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서윤주 ( Seo Yun-Ju ) - 가천의과학대학교 길병원
박효선 ( Park Hyo-Sun ) - 가천의과학대학교 길병원 마취과 수간호사
양인순 ( Yang In-Sun ) - 가천의과학대학교 길병원
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Abstract
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Purpose: Postoperative nausea and vomiting(PONV) is a common problem after general anesthesia. The aim of this prospective, double-blind randomized study was to compare the effect of Propofol-Remifentanil vs. Sevoflurane inhalational anesthetics on PONV after laparoscopic cholecystectomy.
Methods: Forty patients (ASA physical status 1, 2) scheduled for elective surgery participated in the study. Twenty of them received total intravenous anesthesia (TIVA group) with Propofol-Remifentanil, and the rest were given Sevoflurane inhalational anesthetics (inhalation group). The TIVA group was induced with Propofol 5mcg/ml and Remifentanil 3~4mcg/ml. The anesthesia was maintained with the continuous infusion of Propofol 2~3mcg/ml and Remifentanil 2~3mcg/ml IV. The inhalation group was induced with Pentotal Sodium 5mg/kg and 3~4mcg/kg/hr IV Remifentanil. Maintenance was obtained with 1.5~2.0 vol% Sevoflurane.
Results: The subjects in TIVA group reported less PONV than those in Sevoflurane inhalation anesthesia group.
Conclusion: Propofol-Remifentanil anesthesia (TIVA group) was considered a satisfactory anesthetic technique in reducing PONV in patients with laparoscopic cholecystectomy.
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KeyWords
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수술 후 오심과 구토, 복강경하 담낭절제술
Postoperative Nausea and Vomiting, Laparoscopic cholecystectomy
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원문 및 링크아웃 정보
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등재저널 정보
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