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최령,우남식,원민식 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.4
Sick sinus syndrome(SSS) is an important condition for anesthesiologists to recognize. The clinical manifestations of the SSS may be quite difficult to recognize as they may be intermittent, protracted, and multifared. SSS is defined by severe bradycardia and by sinus pause of arrest with escape. An impulse originating in the sinus sode that is blocked before it can depolarize the atrium is referred to as sinoatrial(SA) block. Physiologically, most signs and symptoms result from hrpoperfusion of vital sign. The brain, heart, and kidneys are most prominently affected. While it can be mild, producing syncope, it is a frequent symptom and requires permanent pacemaker implantation. We experienced one case of anesthetic management of SSS using spinal anesthesia.
김찬,길혜금,최령,우남식,원민식 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.1
Measurement of arterial preseure, either intermittently or continuously has teen used for almost 100 years. A prospective study was conducted on 22 patients to compare the accuracy of arterial pressures treasured br a non-invasive (ACCUTORR,ACC) and an invasive (intra-arterial Line, IAL) arterial pressure monitoring systems. Overall, the accuracy or regroducibility of each method, as expressed in the individual variarlce, was shown to be statistically in significant between ACC and IAL. The difference in arterial pressures was particularly marked between ACC and IAL when systalic BP was either less than 100 mmHg or greater than 140 mmHg.