Maxillofacial Plastic and Reconstructive Surgery

  • 제34권4호
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  • Pages.260-266
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  • 2012
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

Dexmedetomidine과 Pethidine을 이용한 정맥내 진정하에 시행된 악교정수술 후 금속나사제거

Plate and Screw Removal after Orthognathic Surgery, under Intravenous Sedation with Dexmedetomidine and Pethidine

  • 강희제 (온종합병원 턱얼굴수술센터 구강악안면외과) ;
  • 김종렬 (온종합병원 턱얼굴수술센터 구강악안면외과) ;
  • 김시엽 (온종합병원 턱얼굴수술센터 구강악안면외과) ;
  • 최태성 (온종합병원 턱얼굴수술센터 마취통증의학과) ;
  • 장광욱 (온종합병원 턱얼굴수술센터 마취통증의학과)
  • Kang, Hee-Jea (Department of Oral and Maxillofacial Surgery, Jaw & Face Surgery Center, On General Hospital) ;
  • Kim, Jong-Ryoul (Department of Oral and Maxillofacial Surgery, Jaw & Face Surgery Center, On General Hospital) ;
  • Kim, Si-Yeob (Department of Oral and Maxillofacial Surgery, Jaw & Face Surgery Center, On General Hospital) ;
  • Choi, Tea-Sung (Department of Anesthesiology and Pain, On General Hospital) ;
  • Chang, Kwang-Uk (Department of Anesthesiology and Pain, On General Hospital)
  • 투고 : 2012.05.17
  • 심사 : 2012.07.13
  • 발행 : 2012.07.31
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초록

Purpose: The purpose of this study is to identify the changes of a physiologic nature and the sedative parameters associated with dexmedetomidine and pethidine, in patients undergoing plate and screw removal surgery, after orthognathic surgery. Methods: Twenty-three patients were sedated with dexmedetomidine and pethidine during plate and screw removal, after orthognathic surgery. An initial loading dose of dexmedetomidine ($1.0{\mu}g/kg$ infused over 10 minutes) was followed by a maintenance dose ($1.0{\mu}g/kg/hr$). Systolic blood pressure, diastolic blood pressure, mean arterial pressure, oxygen saturation, and heart rate were monitored. Perioperative amnesia and anxiety were recorded. Results: Significant changes were found in the blood pressure and heart rate (Freidman test, P<0.05), but not in oxygen saturation (Freidman test, P>0.05). Amnesia during local injection was observed in eight patients (34.8%). Compared with the preoperative anxiety score, the intraoperative anxiety score was decreased. Conclusion: In this study, we found cardiovascular and respiratory stability in intravenous sedation using dexmedetomidine with pethidine, in plate and screw removal, after orthognathic surgery. Furthemore, intravenous sedation using dexmedetomidine with pethidine shows adequate analgesic and sedative effects.

키워드

참고문헌

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