대한소아치과학회지 (Journal of the korean academy of Pediatric Dentistry)

  • 제40권3호
  • /
  • Pages.194-200
  • /
  • 2013
  • /
  • 1226-8496(pISSN)
  • /
  • 2288-3819(eISSN)
대한소아치과학회 (Korean Academy of Pediatric Dentistry)
권호 표지
DOI QR코드

DOI QR Code

소아환자에서 경비 캐눌라를 이용한 세보플루란 흡입 진정

Sevoflurane Sedation Using a Nasal Cannula in Pediatric Patients

  • 지상은 (단국대학교 치과대학 소아치과학교실) ;
  • 김종수 (단국대학교 치과대학 소아치과학교실) ;
  • 김종빈 (키즈웰치과) ;
  • 김승오 (단국대학교 치과대학 치과마취과학교실)
  • Ji, Sang-Eun (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Jong-Soo (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
  • Kim, Jong-Bin (Kizwell Dental Clinic) ;
  • Kim, Seung-Oh (Department of Anesthesiology, School of Dentistry, Dankook University)
  • 투고 : 2013.07.02
  • 심사 : 2013.08.07
  • 발행 : 2013.08.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 단국대학교 치과병원 소아치과에 2012년 1월부터 2012년 5월까지 내원한 환자 중 세보플루란을 이용한 깊은 진정으로 치과치료를 받은 환자 총 14명의 마취기록지를 분석하여 적정 수준의 진정을 얻기 위한 유효한 세보플루란의 농도를 측정하고 진정 과정 중의 호흡 및 심혈관계 평가를 통해 안정성을 평가해 보고자 함에 있다. 심박수(Heart rate)는 평균 101.4회/분(76.4~135.4회/분)을 보였다. 혈압(Blood pressure)은 수축기혈압은 평균 96.9 mmHg(84.2~109.2 mmHg), 이완기혈압은 평균 50.5 mmHg(34.0~62.0 mmHg)를 보였다. 호흡수(Respiration rate)는 평균 24.4회/분(15.0~36.7회/분)을 보였다. 산소포화도($SpO_2$)는 평균 99.4%(97.5~100.0%)를 보였다. 호기말 이산화탄소 농도(end tidal $CO_2$ volume; $ETCO_2$)는 평균 27.8 mmHg(16.4~38.0 mmHg)를 보였다. 호기말 세보플루란 농도(end tidal sevoflurane volume)는 평균 1.9 vol%(1.0~3.4 vol%)를 보였다.

A total of 14 children who visited the department of Pediatric dentistry of Dankook University Dental Hospital from January, 2012 to May, 2012 and decided to get dental treatment under inhalation sevoflurane deep sedation, were studied to determine the effectiveness of end-tidal sevoflurane, respiratory and cardiovascular function to analyze monitoring sheets. The Heart rate (H.R) data were mean 101.4 rate/min (76.4-135.4 rate/min). The systolic blood pressure data mean were 96.9 mmHg (84.2-109.2 mmHg) and diastolic blood pressure data mean were 50.5 mmHg (34.0-62.0 mmHg). The Respiration rate (R.R) data mean were 24.4 rate/min (15.0-36.7 rate/min). The $SpO_2$ data mean were 99.4% (97.5-100.0%). The end tidal $CO_2$ ($ETCO_2$) data mean were 27.8 mmHg (16.4-38.0 mmHg). The end-tidal sevoflurane data mean were 1.9 vol% (1.0-3.4 vol%).

키워드

참고문헌

  1. Naohisa H, Hirohisa F, Kumiko O : Inhalation Sedation with Sevoflurane: a comparative study with nitrous oxide. J Oral Maxillofac Surg, 53:24-26, 1995. https://doi.org/10.1016/0278-2391(95)90493-X
  2. Michael RS, Helen H, Mark LT : Sevoflurane sedation in infants undergoing MRI: a preliminary report. Pediatr Anesth, 15:16-22, 2005. https://doi.org/10.1111/j.1460-9592.2005.01456.x
  3. Barash PG, Cullen BF, Stoelting RK : Clinical anesthesia, 3rd ed. philadelphia, Lippincott-Paven. 1300, 1997.
  4. Chung F, Seyone G, Dyok B, et al. : Age related cognitive recovery after general anesthesia. Anesth Analg, 71:217, 1990.
  5. Kim SO, Kim YJ, Kim YS : Deep sedation with sevoflurane insufflated via a nasal cannula in uncooperative child undergoing the repair of dental injury. Am J Emerg Med, 31:894.e1-e3, 2013.
  6. Kim SO : A survey of general anesthesia, sevoflurane sedation and intravenous sedation in chungnam dental clinic for the disabled. J Korean Academy of Pedi Dent, 40:28-39, 2013. https://doi.org/10.5933/JKAPD.2013.40.1.28
  7. Wallin RF, Regan BM, Napoli MD, et al. : Sevoflurane: a new inhalational anesthetic agent. Anesth Analg, 54:758-765, 1975.
  8. Jones RM : Desflurane and sevoflurane: inhalation anesthetics for this decade? Br J Anesth, 65:527-536, 1990. https://doi.org/10.1093/bja/65.4.527
  9. Yurino M, Kimura H : Efficient inspired concentration of sevoflurane for vital capacity rapid inhalation induction(VCRII) technique. J Clin Anesth, 7:228-31, 1995. https://doi.org/10.1016/0952-8180(95)00006-4
  10. Doi M, Ikeda K : Airway irritation produced by volatile anesthetics during brief inhalation: comparison of halothane, enflurane, isoflurane and sevoflurane. Can J Anaesth, 40:122-126, 1993. https://doi.org/10.1007/BF03011308
  11. Frink EJ, Malan TP, Atlas T, et al. : Clinical comparison of sevoflurane and isoflurane in healthy patients. Anesth Analg, 74:241-245, 1992. https://doi.org/10.1213/00000539-199202000-00012
  12. Montes RG, Bohn RA. : Deep sedation with inhaled sevoflurane for pediatric outpatient gastrointestinal endoscopy. J Pediatr Gastroenterol Nutr, 31:41-46, 2000. https://doi.org/10.1097/00005176-200007000-00010
  13. Smith I, Ding Y, White PF. : Comparison of induction, maintenance and recovery characteristics of sevoflurane-N2O and propofol-sevoflurane-N2O with propofol-sevoflurane-N2O anesthesia. Anesth Analg, 74:253-259, 1992. https://doi.org/10.1213/00000539-199202000-00015
  14. Jeffrey B, Peter L, Richard T, et al. : Practice Guidelines for Sedation and Analgesia by Non- Anesthesiologists. An updated Report by the American Society of Anesthesiologists Task Force on Sedation and Analgesia by Non-Anesthesiologists. Anesth Analg, 96:1004-1017, 2002. https://doi.org/10.1097/00000542-200204000-00031
  15. De Sanctis Briggs V. : Magnetic resonance imaging under sedation in newborns and infants: study of 640 cases using sevoflurane. Pediatr Anesth, 15:9-15, 2005. https://doi.org/10.1111/j.1460-9592.2005.01360.x
  16. Palazzo MGA, Strunin L : Anesthesia and emesis. I:etiology. Can Soc J Anaesth, 31:178-187, 1984. https://doi.org/10.1007/BF03015257