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증례보고 : Risperidone을 복용 중인 환자에서 척추 마취 시 발생한 중증 저혈압 -증례보고-
고승지 ( Seung Ji Ko ),허진 ( Jin Huh ),민성원 ( Seong Won Min ),김종수 ( Jong Su Kim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
Antipsychotic medications are often continued throughout the perioperative period and may have significant interactions with anesthetics. Risperidone is an atypical agent used to treat both positive and negative symptoms of psychosis while producing fewer extrapyramidal symptoms. It`s mode of action is related to dopaminergic and serotonergic antagonism. However, it also possesses a potent α- 1 adrenergic antagonistic property. Here, we report a case of a 46-year-old man with major depressive disorder, controlled with paroxetine, clonazepam and risperidone, undergoing spinal anesthesia for open reduction of femur fracture. Eight minutes after induction of anesthesia, the patient developed exaggerated hypotension, unresponsive to ephedrine and rapid intravenous fluid administration. Eventually, hypotension was corrected after using large doses of phenylephrine. When planning spinal anesthesia to a patient taking risperidone, an α- 1 agonist, such as phenylephrine, may be useful in treating possible exaggerated hypotension. (Korean J Anesthesiol 2006; 50: 585~7)
경비기관 내 삽관 시 좌 우측 비공 선택에서 비출혈 및 튜브 진입 실패 빈도에 관한 연구
서광석,주리아,고승지,김현정,염광원,Seo, Kwang-Suk,Joo, Li-Ah,Ko, Seung-Ji,Kim, Hyun-Jeong,Yum, Kwang-Won 대한치과마취과학회 2005 Journal of Dental Anesthesia and Pain Medicine Vol.5 No.2
Background: Nasotracheal intubation for general anesthesia is preferred for many oral and maxillofacial procedures because it ensures unhindered access to the operative site. Epistaxis and tube insertion failures are recognized complications of nasotracheal intubation. The aim of our study was to elucidate whether the nostril side used influenced epistaxis and insertion failure incidence. Methods: We studied 434 patients undergoing nasal intubation (July 2004- February 2005) with permission. Randomly, one side of nostril was selected with chart ID number. During nasotracheal intubation, epistaxis severity and tube insertion failure was observed by the anesthesiologist who inserted nasotracheal tube. Results: There was no significant difference between either nostril in epistaxis severity (chi-square test P = 0.860) and in the incidence of insertion failure (P = 0.867). Conclusions: In this study, both nostrils showed equal epistaxis and insertion failure incidence.