1세 이하 소아의 개심술시 Fentanyl 용량에 따른 혈당치의 비교
Hyperglycemia has been noted to occur in pediatric patients undergoing cardiac surgery with hypothermia. Because even moderate hyperglycemia during cerebral ischemia may predispose patients to an increased risk of neurologic deficit, the authors wished to determine whether the large dosage of fentan...
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Veröffentlicht in: | Korean journal of anesthesiology 1991-10, Vol.24 (5), p.962 |
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creator | 황재현 Jai Hyun Hwang 김계용 Kay Yong Kim 문희원 Hee Won Moon |
description | Hyperglycemia has been noted to occur in pediatric patients undergoing cardiac surgery with hypothermia. Because even moderate hyperglycemia during cerebral ischemia may predispose patients to an increased risk of neurologic deficit, the authors wished to determine whether the large dosage of fentanyl might contribute significantly to the decrease in blood glucose, The authors examined 20 infants who underwent cardiac surgery with small dosage of fentanyl(Group I, n= l0) or large dosage of fentanyl (Group II, n=10), none of whom received dextrose in the clear cardiopulmonary bypass pump prime, maintenance iv fluids, or cardioplegic solution. Blood samples were obtained after induction, during cardiopulmonary by-pass, after cardiopulmonary bypass and after operation. There was no hypoglycemia during the entire surgical periods in all patients. During cardio-pulmonary bypass in group I and group II, after cardiopulmonary bypass, after operation in group II, blood glucose levels were significantly decreased compared with after induction values(p |
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Because even moderate hyperglycemia during cerebral ischemia may predispose patients to an increased risk of neurologic deficit, the authors wished to determine whether the large dosage of fentanyl might contribute significantly to the decrease in blood glucose, The authors examined 20 infants who underwent cardiac surgery with small dosage of fentanyl(Group I, n= l0) or large dosage of fentanyl (Group II, n=10), none of whom received dextrose in the clear cardiopulmonary bypass pump prime, maintenance iv fluids, or cardioplegic solution. Blood samples were obtained after induction, during cardiopulmonary by-pass, after cardiopulmonary bypass and after operation. There was no hypoglycemia during the entire surgical periods in all patients. During cardio-pulmonary bypass in group I and group II, after cardiopulmonary bypass, after operation in group II, blood glucose levels were significantly decreased compared with after induction values(p<0.05). Compared with group L the rates of changes from the values after induction were significant during cardiopulmonary bypass and after operation in group II(p<0.05). In conclusion, large dosage of fentanyl is valuable in control the hyperglycemia during open heart surgery in infants.</description><identifier>ISSN: 2005-6419</identifier><identifier>EISSN: 2005-7563</identifier><language>kor</language><publisher>대한마취통증의학회(구 대한마취과학회)</publisher><subject>Fentanyl ; Glucose ; Hyperglycemia ; Infants</subject><ispartof>Korean journal of anesthesiology, 1991-10, Vol.24 (5), p.962</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids></links><search><creatorcontrib>황재현</creatorcontrib><creatorcontrib>Jai Hyun Hwang</creatorcontrib><creatorcontrib>김계용</creatorcontrib><creatorcontrib>Kay Yong Kim</creatorcontrib><creatorcontrib>문희원</creatorcontrib><creatorcontrib>Hee Won Moon</creatorcontrib><title>1세 이하 소아의 개심술시 Fentanyl 용량에 따른 혈당치의 비교</title><title>Korean journal of anesthesiology</title><addtitle>Korean Journal of Anesthesiology(구 대한마취과학회지)</addtitle><description>Hyperglycemia has been noted to occur in pediatric patients undergoing cardiac surgery with hypothermia. Because even moderate hyperglycemia during cerebral ischemia may predispose patients to an increased risk of neurologic deficit, the authors wished to determine whether the large dosage of fentanyl might contribute significantly to the decrease in blood glucose, The authors examined 20 infants who underwent cardiac surgery with small dosage of fentanyl(Group I, n= l0) or large dosage of fentanyl (Group II, n=10), none of whom received dextrose in the clear cardiopulmonary bypass pump prime, maintenance iv fluids, or cardioplegic solution. Blood samples were obtained after induction, during cardiopulmonary by-pass, after cardiopulmonary bypass and after operation. There was no hypoglycemia during the entire surgical periods in all patients. During cardio-pulmonary bypass in group I and group II, after cardiopulmonary bypass, after operation in group II, blood glucose levels were significantly decreased compared with after induction values(p<0.05). Compared with group L the rates of changes from the values after induction were significant during cardiopulmonary bypass and after operation in group II(p<0.05). In conclusion, large dosage of fentanyl is valuable in control the hyperglycemia during open heart surgery in infants.</description><subject>Fentanyl</subject><subject>Glucose</subject><subject>Hyperglycemia</subject><subject>Infants</subject><issn>2005-6419</issn><issn>2005-7563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><recordid>eNotjLFKw0AYgA9RsNQ-gcu9QOC_u9xdMkqxKhQU7F4ulxyE1iKNS_cglTh0sBikRRcHoUMHheaVmr_vIGKn71u-74A0OID0tFTicO_KZ-ExaWVZGoEELXwd8Aa5YZhvKC6_d_OS4uMzznNclnS7XmCxwukHFgvaSUYPZjQZUnz7qt-f8HVG65d1_bmhu3JaFxVW5V9TV_n2Z3ZCjpwZZklrzya57Zz32pde9_riqn3W9QY-By9RRoJTzBqto5CHLg64MBBrY0InrRFKgfQTJiwPYsvAxlEiI-OHzsYATjTJ6f91kGZZ_36c3pnxpM-CgCmmxS8tMV2x</recordid><startdate>19911030</startdate><enddate>19911030</enddate><creator>황재현</creator><creator>Jai Hyun Hwang</creator><creator>김계용</creator><creator>Kay Yong Kim</creator><creator>문희원</creator><creator>Hee Won Moon</creator><general>대한마취통증의학회(구 대한마취과학회)</general><scope>HZB</scope><scope>Q5X</scope></search><sort><creationdate>19911030</creationdate><title>1세 이하 소아의 개심술시 Fentanyl 용량에 따른 혈당치의 비교</title><author>황재현 ; Jai Hyun Hwang ; 김계용 ; Kay Yong Kim ; 문희원 ; Hee Won Moon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-k420-e6a50f61ca77b929fd823a0d7aa9f5ca366054e13c28dc10cdbe5ba49fcd00f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>kor</language><creationdate>1991</creationdate><topic>Fentanyl</topic><topic>Glucose</topic><topic>Hyperglycemia</topic><topic>Infants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>황재현</creatorcontrib><creatorcontrib>Jai Hyun Hwang</creatorcontrib><creatorcontrib>김계용</creatorcontrib><creatorcontrib>Kay Yong Kim</creatorcontrib><creatorcontrib>문희원</creatorcontrib><creatorcontrib>Hee Won Moon</creatorcontrib><collection>Korean Studies Information Service System (KISS)</collection><collection>Korean Studies Information Service System (KISS) B-Type</collection><jtitle>Korean journal of anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>황재현</au><au>Jai Hyun Hwang</au><au>김계용</au><au>Kay Yong Kim</au><au>문희원</au><au>Hee Won Moon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1세 이하 소아의 개심술시 Fentanyl 용량에 따른 혈당치의 비교</atitle><jtitle>Korean journal of anesthesiology</jtitle><addtitle>Korean Journal of Anesthesiology(구 대한마취과학회지)</addtitle><date>1991-10-30</date><risdate>1991</risdate><volume>24</volume><issue>5</issue><spage>962</spage><pages>962-</pages><issn>2005-6419</issn><eissn>2005-7563</eissn><abstract>Hyperglycemia has been noted to occur in pediatric patients undergoing cardiac surgery with hypothermia. Because even moderate hyperglycemia during cerebral ischemia may predispose patients to an increased risk of neurologic deficit, the authors wished to determine whether the large dosage of fentanyl might contribute significantly to the decrease in blood glucose, The authors examined 20 infants who underwent cardiac surgery with small dosage of fentanyl(Group I, n= l0) or large dosage of fentanyl (Group II, n=10), none of whom received dextrose in the clear cardiopulmonary bypass pump prime, maintenance iv fluids, or cardioplegic solution. Blood samples were obtained after induction, during cardiopulmonary by-pass, after cardiopulmonary bypass and after operation. There was no hypoglycemia during the entire surgical periods in all patients. During cardio-pulmonary bypass in group I and group II, after cardiopulmonary bypass, after operation in group II, blood glucose levels were significantly decreased compared with after induction values(p<0.05). Compared with group L the rates of changes from the values after induction were significant during cardiopulmonary bypass and after operation in group II(p<0.05). In conclusion, large dosage of fentanyl is valuable in control the hyperglycemia during open heart surgery in infants.</abstract><pub>대한마취통증의학회(구 대한마취과학회)</pub><tpages>6</tpages></addata></record> |
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ispartof | Korean journal of anesthesiology, 1991-10, Vol.24 (5), p.962 |
issn | 2005-6419 2005-7563 |
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source | DOAJ Directory of Open Access Journals |
subjects | Fentanyl Glucose Hyperglycemia Infants |
title | 1세 이하 소아의 개심술시 Fentanyl 용량에 따른 혈당치의 비교 |
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