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성상 신경절 차단이 기관내 삽관에 따른 심혈관계 반응에 미치는 영향
라은길(Eun Gil Rah),윤정수(Jung Su Yoon),오현주(Hy 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2
N/A The impact of cardiovascular changes occurred by endotracheal intubation is risky for pa- tients with ischemic heart disease, or intracranial pathologic conditions typically impairing ce- rebral autoregulatory mechanisms. Therefore, multiple approaches have been utilized to limit the impact of intubation and re- duce damage of central nervous and cardiovascular systems. These approaches include modifi- cations in intubation technique to diminish circulatory stimuli and pharmacologic modifica- tions of either the sensory afferent path or the circulatory response itself. We tried the stellate ganglion block, a kind of sympathetic block, for the same purpose and evaluated the results. The results of study are as follows, 1) Blood pressure and heart rate increased significantly after intubation as compared with preintubation in both control group and SGB group. 2) The difference of the two groups is not found. We conclude the above method does not control cardiovascular consequences of endotracheal intubation.
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