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간질수술에서 Propofol 정맥마취의 이용

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Affiliated Author(s)
배정인손은익이창영
Alternative Author(s)
Bae, Jung InSon, Eun IkLee, Chang Young
Journal Title
대한마취과학화지
ISSN
0302-5780
Issued Date
1998
Abstract
Background: Propofol is a new, short-acting intravenous sedative-hypnotic anesthetics for induction and maintenance. Awakening craniotomy for resection of seizure focus is performed when the area to be excited is too close to an eloquent area to be mapping accurately. This study was performed to evaluate the efficacy and the hemodynamic effects of Pofol® in comparison with Diprivan® for the maintenance of total intravenous anesthesia (TIVA) in epilepsy surgery.
Methods: This procedure is carried out under what has been euphemistically called local anesthesia or monitored anesthesia care (MAC). For induction, 2 mg/kg in bolus was administered in both groups, and the usual maintaining dose was 100 mcg/kg/min. Surgical procedures are divided in 6 stage (I: Craniotomy, II: Electrocorticography (ECoG), III: Functional mapping, IV: Cortical resection, V: Post-resection EEG, VI: Craniotomy closure).
Results: Arterial blood gases and vital signs of Pofol® group and Diprivan® group were analysed. But, awakening time was slightly rapid in Pofol® group (8.9 2.64 min.) compared with Diprivan® group (10.6 3.22 min.). And there were no statistically significant differences between the two groups.
Conclusions: We concluded that both Pofol® and Diprivan® are the ideal total intravenous anesthetics for long time epilepsy surgery. However, Pofol® group is more helpful in intraoperative ECoG and functional brain mapping because of its slightly rapid awakening time. (Korean J Anesthesiol 1998; 35: 70∼75)
Alternative Title
Intravenous Propofol Anesthesia in Epilepsy Surgery
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Dept. of Neurosurgery (신경외과학)
Publisher
School of Medicine
Citation
배정인 et al. (1998). 간질수술에서 Propofol 정맥마취의 이용. 대한마취과학화지, 35(1), 70–75.
Type
Article
ISSN
0302-5780
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38529
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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