승호  ;  반소영  ;  전나형  ;  전동병  ;  남순호  ;  길혜금  ;  김경식 
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.52(6) : 663-668, 2007 
Journal Title
Issue Date
Background Some studies reported that lowering central venous pressure (LCVP) during liver resection could significantly reduce the intra-operative blood loss, however it is still controversial concerning LCVP induced renal dysfunction, hypovolemia, hemodynamic instability. This study evaluated the association of low central venous pressure with blood loss during liver resection comparing the control group. Methods A total 62 patients aged 20 to 70 underwent hepatectomy by the same group of surgeon were randomized into group L (CVP < 10 mmHg, n = 30) and control group C (CVP > 10 mmHg, n = 32) during dissection and lobectomy period. Data such as age, sex, concurrent disease, liver resection site (right or left), pre-, intra- and postoperative day 3 hemoglobin, blood urea nitrogen, creatinine, bleeding time, prothrombin time, activated partitial thromboplastin time, intraoperative blood loss, urine output, transfusion volume, length of hospital stay were collected and compared between the two groups and t-test was used for comparison of results. Results The difference of total blood loss between two groups was 193.6 ± 432.2 ml (group L; 589.1 ± 380.8 ml, group C; 782.7 ± 316.7 ml), however statistically insignificant (P value = 0.1243). Additionally, there were no significant differences in other data including the length of hospital stay. Conclusions Our results suggest maintaining CVP under 10 mmHg is not effective in reducing blood loss during liver resection.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Sik(김경식) ORCID logo https://orcid.org/0000-0001-9498-284X
Nam, Soon Ho(남순호)
Choi, Seung Ho(최승호) ORCID logo https://orcid.org/0000-0001-8442-4406
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