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임상연구 : 불임 환자에게 시행되는 난자 채취 시 Fentanyl과 Alfentanil을 이용한 정맥 마취의 비교
강용인 ( Yong In Kang ),방은치 ( Eun Chi Bang ),이현숙 ( Hyun Sook Lee ),조경숙 ( Kyung Sook Cho ),김수연 ( Su Yeon Kim ),설정호 ( Jung Ho Sul ),김준영 ( Jun Young Kim ),윤태기 ( Tae Gi Yoon ),석현하 ( Hyun Ha Seok ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.5
Background: This study was carried out to compare the effect of intravenous anesthesia with fentanyl or alfentanil on the hemodynamic profile, sedation, recovery and side effect in the patients undergoing oocyte retrieval. Methods: The patients were designed to receive alfentanil (group A, n=70) or fentanyl (group F, n=70) intravenous anesthesia. The patients were given midazolam 0.6 mg/kg and alfentanil 15 μg/kg in group A or fentanyl 1.5 μg/kg in group F. Propofol 0.7 mg/kg was given if patient was awaken during procedure. Hemodynamic changes, propofol used dosage and initial propofol injecting time, Ramsay Sedation Scales, cough reflex on opioid injection, recovery time, duration of apnea and postoperative nausea, vomiting at the recovery room were recorded. Results: Group A had rapid onset, deep sedation, less amount of propofol used, more frequent apnea than group F. There were no significant differences in postoperative nausea, vomiting and recovery time between the two groups. Conclusions: The intravenous anesthesia with fentanyl or alfentanil are suitable for oocyte retreival but apnea happened more frequent in alfentanil group, so the use of alfentanil needs to monitor ventilation and hemodynamic changes carefully. (Korean J Anesthesiol 2008;55:543~8)