선천성무한무통증 환자의 마취관리

Abstract

Congenital insensitivity to pain with anhidrosis (CIPA) is a rare inherited disease, which affects a patient's pain sensation and thermoregulation. There are several anesthetic considerations for those with this disorder. We anesthetized a patient with CIPA for an orthopedic operation by volatile induction and maintenance with sevoflurane. We discuss a safe anesthetic management for patients with CIPA. (Korean J Anesthesiol 2004; 47: 281 ~ 3)