Cited 0 times in Scipus Cited Count

Hemodynamic Responses according to Different Effect Site Concentration of Remifentanil during Endotracheal Intubation

DC Field Value Language
dc.contributor.author박, 관식-
dc.contributor.author김, 종엽-
dc.contributor.author채, 윤정-
dc.contributor.author민, 상기-
dc.contributor.author문, 봉기-
dc.date.accessioned2012-03-22T03:21:03Z-
dc.date.available2012-03-22T03:21:03Z-
dc.date.issued2005-
dc.identifier.issn1226-4857-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/6263-
dc.description.abstractBackground: We evaluated the hemodynamic responses to laryngoscopy and tracheal intubation using a different effect site concentration of remifentanil when propofol was maintained at the effect site concentration of 5.4mug/ml.
Methods: Sixty patients presenting for elective surgery were randomly assigned to one of three groups according to target effect site concentration of remifentanil. Anesthesia was induced using a target effect site controlled infusion of propofol at a concentration of 5.4mug/ml. In all patients, remifentanil target controlled infusion (TCI) was started at the same time with a target effect site concentration of 0 (control group), 2 (group R2), or 4 ng/ml (group R4). Neuromuscular blockade was provided with rocuronium 0.6 mg/kg. The trachea was intubated under direct laryngoscopy 5 min after induction. Noninvasive arterial blood pressure and heart rate (HR) were recorded at 1 min interval from before induction of anesthesia until 3 min after intubation.
Results: Mean arterial pressure (MAP) and HR in the control group significantly increased at 1 min after intubation (P< 0.05). MAP in group R2 and R4 significantly decreased from 2 min after induction (P<0.05), but MAP in R4 group remained significantly decreased throughout 3 min after intubation, and were lower than the control group (P <0.05).
Conclusions: Effect site concentration of remifentanil at 2 ng/ml administered with propofol TCI at level of 5.4mug/ml attenuates the pressor response to endotracheal intubation, but effect site concentration of remifentanil at 4 ng/ml causes a significant hemodynamic compromise.
-
dc.formatapplication/pdf-
dc.language.isoko-
dc.titleHemodynamic Responses according to Different Effect Site Concentration of Remifentanil during Endotracheal Intubation-
dc.title.alternative기관내삽관시 Remifentanil의 효과처농도에 따른 혈역학 변화-
dc.typeArticle-
dc.identifier.urlhttp://kmbase.medric.or.kr/Main.aspx?d=KMBASE&m=VIEW&i=0858220050090040191-
dc.subject.keywordintubation-
dc.subject.keywordpropofol-
dc.subject.keywordremifentanil-
dc.subject.keywordtarget controlled infusion-
dc.contributor.affiliatedAuthor김, 종엽-
dc.contributor.affiliatedAuthor채, 윤정-
dc.contributor.affiliatedAuthor민, 상기-
dc.contributor.affiliatedAuthor문, 봉기-
dc.type.localJournal Papers-
dc.citation.titleIntravenous anesthesia-
dc.citation.volume9-
dc.citation.number4-
dc.citation.date2005-
dc.citation.startPage191-
dc.citation.endPage196-
dc.identifier.bibliographicCitationIntravenous anesthesia, 9(4). : 191-196, 2005-
dc.relation.journalidJ012264857-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
Files in This Item:
There are no files associated with this item.

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse