기관 절개술이 되어 있는 환자에서 desflurane의 흡입에 의한 혈압 및 심박수 상승 -증례 보고- = Increase of blood pressure and heart rate during desflurane inhalation in a patient with tracheostomy state−A case report−

다국어 초록 (Multilingual Abstract)

A rapid increase in desflurane concentration induces hypertension and tachycardia and increases plasma catecholamine concentration. This sympathetic stimulation occurs when desflurane is inspired with high concentration shortly after anesthetic induction or when the inspired concentration of desflurane is rapidly increased during steady-state periods of anesthesia. We represent a case of increase of blood pressure and heart rate during desflurane inhalation in a patient with tracheostomy state.

참고문헌 (Reference)

1 고성훈, "마취유도시 흡입농도의 증가속도에 따른 desflurane에 의한 심혈관계 반응의 비교" 대한마취과학회 49 (49): 466-471, 2005

2 고성훈, "고농도 desflurane 흡입에 의한 심혈관계 반응의 연령에 따른 차이" 대한마취과학회 53 (53): 435-440, 2007

3 Pac-Soo CK, "Vagally mediated sympathoexcitation and central depression by desflurane in rabbits" 84 : 777-782, 2000

4 Helman JD, "The risk of myocardial ischemia in patients receiving desflurane versus sufentanil anesthesia for coronary artery bypass graft surgery" The S.P.I. Research Group 77 : 47-62, 1992

5 Devcic A, "The effects of clonidine on desflurane-mediated sympathoexcitation in humans" 80 : 773-778, 1995

6 Ebert TJ, "Sympathetic hyperactivity during desflurane anesthesia in healthy volunteers in A comparison with isoflurane" 79 : 444-453, 1993

7 Ebert TJ, "Sympathetic activation with desflurane in humans" 31 : 369-378, 1994

8 Ko SH, "Small-dose fentanyl: optimal time of injection for blunting the circulatory responses to tracheal intubation" 86 : 658-661, 1998

9 Muzi M, "Site(s) mediating sympathetic activation with desflurane" 85 : 737-747, 1996

10 Ruffle JM, "Rapid induction of halothane anaesthesia in man" 57 : 607-611, 1985

11 Moore MA, "Rapid 1% increases of end-tidal desflurane concentration to greater than 5% transiently increase heart rate and blood pressure in humans" 81 : 94-98, 1994

12 최정일, "Propofol 마취하에서 기관내삽관과 Desflurane의 흡입에 의한 심박수 및 혈압 상승 효과의 비교" 대한마취과학회 50 (50): 25-29, 2006

13 Newsome LR, "Esmolol attenuates hemodynamic responses during fentanyl-pancuronium anesthesia for aortocoronary bypass surgery" 65 : 451-456, 1986

14 Ebert TJ, "Desflurane-mediated sympathetic activation occurs in humans despite preventing hypotension and baroreceptor unloading" 88 : 1227-1232, 1998

15 Weiskopf RB, "Cardiovascular stimulation induced by rapid increases in desflurane concentration in humans results from activation of tracheopulmonary and systemic receptors" 83 : 1173-1178, 1995