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소아 환자에서 Sevoflurane을 이용한 흡입마취 유도와 유지 후 오심 및 구토

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Author(s)
신원호장영호김애라김진모Won Ho ShinYoung Ho JangAe Ra KimJin Mo Kim
Keimyung Author(s)
Jang, Young HoKim, Ae RaKim, Jin Mo
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학회지
Issued Date
2003
Volume
45
Issue
3
Abstract
Background: Postoperative nausea and vomiting (PONV) is one of the most common complications after general anesthesia. Sevoflurane is a newer inhalational anesthetic agent and is commonly used in general anesthesia, especially in pediatric patients and outpatients. However, the incidence of PONV after volatile induction and maintenance of anesthesia (VIMA) with sevoflurane in pediatric patients has not been reported in Korea. In this study, the incidence of PONV after VIMA with sevoflurane in pediatric patients was evaluated.
Methods: A total of 251 pediatric patients, scheduled for inguinal surgery, extremity operation and perianal surgery, were selected for the study. None of the pediatric patients was given premedicants, opioids or reversal agents during VIMA.
Results: The incidence of PONV after VIMA with sevoflurane in pediatric patients was 9.2%. There were no significant differences in PONV incidence according to the sex or age. PONV commonly occurred immediately after anesthesia, with the incidence of 4.9% in the operating room and 3.2% in the recovery room, respectively.
Conclusions: TTie VIMA technique with sevoflurane for brief operations could reduce the incidence of PONV but not to zero incidence. Therefore, anesthesiologists should pay attention to the possibility of PONV, and should consider not only the anesthetic methods and agents but also the use of antiemetics, especially in high risk patients. (Korean J Anesthesiol 2003; 45: 315—320)
Alternative Title
Nausea and Vomiting after VIMA with Sevoflurane in Pediatric Patients
Keimyung Author(s)(Kor)
장영호
김애라
김진모
Publisher
School of Medicine
Citation
신원호 et al. (2003). 소아 환자에서 Sevoflurane을 이용한 흡입마취 유도와 유지 후 오심 및 구토. 대한마취과학회지, 45(3), 315–320. doi: 10.4097/kjae.2003.45.3.315
Type
Article
ISSN
0302-5780
DOI
10.4097/kjae.2003.45.3.315
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40108
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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