소아환자 시술시 Ketamine, Midazolam, 및 Glycopyrrolate를 이용한 마취 효과에 관한 연구

• 영문명: THE STUDY OF ANESTHETIC EFFECT USING KETAMINE, MIDAZOLAM, GIYCOPYRROLATE IN THE OPERATION OF PEDIATRIC PATIENTS
• 발행기관: 대한구강악안면외과학회
• 저자명: 조용석(Yong Seok Cho) 김경원(Kyoung Won Kim)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제24권 제2호, 198~204쪽, 전체 7쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 1998.04.30

영문 초록

Ketamine hydrochloride is a unique dissociative anesthetic agent that has been used in children for more than 20 years. Ketamine is devoid of sedation and hypnotic properties but has profound analgesic and amnesic characteristics even in low doses. It is recommended to use with benzodiazepines for the alleviation of ketamine-induced emergence reaction and with anticholinergic agent for the antisialogogue affect. We used the intramuscular ketamine, midazolam, and glycopyrrolate in thirty pediatric patients who were uncontrolled by conventional behaviour management in the OPD of Chungbuk National University Hospital Oral & Maxillofacial Surgery and Emergency Room. The results were as follows : 1. 20 males and 10 females were involved and the average age was 3 years(range, 19 months to 6 years). 2. The anesthetic technique was used for the following reasons: 10 for the I & D of submandibular abscess, 2 for the post operative wound care of cleft lip, and 4 for the other causes. 3. Average onset time of anesthesia was 5.1 minutes(range, 2 to 10 minutes) and average working time was 26 minutes(range, 12 to 50 minutes). 4. 24(80%) of 30 children were rated as Cooperative of sleeping within an average 4.8, and the other children(20%) were rated as Intermittent crying or fighting . 5. Emesis occurred during the recovery period in 2 children, but there was no airway compromise or aspiration. Other side effects were a transient rash(10%), and random movement(7%). 6. The recovery room behavior was quite and uneventful in 23(77%) children and mild agitation in 7(23%) ones.

목차

Abstract

I. 서론

II. 연구대상 및 방법

III. 결과

IV. 고찰

V. 결론

참고문헌

키워드

ketamine midazolam glycopyrrolate