The Korean Journal of Pain
- 제14권2호
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- Pages.181-185
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- 2001
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
Propofol 전정맥 마취하에 흉부 교감신경 절단술 시 서맥의 위험성과 온도 변화
Risk of Bradycardia and Temperature Changes during Thoracic Sympathicotomy for Hyperhidrosis under Total Intravenous Anesthesia with Propofol
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정종권
(인하대학교 의과대학 마취과학교실) ;
- 한정욱 (인하대학교 의과대학 마취과학교실) ;
- 김태정 (인하대학교 의과대학 마취과학교실) ;
- 이춘수 (인하대학교 의과대학 마취과학교실) ;
- 차영덕 (인하대학교 의과대학 마취과학교실) ;
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임현경
(인하대학교 의과대학 마취과학교실) ;
- 허이회 (인하대학교 의과대학 마취과학교실) ;
- 윤용한 (인하대학교 의과대학 흉부외과학교실) ;
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곽영란
(연세대학교 의과대학 마취과학교실 심장혈관센터연구소)
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Chung, Chong-Kweon
(Department of Anesthesiology, Inha University College of Medicine) ;
- Han, Jeong-Uk (Department of Anesthesiology, Inha University College of Medicine) ;
- Kim, Tae-Jung (Department of Anesthesiology, Inha University College of Medicine) ;
- Lee, Choon-Soo (Department of Anesthesiology, Inha University College of Medicine) ;
- Cha, Young-Deog (Department of Anesthesiology, Inha University College of Medicine) ;
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Lim, Hyun-Kyoung
(Department of Anesthesiology, Inha University College of Medicine) ;
- Hu, I-Hoi (Department of Anesthesiology, Inha University College of Medicine) ;
- Yoon, Yong-Han (Department of Thoracic and Cardiovascular Surgery, Inha University College of Medicine) ;
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Kwak, Young-Lan
(Department of Anesthesiology, Yonsei Cardiovascular Center and Research Institute, Yonsei University College of Medicine)
- 발행 : 2001.12.30
초록
Background: Bradycardia frequently occurs in intravenous anesthesia with propofol. Additionally, the thoracic sympathetic nerves influence the heart so that the heart rate (HR) and blood pressure are expected to decrease due to this procedure. Therefore, we measured changes in HR, mean arterial pressure (MAP) and both thumb temperatures before and after thoracic sympathicotomy under total intravenous anesthesia with propofol. Methods: The subjects included 21 outpatients of ASA class I who received thoracoscopic thoracic sympathicotomy under total intravenous anesthesia. Anesthesia was induced with propofol (2 mg/kg) and vecuronium (0.1 mg/kg) and maintained with propofol-fentanyl-oxygen (100%). The surgical procedure was performed at the T3 level in the order of left sympathicotomy (LST) and right sympathicotomy (RST). Measurements of HR, MAP and both thumb temperatures were taken before induction of anesthesia, before and after LST and RST, and 1 hour after the completion of anesthesia. Additionally, the time to the beginning of a rise in temperature in both thumbs after sympathicotomy was recorded. Results: HR did not show any significant difference before or after sympathicotomy, however it decreased at 1 hour after the completion of anesthesia. MAP decreased after LST and decreased further after RST. Left thumb temperature began to increase at
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