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경동맥 내막절제술 마취경험

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Author(s)
배정인이상직
Keimyung Author(s)
Bae, Jung In
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학화지
Issued Date
1999
Volume
36
Issue
2
Abstract
Carotid endarterectomy is the preferred treatment for a patient with transient ischemic attacks (TIAs) in whom carotid artery stenosis is present. This patient was a 58-year-old male associated with 60 kg in body weight and 172 cm in height. He was scheduled for elective carotid endarterectomy in ASA physical status III. For premedication, he was administered triflupromazine (Veprin®) 10 mg and glycopyrrolate 0.2 mg IM 1 hour prior to induction. Induction was established with thiopental sodium, succinylcholine after preoxygenation. N2O/O2 (2:1), isoflurane and pancuronium were administered for maintenance. For monitoring, ECG, EEG, direct arterial pressure, ETCO2, CVP and rectal temperature were performed. A primary goal of the intraoperative management is the prevention of the cerebral ischemia. He was challenged to maintain adequate cerebral perfusion without causing myocardial ischemia. The EEG is the reliable indication of cortical function during general anesthesia. No signs of the cerebral ischemia were occurred at the time of the carotid occlusion. Minute ventilation was kept mild hypo-or normocapnia. He had no new neurologic deficits and myocardial ischemia, and discharged on 14 day postoperation. (Korean J Anesthesiol 1999; 36: 349∼353)
Alternative Title
Anesthetic Management of Carotid Endarterectomy
Keimyung Author(s)(Kor)
배정인
Publisher
School of Medicine
Citation
배정인 and 이상직. (1999). 경동맥 내막절제술 마취경험. 대한마취과학화지, 36(2), 349–353.
Type
Article
ISSN
0302-5780
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38530
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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