외상성 흉부대동맥류 재건술의 마취관리

The management of patient undergoing thoracic aortic surgical procedures represents a major challenge for the anesthesiologists. Aortic cross-clamping and unclamping are particularly hszardous during the- course of the thoracic aortic operation. Proximal hypertension, myocardial ischemia and arrhyth...

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Veröffentlicht in:Korean journal of anesthesiology 1980-03, Vol.13 (1), p.15
Hauptverfasser: 김성덕, Seong Deok Kim, 김봉덕, Bong Duck Kim, 유승근, Seung Keun Yoo, 김광우, Kwang Woo Kim, 곽일용, II Yong Kwak
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container_issue 1
container_start_page 15
container_title Korean journal of anesthesiology
container_volume 13
creator 김성덕
Seong Deok Kim
김봉덕
Bong Duck Kim
유승근
Seung Keun Yoo
김광우
Kwang Woo Kim
곽일용
II Yong Kwak
description The management of patient undergoing thoracic aortic surgical procedures represents a major challenge for the anesthesiologists. Aortic cross-clamping and unclamping are particularly hszardous during the- course of the thoracic aortic operation. Proximal hypertension, myocardial ischemia and arrhythmia have been reported to occur after application of the aortic cross-clampmg. Removal of the cross-clamp often results in severe hypotension with subsequent myocardial, cerebral and renal ischemia. In this case, the patient was managed successfully using Regitine drip during the cross-clamp and slow release of clamp during unclamp, combined with slight overhydration juat before unclamp.
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source DOAJ Directory of Open Access Journals
title 외상성 흉부대동맥류 재건술의 마취관리
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