임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제15권2호
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  • Pages.67-75
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  • 2009
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
권호 표지
DOI QR코드

DOI QR Code

복강경하 담낭절제술환자에서의 마취방법에 따른 수술 후 오심과 구토의 비교

The Comparison of the Effects of Two Anaesthetic Techniques on Postoperative Nausea and Vomiting in Patients Undergoing Laparoscopic Cholecystectomy

  • 서윤주 (가천의과학대학 길병원) ;
  • 박효선 (가천의과학대학 길병원 간호팀) ;
  • 양인순 (가천의과학대학 길병원)
  • Seo, Yun Ju (Department of nurse, Gachon University of Medicine & Science Gil Hospital) ;
  • Park, Hyo Seon (Department of nurse, Gachon University of Medicine & Science Gil Hospital) ;
  • Yang, In Sun (Department of nurse, Gachon University of Medicine & Science Gil Hospital)
  • 투고 : 2009.05.29
  • 심사 : 2009.06.22
  • 발행 : 2009.08.31
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초록

Purpose: Postoperative nausea and vomiting(PONV) is a common problem after general anesthesia. The aim of this prospective, double-blind randomized study was to compare the effect of Propofol-Remifentanil vs. Sevoflurane inhalational anesthetics on PONV after laparoscopic cholecystectomy. Methods: Forty patients (ASA physical status 1, 2) scheduled for elective surgery participated in the study. Twenty of them received total intravenous anesthesia (TIVA group) with Propofol-Remifentanil, and the rest were given Sevoflurane inhalational anesthetics (inhalation group). The TIVA group was induced with Propofol 5mcg/ml and Remifentanil 3~4mcg/ml. The anesthesia was maintained with the continuous infusion of Propofol 2~3mcg/ml and Remifentanil 2~3mcg/ml IV. The inhalation group was induced with Pentotal Sodium 5mg/kg and 3~4mcg/kg/hr IV Remifentanil. Maintenance was obtained with 1.5~2.0 vol% Sevoflurane. Results: The subjects in TIVA group reported less PONV than those in Sevoflurane inhalation anesthesia group. Conclusion: Propofol-Remifentanil anesthesia (TIVA group) was considered a satisfactory anesthetic technique in reducing PONV in patients with laparoscopic cholecystectomy.

키워드

참고문헌

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