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증례보고 : 급성 유기인산염중독 환자에서 Atracurium을 사용한 전신마취 경험
오민혜 ( Min Hye Oh ),고영권 ( Young Kwon Go ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.2
A 53-year-old man ingested insecticide and stabbed himself in the upper abdomen in an attempt to commit suicide. He presented with nausea, vomiting, excessive salivation and urination as a result of organophosphate poisoning upon admission. He was planned to undergo an exploratory laparotomy under general anesthesia. After placing a neuromuscular monitor, atracurium 10 mg three times before intubation and additional 5 mg bolus were administered when the third twitch appeared during operation. The total dose of atracurium administered was 50 mg, and the total duration of anesthesia was 150 minutes. The patient was not extubated despite the adequate recovery from atracurium in order to protect the sutured liver and there being some concern of the intermediate syndrome. In the intensive care unit, atropine was discontinued 37 hours after poisoning. The patient was extubated successfully 48 hours after poisoning and was kept under close observations on respiration and supportive care. He was discharged 12 days after surgery without any sequela. (Korean J Anesthesiol 2006; 51: 233~5)
Nicardipine이 기관내 삽관에 의한 심혈관계 변동에 미치는 영향
손수창,고영권,한규철 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2
Arterial blood pressure, heart rate and rate pressure product changes following tracheal intubation were studied in 49 patients undergoing elective surgical procedures who received a thiopental-succinylcholine anesthetic intubation sequences. Two treatment groups and a control group were observed. Intravenous nicardipine doses of 20 mcg/kg and 30 mcg/kg, injected prior to anesthesia, were compared with respect to effect on the cardiovascular sequences to direct larygoscopy followed by the passage of an endotracheal tube. The increase in heart rate and rat pressure product associated with tracheal intubation were insignificantly prevented in nicardipine treated patient. The increase in arterial pressure was prevented, insignificantly. However, it was dose-depending. From the above resulr, a pre-induction dose of nicardipine was effective in attenuating the pressure response to laryngoscopy and intubation.