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성상 신경절 차단이 구혈대 매개성 고혈압에 미치는 효과

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Author(s)
김진모홍지희장현석Jin Mo KimJi Hee HongHyun Sug Jang
Keimyung Author(s)
Kim, Jin MoHong, Ji Hee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한마취과학회지
Issued Date
2007
Volume
52
Issue
4
Abstract
Background: Tourniquet induced hypertension, defined as a more than 30% increase in either systolic or diastolic arterial pressure in patients with a tourniquet inflated for at least an hour, may develop despite adequate anesthesia for surgical procedure. The mechanism is uncertain. We investigated the effect of stellate ganglion block (SGB) on tourniquet induced arterial pressure and heart rate changes.
Methods: Twenty-two patients of ASA physical status class 1 and 2, scheduled for lower extremity surgery using a tourniquet, were randomly assigned into two groups (SGB group, Control group). SGB was done before induction, and anesthesia was maintained with 1.5-2.0 vol% sevoflurane and 50% N20 in O2 with endotracheal intubation. The changes of heart rate, systolic, diastolic blood pressure, end tidal CO2 and end tidal sevoflurane concentration were measured before induction, 10 minutes after induction, 10, 30, and 60 minutes after tourniquet inflation, just before tourniquet deflation and 10 minutes after tourniquet deflation.
Results: Heart rate increased significantly at 10 minutes after induction and 10 minutes after tourniquet inflation compared to before induction in SGB group. In both groups, systolic arterial pressure increased significantly just before tourniquet deflation compared to before induction, and there was no difference between groups. In SGB group, diastolic arterial pressure decreased significantly compared to control group at 30 minutes after tourniquet inflation.
Conclusions: Preoperative stellate ganglion block was not effective in blunting tourniquet induced hypertension. (Korean J Anesthesiol 2007; 52: 409∼14)
Alternative Title
Effect of Stellate Ganglion Block on Tourniquet Induced Hypertension
Keimyung Author(s)(Kor)
김진모
홍지희
Publisher
School of Medicine
Citation
김진모 et al. (2007). 성상 신경절 차단이 구혈대 매개성 고혈압에 미치는 효과. 대한마취과학회지, 52(4), 409–414. doi: 10.4097/kjae.2007.52.4.409
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2007.52.4.409
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/40124
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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