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전신마취시 후두마스크 삽관과 기관내튜브 삽관시 Thoracic Electrical Bioimpedance법을 이용한 혈역학변화의 비교

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Author(s)
유한목김진모전재규
Keimyung Author(s)
Kim, Jin MoCheun, Jae Kyu
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한중환자의학회지
Issued Date
1998
Volume
13
Issue
1
Keyword
Anesthetic techniqueEndotracheal intubationLaryngeal mask airwayMonitoringThoracic electrical bioimpedance
Abstract
Introduction: we measured the hemodynamic changes by the thoracic electrical bioimpedance(TEB) device during induction of anesthesia. endotracheal intubation or insertion of layngeal mask airway (LMA). This TEB device is safe reliable and estimate continuously and invasively hemodynamic variables.
Methods: We measured the cardiovascular response of endotracheal intubation or that of LMA insertion in thirty ASA class I patients. General anesthesia was induced with injection of fentany 1㎍/kg, thiopetal sodium 5 mg/kg and vecuronium 1 mg/kg intravenously. Controlled ventilation was for 3 minutes with inhalation of 50% nitrous oxide 1.5 vol% of enflurane before tracheal intubation or LMA insertion in all patients. The patient was randomly assinged to either tracheal intubation group(ET group) or laryngeal mask airway group(LMA group). Heart rate(HR), mean arterial pressure(MAP), systemic vascular resistance(SVR), stroke index(SI) and cardic index(CI) were measured to pre-induction, preintubation, 1 minute after intubation, 2 minute, 3 minute, 5 minute, 7 minute.
Results: MAP and SYR were decreased effectively LMA group than ET group during l minute after intubation, 2 minute. 3 minute, 3 minute, 7 minute(p<0.05) HR was decreased effectively LMA group than ET group between pre-induction and 1 minute after intubation, between 1 minute after intubation and 2 minute after intubation(p<0.05). But, SI and CI were no difference between ET group and LMA group during induction of anesthesia and intubation(p<0.05).
Conclusion: The insertion of LMA is beneficial for certain patients than endotracheal tube to avoid harmful cardiovascular response in the management of airway during anesthesia
Alternative Title
Comparison of Hemodynamic Changes by the Thoracic Electrical Bioimpedance Device during Endotracheal Intubation or Insertion of Laryngeal Mask Airway in General Anesthesia
Keimyung Author(s)(Kor)
김진모
전재규
Publisher
School of Medicine
Citation
유한목 et al. (1998). 전신마취시 후두마스크 삽관과 기관내튜브 삽관시 Thoracic Electrical Bioimpedance법을 이용한 혈역학변화의 비교. 대한중환자의학회지, 13(1), 67–72.
Type
Article
ISSN
1229-4802
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39633
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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