• 제목/요약/키워드: Anesthetic induction

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자바리(Epinephelus moara)와 대왕자바리(E. moara ♀ × E. lanceolatus ♂)에 대한 MS-222의 마취효과 (The Anaesthetic Effect of MS-222 for Longtooth Grouper, Epinephelus moara and the Hybrid Grouper, E. moara ♀ × E. lanceolatus ♂)

  • 박종연;김강래;방인철
    • 한국어류학회지
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    • 제31권4호
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    • pp.235-240
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    • 2019
  • 자바리와 대왕자바리 2종을 대상으로 MS-222 농도 및 수온에 따른 마취효과 실험을 수행하였다. 농도는 100, 150, 200 그리고 250 ppm을, 수온은 18, 22, 26 그리고 30℃에서 마취 및 회복시간을 조사하였다. MS-222 농도와 수온이 높아질수록 마취시간이 짧아지는 경향을 보였으며, 회복시간은 농도와는 비례하지만 수온과는 반비례하는 경향을 보였다. 회복시간은 22℃ 이하에서는 큰 차이가 없었다. 자바리의 최적 마취조건은 회복시간이 가장 짧은 30℃와 100 ppm, 대왕자바리의 경우 30℃ 150 ppm이 회복시간이 100 ppm과 유의적으로 차이가 없으면서 마취시간은 유의하게 짧아 가장 적합했다. 이원배치분산분석 결과 자바리와 대왕자바리의 종 간 유의한 차이가 있었으나, 종과 농도 그리고 종, 농도, 수온에 대한 상호작용 효과는 없었다.

개에 있어서 Midazolam과 Thiopental 병용 투여시 마취 및 심순환기계에 미치는 영향 (Anesthetic and Cardiovascular Effects Induced by a Combination of Midazolam and Thiopental in Dogs)

  • 김희정;임희란;김휘율
    • 한국임상수의학회지
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    • 제16권2호
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    • pp.352-362
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    • 1999
  • Thiopental sodium is known as ultrashort-acting barbiturates and can be employed advantageously for numerous conditions. But thiopental has the side effects of cardiovascular and respiratory systems which has barbiturates and are depend on the dose of thiopental. The side effects are reduced when the thiopental is preceded by a tranquilizer and sedative. In these drugs, benzodiazepines have the minimal effects of cardiovascular and respiratory systems. In this study, the effects of midazolam preanesthetic administration, followed by thiopental anesthetic induction, on cardiovascular system and thiopental induction requirement were studied in 14 mixed breed dogs. Cardiovascular data were recorded baseline, after premedication of saline 0.45 ml/kg or midazolam 0.1, 0.2, 0.4, 0.8 mg/kg, intubation, and 5, 10, 15, 20, 30 minutes after intubation. Extubation, head-up, sternal recombency, standing, and walking recovery times were recorded. The results were summarized as follows; (1) The 0.1, 0.2, 0.4, and 0.8 mg/kg dosages of midazolam insignificantly decreased thiopental dose requirement necessary to accomplish intubation by 6, 20, 21 and 28%. (2) The 0.1, 0.2, 0.4, and 0.8 mg/kg dosages of midazolam insignificantly reduced the times of extubation, head-up, sternal recumbency, standing, and walking recovery. (3) Midazolam was effective in reducing the frequency and duration of arrhythmia after intubation. (4) Heart rates of preanestheic midazolam administraion groups increased after thiopental injection which insignificantly changed smaller than those of control group. (5) Arterial blood pressures did not vary significantly among groups.

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완전정맥마취와 휘발성유도/유지마취에서 정량적 뇌파를 이용한 마취심도의 감시 (Monitoring of anesthetic depth with q-EEG (quantitative EEG) in TIVA (total intravenous anesthesia) and VIMA (volatile induction/maintenance anesthesia))

  • 이수한;노규정;정병현
    • 대한수의학회지
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    • 제46권1호
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    • pp.47-55
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    • 2006
  • To evaluate method for monitoring anesthetic depth with quantitative electroencephalography (q-EEG), we recorded processed EEG (raw EEG) and pain score till 100 minutes in beagle dogs anesthetized for 60 minutes with propofol (n = 5, PRO group), isoflurane (n = 5, ISO group) and propofol-ketaminefentanyl (n = 5, PFK group). Raw EEG was converted into 95% spectral edge frequency (SEF) by fast Fourier transformation (FFT) method. We investigated anesthetic depth by comparing relationship (Pearson's correlation) between q-EEG (95% SEF) and pain score. Pearson's correlation coefficients are +0.2372 (p = 0.0494, PRO group), +0.79506 (p < 0.001, ISO group) and +0.49903 (p = 0.0039, PFK group).

간이식 예정인 간부전 환아의 치과치료 시 마취관리 -증례 보고- (Anesthetic Management of the Dental Treatment in a Child with Liver Failure Scheduled for Liver Transplantation - A case report -)

  • 박창주;장기택;염광원;김현정
    • 대한치과마취과학회지
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    • 제2권2호
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    • pp.114-117
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    • 2002
  • Special anesthetic considerations were required for children with acute or chronic liver disease. We experienced a case of dental treatment to control infection under general anesthesia in the 2-year-old girl with liver failure. She was also scheduled for liver tansplantation. Her preanesthetic results of liver function test, electrolytes, and coagulation panel were unstable and out of normal ranges. Uneventful anesthetic induction using isoflurane and atracurium and nasotracheal intubation were carried out. General anesthesia was maintained with isoflurane for 2 hours. Oozing from multiple extraction sites was sustained, so the transfusion of platelet concentration 1 units, fresh frozen plasma 1 unit, and packed red blood cell 1 unit was done. She was recovered without complication but was transferred to pediatric intensive care unit for wound care with her endotracheal tube kept. She was transferred to a ward without noticeable complications next day. So we report this successful case of anesthetic management for dental treatment in a child with liver failure.

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실험용 쥐의 마취 (Anesthesia for the Experimental Rats)

  • 최희락;고종현;이해범;이준모
    • Archives of Reconstructive Microsurgery
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    • 제22권1호
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    • pp.1-6
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    • 2013
  • Rats and mice are commonly used in experimental laboratories and anesthetic drugs are important for researchers to understand the details. Administration of fluids helps to stabilize the experimental animals before anesthesia via intravenously through the lateral vein in rats and in case of difficulty in catheterization and maintenance, fluids are usually administered as boluses. Large volumes of cool fluids will rapidly lead to hypothermia and all parenteral fluids must be warmed to body temperature before administration. Premedication with a sedative may ease induction with volatile anesthetic drugs. The first choice for rodent anesthesia is complete inhalational anesthesia. The second option is using injectable anesthesia. Recovery from the volatile agents that have been used rapid when the agent is no longer administered. Anesthetic monitoring equipment is an infant-size bell sthethoscope that can be used to ausculate the heart and lungs. Supplemental heating should be provided to reduce the heat loss supply and maintain core body temperature. The kinds of drugs, characteristics, route of administration and care after surgery were reviewed and summarized from the references. Anesthetic drugs, maintenance, monitoring and aftercare are important in the laboratories to keep the animal safe in all experimental procedures.

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말기신부전 환자의 구강외과 수술 마취관리 -증례보고- (Anesthetic Management of the Oral and Maxillofacial Surgery in a Patient with End-Stage Renal Disease -A case report -)

  • 박창주;박종철;강영호;명훈;이종호;김명진;김현정;염광원
    • 대한치과마취과학회지
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    • 제3권2호
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    • pp.98-102
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    • 2003
  • Patients in end-stage renal disease (ESRD) and chronic renal failure present a number of challenges to the anesthesiologist. They may be chronically iii and debilitated and have the potential for multiorgan dysfunction. A 65-year-old male patient with ESRD was scheduled for oral cancer surgery under general anesthesia. He was in regular hemodialysis three times a week and secondary hypertension with left ventricular hypertrophy was accompanied. He also had chronic metabolic acidosis and hyperkalemia. The day after hemodialysis, general anesthesia was carried out. Uneventful anesthetic induction using thiopental and vecuronium and nasotracheal intubation were carried out. General anesthesia was maintained with isoflurane for 9 hours. During the anesthesia, he did not have any problem but persistently increasing serum potassium level. After anesthetic emergence, he was transferred to intensive care unit for mechanical ventilation. So we report this successful case of anesthetic management in a patient with ESRD for oral cancer surgery, which massive bleeding and long anesthetic time were inevitable in, from the preoperative preparation to anesthetic emergence.

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HRV 신호의 선형 및 비선형 분석을 이용한 마취심도 평가 (Estimation on the Depth of Anesthesia using Linear and Nonlinear Analysis of HRV)

  • 예수영;백승완;김혜진;김태균;전계록
    • 한국전기전자재료학회논문지
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    • 제23권1호
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    • pp.76-85
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    • 2010
  • In general, anesthetic depth is evaluated by experience of anesthesiologist based on the changes of blood pressure and pulse rate. So it is difficult to guarantee the accuracy in evaluation of anesthetic depth. The efforts to develop the objective index for evaluation of anesthetic depth were continued but there was few progression in this area. Heart rate variability provides much information of autonomic activity of cardiovascular system and almost all anesthetics depress the autonomic activity. Novel monitoring system which can simply and exactly analyze the autonomic activity of cardiovascular system will provide important information for evaluation of anesthetic depth. We investigated the anesthetic depth as following 7 stages. These are pre-anesthesia, induction, skin incision, before extubation, after extubation, Post-anesthesia. In this study, temporal, frequency and chaos analysis method were used to analyze the HRV time series from electrocardiogram signal. There were NN10-NN50, mean, SDNN and RMS parameter in the temporal method. In the frequency method, there are LF and HF and LF/HF ratio, 1/f noise, alphal and alpha2 of DFA analysis parameter. In the chaos analysis, there are CD, entropy and LPE. Chaos analysis method was valuable to estimate the anesthetic depth compared with temporal and frequency method. Because human body was involved the choastic character.

Clinical evaluation of efficacy of transcortical anesthesia for the extraction of impacted mandibular third molars: a randomized controlled trial

  • Demir, Esin;Ataoglu, Hanife
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제20권1호
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    • pp.9-17
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    • 2020
  • Background: This study aimed to compare the pain levels during anesthesia and the efficacy of the QuickSleeper intraosseous (IO) injection system and conventional inferior alveolar nerve block (IANB) in impacted mandibular third molar surgery. Methods: This prospective randomized clinical trial included 30 patients (16 women, 14 men) with bilateral symmetrical impacted mandibular third molars. Thirty subjects randomly received either the IO injection or conventional IANB at two successive appointments. A split-mouth design was used in which each patient underwent treatment of a tooth with one of the techniques and treatment of the homologous contralateral tooth with the other technique. The subjects received 1.8 mL of 2% articaine. Subjects' demographic data, pain levels during anesthesia induction, tooth extractions, and mouth opening on postoperative first, third, and seventh days were recorded. Pain assessment ratings were recorded using the 100-mm visual analog scale. The latency and duration of the anesthetic effect, complications, and operation duration were also analyzed in this study. The duration of anesthetic effect was considered using an electric pulp test and by probing the soft tissue with an explorer. Results: Thirty patients aged between 18 and 47 years (mean age, 25 years) were included in this study. The IO injection was significantly less painful with lesser soft tissue numbness and quicker onset of anesthesia and lingual mucosa anesthesia with single needle penetration than conventional IANB. Moreover, 19 out of 30 patients (63%) preferred transcortical anesthesia. Mouth opening on postoperative first day was significantly better with intraosseous injection than with conventional IANB (P = 0.013). Conclusion: The IO anesthetic system is a good alternative to IANB for extraction of the third molar with less pain during anesthesia induction and sufficient depth of anesthesia for the surgical procedure.

개에서의 Tiletamine-Zolazepam 마취의 임상경험 (Clinical Use of Tiletamine-Zolazepam Anesthesia in Dogs)

  • 남치주;서강문;윤정희
    • 한국임상수의학회지
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    • 제10권2호
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    • pp.215-220
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    • 1993
  • The anesthetic effects by dosages of Tiletamlne-Zolazepam in the dogs were investigated and then the optimal dosages for the operation of patients were suggested. 1. In groups of T+Z 20, 10 and 5 mg/kg administration, anesthetic periods are 180~300, 33~47 and 40~50 minutes, respectively and complete recovery from anesthesia was shorted with taking 53~72 minutes in the group of 5 mg/kg administration. 2. Reflex responses to eyelids, cornea and pharyngolarynx were maintained but pedal reflexes became considerably sluggish 3. It showed tachycardias on ECG but there were no specific dysrhythmias. On EEG, it showed low voltage-fast waves before anesthesia, high voltage-fast waves in induction stage, low voltage-slow waves in anesthetic stage and high voltage-fast waves again in recovery stage. 4. Surgical procedures could be performed satisfactorily in 6 cases of the 10 mg/kg administration group, but in 3 of 5 cases of 5 mg/kg administration group it could be completed after additional administration. 5. In conclusion, it was considered desirable for anesthetizing dogs that for healthy cases T+Z at the level of 10 mg/kg B.W. was administered, and for poor risk patients, 5 mg/kg B.W., followed by an additional administration in unsatisfied cases.

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개에서 Tiletamine/Zolazepam 합제에 Acepromazine 또는 Fentanyl/Xylazine/Azaperone 합제의 병용투여시 마취효과 (Anesthetic Effects of Tiletamine/Zolazepam in Combination with Acepromazine or Fentanyl/Xylazine/Azaperone in Dogs)

  • 이성림;황재민;연성찬;이효종
    • 한국임상수의학회지
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    • 제18권1호
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    • pp.22-28
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    • 2001
  • A combined anesthesia in terms of balanced anesthesia has been widely used for enhancement of anesthetic potency, decrement of dosage, reduction of side effects and better muscle relaxation. Recently, tiletamine/zolazepam (T/Z) has been widely used for the general anesthesia in dogs, but there have been few studies on balanced anesthesia of this drug in combination with other drugs. In this experiment, the combinations of T/Z with acepromazine or fentanyl/xylazine/azaperone (F/X/A) have been compared for the anesthetic effects in dogs. Healthy 5 mongrel dogs were allocated into three treatment groups ; Group Z (atropine + T/Z), Group A + Z (atropine/acepromazine + T/Z) in runs of 10 replication. The rapid induction of anesthesia was shown in all three treatment groups. The maintenance time of anesthesia was significanty increased to 101.4$\pm$6.2 minutes (44 min. more than that of group Z) in Group A + Z and 127.4$\pm$4.7 minutes (70 min. more than that of group Z) in Group F + Z, respectively. The recovery from anesthesia was rapid in Group F + Z. In blood analysis, there was no significant variation in three groups but hyperglycemia in Group F + Z. These results indicate that the balanced anesthesia of T/Z with F/X/A was superior to other two methods for maintaining and recovering from the anesthesia, and could be applied for general anesthesia in dogs.

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