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성상신경절 차단이 혈장 ACTH 및 Cortisol 치에 미치는 영향
채영근(Young Geun Choi),송장호(Jang Ho Song),임현경(Hyun Kyung Lim),한정욱(Jung Wook Han),이성근(Seong Keun Lee),차영덕(Young Deog Cha),신재규(Jae Kue Shin),류중하(Jung Ha Ryu) 대한통증학회 2002 The Korean Journal of Pain Vol.15 No.1
N/A Background: Stellate ganglion block (SGB) is a sympathetic nerve block method which has been used most frequently in pain clinics due to its wide range of indications. This study was conducted to determine the endocrinologic response to repeated SGBs. Methods: Thirteen healthy volunteers were studied. SGB was performed one hunderd times with 6 ml of 1% mepivacaine. Venous blood was drawn to measure plasma adrenocorticotrophic hormone (ACTH) and cortisol consentration before and after SGB for twenty, forty, sixty, eighty and one hundred times. The blood was drawn at 8:00 a.m. and 4:00 p.m. every sampling day. Results: The plasma concentration of eortisol at 8:00 a.m. was significantly higher after SGB one hundred times than prior to SGB. The plsma concentration at 4:00 p.m. was significantly higher after SGB forty times than prior to SGB. The ACTH concentration was significantly times at 4:00 p.m. Conclusions: After SGB, the plasma concentration of cortisol tended to increase while the ACTH levels tended to decrease. However, the effects of endocrinologic response to SGB were unclear since all values were within the normal limit.
이우경 ( Woo Kyung Lee ),김용범 ( Yong Bum Kim ),최승호 ( Seung Ho Choi ),채영근 ( Young Keun Chae ),홍남근 ( Nam Geun Hong ),김종훈 ( Jong Hoon Kim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.4
Background: Opioids are known to increase the incidence of postoperative nausea and vomiting (PONV). Remifentanil is an ultrashort-acting opioid with a potent analgesic effect and is useful for rapid emergence. This study compared the effect of remifentanil on the incidence and severity of PONV and postoperative pain with that of fentanyl in patients undergoing laparoscopic surgery, which is normally associated with a high incidence of PONV. Methods: Forty-four adult female patients, who were scheduled for laparoscopic ovarian cyst enucleation, were randomly assigned to either the remifentanil or fentanyl group. Anesthesia was induced with propofol after injecting fentanyl 2μg/kg or remifentnail 1μg/kg and was maintained with sevoflurane. Remifentanil and fentanyl was infused continuously in the range of 0.2-0.5μg/kg/min and 0.03-0.05μg/kg/min, respectively. Ketorolac 0.5 mg/kg was injected 30 min before the end of surgery. The incidence and severity of PONV and pain were recorded upon arrival at the recovery room and 2, 6, 12 and 24 hours thereafter. Results: The incidence and severity of PONV and pain were significantly higher in the remifentanil group upon arrival at the recovery room than in the fentanyl group. The incidence and severity of PONV and pain at the other measurement times were similar. Conclusions: Despite the ultrashort action duration of the remifentanil, the incidence and severity of PONV and postoperative pain immediately after awakening was higher in the remifentanil group undergoing laparoscopic ovarian cyst enucleation than in the fentanyl group. However, there were no significant differences after two hours in the recovery phase. (Korean J Anesthesiol 2006; 50: 390~5)