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복강경하 전자궁적출술시 전신마취 (Propofol/N20, Enflurane/N20)에 따른 혈역학적 변화

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Author(s)
정성원도현우김애라전재규Sung Won ChungHyun Woo DoAe Ra KimJae Kyu Cheun
Keimyung Author(s)
Kim, Ae RaCheun, Jae Kyu
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학회지
Issued Date
1999
Volume
36
Issue
5
Abstract
Background : Laparoscopy with peritoneal carbon dioxide insufflation is a standard procedure in many gynecological departments. And more prolonged gynecological laparoscopic operations are being performed in recent years, and a steeper head-down position is required. Despite laparoscopic operations have many advantages, peritoneal insufflation of CO2 to create the pneumoperitoneum necessary for laparoscopy induces intraoperative hemodynamic changes that complicate anesthetic management of laparoscopy.The purpose of this study is to evaluate the effect of general anesthesia on hemodynamics during loparoscopic hysterectomy. Methods : Twenty six women undergoing laparoscopic hysterectomy were randomly allocated to either a propofol (Group 1, n=13) intravenous anesthesia or a enflurane (Group 2, n=13) anesthesia with fentanyl-N2O/O2-vecuronium. Hemodynamic parameters were measured before induction (T1), 5 min after induction (T2), 5 min after head-down (T3), 5, 10, 15, 20 min after pneumoperitoneum (T4, T5, T6, T7), 5, 10 min after deflation (T8, T9). The MAP, HR, CI, SVRI, SI were measured by transthoracic electrical bioimpedence method and automated blood pressure device. Results : The mean arterial pressure were increased during pneumoperitonem in both groups and heart rate were increased in Group 2. The cardic index were decreased in both groups after induction by 27.4 % in Group 1 and 25.7% in Group 2. The systemic vascular resistanace index were increased in both groups from head-down to after deflation by 68.3% in Group 1, 73.1% in Group 2 maximally. No significant changes of stroke index were observed during surgery in Group 1. Conclusions : Laproscopy with CO2 insufflation induces significant hemodynamic changes includig increases of MAP, SVR and a reduction of CI. And usual intraoperative hemodynamic monitoring; the blood pressure and heart rate give no information on the reduction in cardic output. (Korean J Anesthesiol 1999; 36: 828∼833)
Alternative Title
The Effect of General Anesthesia on Hemodynamics during Laparoscopic Hysterectomy
Keimyung Author(s)(Kor)
김애라
전재규
Publisher
School of Medicine
Citation
정성원 et al. (1999). 복강경하 전자궁적출술시 전신마취 (Propofol/N20, Enflurane/N20)에 따른 혈역학적 변화. 대한마취과학회지, 36(5), 828–833. doi: 10.4097/kjae.1999.36.5.828
Type
Article
ISSN
0302-5780
DOI
10.4097/kjae.1999.36.5.828
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40092
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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