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다한증 환자에서 흉강경하 교감신경 연쇄절단술시의 혈역학적 변화

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Author(s)
박석김명호장영호김진모김애라전재규Seok ParkMyung Ho KimYoung Ho JangJin Mo KimAe Ra KimJae Kyu Cheun
Keimyung Author(s)
Jang, Young HoKim, Jin MoKim, Ae RaCheun, Jae Kyu
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학회지
Issued Date
2001
Volume
40
Issue
5
Abstract
Background: A right thoracoscopic thoracic sympathicotomy involves the removal of T and T sympathetic chains. Since part of the sympathetic fibers to the heart traverse these two ganglia, we examined the hemodynamic changes during a thoracoscopic thoracic sympathicotomy in primary hyperhidrosis. Methods: Noninvasive cardiac output monitoring was done on the both side of the neck and chest. A physiograph for measuring of continuous blood flow was taken from the right index finger and a thermometer was placed in the right palm. Following endotracheal intubation was done with double lumen endotracheal tube, anesthesia was maintained with isoflurane. Sympathicotomies were done for T2-3 during one lung ventilation. Heart rate (HR), mean arterial pressure (MAP), systemic vascular resistance index (SVRI), cardiac index (CI), accelerated contractility index (ACI), end-diastolic index (EDI), and temperature were recorded at arrival, before sympathicotomy, after sympathicotomy at 1, 2, 3, 4 and 5 minuets. The blood flow of the right index finger was recorded before and after the sympathicotomy. Results: Concurrent with initiation of the sympathicotomy, MAP and SVRI were reduced, but the CI was elevated. It was accompanied with right palmar temperature elevation and an increase in the blood flow of the right index finger. Conclusions: A thoracoscopic thoracic sympathicotomy reduces MAP and SVRI and elevates CI, palmar temperature, and blood flow. We concluded that the hemodynamic changes during a thoracoscopic thoracic sympathicotomy seems to be the peripheral vasodilatation. (Korean J Anesthesiol 2001; 40: 606~612)
Key Words: Equipment; thoracoscope. Monitoring; blood flow; noninvasive cardiac output; temperature. Sympathetic nervous system; blockade; thoracic sympathetic chain
Alternative Title
Hemodynamic Changes during a Thoracoscopic Thoracic Sympathicotomy in Primary Hyperhidrosis
Keimyung Author(s)(Kor)
장영호
김진모
김애라
전재규
Publisher
School of Medicine
Citation
박석 et al. (2001). 다한증 환자에서 흉강경하 교감신경 연쇄절단술시의 혈역학적 변화. 대한마취과학회지, 40(5), 606–612. doi: 10.4097/kjae.2001.40.5.606
Type
Article
ISSN
0302-5780
DOI
10.4097/kjae.2001.40.5.606
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40103
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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