• 제목/요약/키워드: Isoflurane anesthesia

검색결과 72건 처리시간 0.036초

개의 성문폐쇄반사에 미치는 중추조절의 영향에 관한 연구 (Glottic Closure Reflex in an Anesthetized and Awake Canine Model)

  • 강주완;김광문;김영호
    • 대한후두음성언어의학회지
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    • 제14권2호
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    • pp.83-87
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    • 2003
  • Background and Objectives : Sphincteric function of the larynx, essential to lower airway protection, is most efficiently achieved through strong reflex adduction by both vocal cords. We hypothesize that central facilitation is an essential component of a bilateral adductor reflex and that its disturbance could result in weakened sphincteric closure. Materials and Method : Seven adult 20kg dogs underwent evoked response laryngeal electromyoraphy under 0.5 to 1.0 MAC isoflurane anesthesia. The internal branch of superior laryngeal nerve was stimulated through bipolar platinum-iridium electrodes and recording electrodes were positioned in the ipsilateral and contralateral thyroaryteonoid muscles. Results : Consistent threshold responses were obtained ipsilaterally under all anesthetic levels. However, contralateral reflex responses disappeared as anesthetic levels approached 1.0 MAC. Additionally, at 0.5 MAC, late responses (R2) were detected in one animal. Conclusion : Alteration of central facilitation by deepening anesthesia abolishes the crossed adductor reflex, predisposing to a weakened glottic closure response. Precise understanding of this effect may improve the prevention of aspiration in patients emerging from prolonged sedation or under heavy psychotropic control.

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전신 마취 후 발생한 고양이의 일시적인 급성 시력상실 1례 (Acute Temporary Visual Loss after General Anesthesia in a Cat)

  • 손원균;정보영;권태억;서강문;이인형
    • 한국임상수의학회지
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    • 제26권5호
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    • pp.480-482
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    • 2009
  • A 2-year-old, castrated male, Scottish fold cat was referred to Veterinary Medical Teaching Hospital of Seoul National University (VMTH-SNU) for evaluation of acute bilateral blindness after general anesthesia. For dental prophylaxis in local animal hospital, general anesthesia had been induced with intravenous acepromazine and ketamine, and maintained with isoflurane after intubation. At VMTH-SNU on next day, complete blood count, electrolytes and serum chemistry values were within normal ranges. On neurologic examination, visual placing and postural reactions like as hopping, hemiwalking and wheelborrowing were reduced on right hindlimb. On ophthalmic examination, menace responses were absent on both eyes and pupillary light reflex (PLR) reduced on right eye, but other reflex and fundus were normal. Prednisolone (2 mg/kg sid for 3 days) was administrated orally and tapered. Visual placing was possible on 2nd day, and postural reactions were recovered on 4th day after dental prophylaxis. Based on the process and recovery, this case was considered as postoperative visual loss (POVL) after general anesthesia.

Monitoring Differences in Vaginal Hemodynamic and Temperature Response for Sexual Arousal by Different Anesthetic Agents Using an O ptical Probe

  • Jeong, Hyeryun;Seong, Myeongsu;Park, Kwangsung;Kim, Jae Gwan
    • Current Optics and Photonics
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    • 제4권1호
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    • pp.57-62
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    • 2020
  • The selection of anesthetic agent is important in preclinical studies, since each agent affects the systemic hemodynamics in different ways. For that reason, we hypothesized that different anesthetic agents will result in different vaginal hemodynamic response and temperature during sexual arousal, in an animal model. To validate the hypothesis, animal experiments were performed using female rats with two anesthetic agents widely used in preclinical studies: ketamine and isoflurane. Our previously developed near-infrared-spectroscopy-based probe was used to measure the changes of oxyhemoglobin (OHb), deoxyhemoglobin (RHb), and total hemoglobin (THb) concentrations along with temperature from the animal vaginal wall. As a control, saline was administered to both isoflurane- and ketamine-anesthetized animals, and did not show any significant changes in OHb, RHb, THb, or temperature. However, an administration of apomorphine (APO, 80 ㎍/kg) induced increases of OHb (63 ± 28 μM/DPF), RHb (35 ± 20 μM/DPF), and THb (98 ± 49 μM/DPF) in ketamine-anesthetized animals, while decreases of OHb (52 ± 76 μM/DPF) and THb (38 ± 30 μM/DPF) and an increase of RHb (28 ± 51 μM/DPF) were found in isoflurane-anesthetized animals. The vaginal temperature decreased from the baseline in both ketamine-(0.42℃) and isoflurane-(1.22℃)anesthetized animals. These results confirmed our hypothesis, and suggest that a preclinical study monitoring hemodynamic responses under anesthesia should employ an appropriate anesthetic agent for the study.

개에서 트라마돌의 정맥투여가 아이소플루란의 최소폐포농도에 미치는 영향 (Effect of Intravenous Administration of Tramadol on the Minimum Alveolar Concentration of Isoflurane in Dogs)

  • 석성훈;박세진;이승용;진소영;김영기;황재민;이희천;연성찬
    • 한국임상수의학회지
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    • 제32권4호
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    • pp.308-312
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    • 2015
  • 본 연구는 개에서 트라마돌의 정맥투여가 아이소플루란의 최소폐포농도 ($MAC_{ISO}$)에 미치는 영향을 평가하기 위하여 수행되었다. 6마리의 암컷 저먼셰퍼드견이 본 실험에 사용되었다. 실험견의 마취유도는 안면마스크를 이용하여 시행되었으며 실험하는 동안 기계적 환기장치를 이용하여 호기말 이산화탄소 분압 ($P_{ET}CO_2$)을 35-45 mmHg로 유지하였다. 개에서 마취유도 후 45분이 경과한 다음 gross purposeful movement가 감지 될 때까지 후지 발가락을 클램핑하는 방법을 사용하여 baseline $MAC_{ISO}$ ($MAC_{ISO}B$) 측정을 시작하였다. $MAC_{ISO}B$가 결정된 후, 트라마돌 3 mg/kg을 투여하였고 뒤이어 2.6 mg/kg/h으로 지속점적투여 (CRI)를 실시하였다. CRI 시작 후 20분이 경과한 다음, 트라마돌 투여 후 $MAC_{ISO}$값 ($MAC_{ISO}T$) 측정을 시작하였다. 동맥혈압과 심박수는 지속적으로 기록하였고 $MAC_{ISO}B$$MAC_{ISO}T$의 결정 후 각각 20분간 평형기간이 경과한 다음 동맥혈가스분석을 실시하였다. $MAC_{ISO}B$$MAC_{ISO}T$는 각각 $1.33{\pm}0.04%$$1.23{\pm}0.04%$로 측정되었고 $MAC_{ISO}B$는 트라마돌 투여 후 $7.5{\pm}0.2%$의 유의적인 (P < 0.05) 감소효과를 나타냈다. 트라마돌 투여 후 심박수와 동맥혈압에서는 유의적인 변화가 나타나지 않았으며 동맥혈 가스분석 결과에서도 유의적인 차이가 없었다. 이상의 결과로 보아 개에서 아이소플루란을 이용한 전신마취 시 트라마돌의 투여는 심폐기능의 억압을 일으키지 않고 $MAC_{ISO}$값을 감소시켰으므로 마취의 안정성과 마취회복의 질을 향상시키는데 유용할 것으로 사료된다.

Isofourane으로 마취된 개에 medetomidine, medetomidine-buprenorphine, medetomidine-fentanyl의 경막외 투여 시 심혈관계 반응과 진통효과의 비교 (Comparision of cardiovascular and analgesic effects of epidural administration of medetomidine, medetomidine-buprenorphine and medetomidine-fentanyl in dogs anesthetized with isoflurane)

  • 장화석;김혜진;최치봉;이정선;김휘율
    • 대한수의학회지
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    • 제47권1호
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    • pp.103-115
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    • 2007
  • The aim of this study was to compare the reaction of the cardiovascular system, and the anesthetic effect among 3 experimental groups, epidural administration of medetomidine as a single agent, the combination of buprenorphine and medetomidine, and the combination of fentanyl and medetomidine. Twenty one dogs were anesthetized with isoflurane and allowed to breathe spontaneously. Epidural, arterial, and venous catheters were inserted. The tip of epidural catheter was positioned at the level of the space between the sixth and seventh lumbar vertebra. After a stable plane of anesthesia was achieved, these dogs were each administered one of the following treatments epidurally : medetomidine $10{\mu}g/kg$ (Group M), a combination of medetomidine $5{\mu}g/kg$ and buprenorphine $10{\mu}g/kg$ (Group M/B), and a combination of medetomidine $5{\mu}g/kg$ and fentanyl $10{\mu}g/kg$ (Group M/F). Heart rate (HR), Respiratory rate (RR), End-tidal carbon dioxide (EtCO2), and arterial blood pressure were measured before drug administration (base line) and 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, and 60 min postinjection. Blood gas analysis was performed before injection and 5, 15, 25, 35, 45, 60 min postinjection. Isoflurane was discontinued 80 min postinjection and pain/motor function were evaluated up to 260 min postinjection every 15 min. At the early stage of drug introduction (until 5 min), the HR was decreased significantly in all 3 groups compared with base line. In Group M, HR was significantly decreased compared with the other 2 groups. With time (starting 20 min after drug introduction), the HR was decreased significantly in Group M/B in respect to base line. However, no significant difference was seen number-wise in all 3 groups. During 60 min after drug introduction, the systolic, diastolic and mean arterial pressures were highest in Group M and lowest in Group M/F. Among 3 groups, drug action and motor loss duration were longest in Group M/F. Analgesic effect observed in the M/F group was the most prominent and long-lasting, compared to those seen in the other 2 groups. Given the fact that the recovery of motor function takes place in a short period of time after analgesic effects disappeared, additional use of M/F depending on the patient's condition would be a good way to achieve effective pain management. However, proper care should be taken to ensure the function of cardiovascular system in the patient because the administration of M/F under isoflurane anesthesia results in a significant decline in arterial blood pressure ($65{\pm}10mmHg$).

모야모야병(moyamoya disease) 환자의 전신마취 하 치과 치료 (DENTAL MANAGEMENT OF A PATIENT WITH MOYAMOYA DISEASE UNDER GENERAL ANESTHESIA)

  • 상은정;송지수;신터전;김영재;김정욱;장기택;이상훈;현홍근
    • 대한장애인치과학회지
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    • 제13권2호
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    • pp.108-113
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    • 2017
  • MMD 환자는 심한 울음이나 운동 등으로 유발되는 과호흡성 뇌혈류량 감소에 주의해야 하며, 특히 소아 환자의 경우 낯선 환경에서 쉽게 울음을 터뜨리는 경향이 있고, 뇌의 산소요구량이 많으며, 뇌혈류량 변화에 민감하므로 치과 진료 시에 더욱 세심한 관리가 필요하다. 본 증례는 발달 지연을 동반하여 일상의 구강 위생 관리 및 치과 검진에 비협조적이고, 다수 치아에 광범위한 우식증을 보이는 발달장애가 있는 MMD 소아 환자를 전신 마취 하에 안전하고 효과적으로 치료한 사항을 보고하는 바이다. 환아는 이전에 수차례의 뇌경색 증상을 보여 뇌혈관 문합술을 받은 바 있고, 발달 지연 외에도 지적 장애, 언어장애, 편마비, 연하장애, 사시증을 동반하였다. 환아의 기저 질환과 협조도, 우식의 심도를 고려하여 세보플루레인을 이용한 전신 마취를 행동조절 요법으로 선택하였고, 술 전 정맥로 확보 시 환아의 불안을 조절하기 위해 미다졸람 경구 투여를 시행하였다. 모든 생징후를 안전하게 감시하며 성공적으로 치과 치료를 마친 후, 적극적인 통증 조절을 위해 아세트아미노펜 경구 투여를 시행하였다. 전신마취 이후에는 정기 검진 및 불소 도포를 통해 환자의 구강 건강 증진에 기여할 수 있었다.

출혈이 Ketamine, Propofol, Isoflurane 마취견의 뇌파에 미치는 영향 (Effects of Hemorrhage on the Electroencephalograms in Dogs Anesthetized with Ketamine, Propofol and Isoflurane)

  • 윤인섭;장환수;임재현;권영삼;장광호
    • 한국임상수의학회지
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    • 제26권6호
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    • pp.539-546
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    • 2009
  • 잡종견 15마리를 이용하여 ketamine, propofol 및 isoflurane 마취견에서 실험적 출혈이 뇌 파에 미치는 영향을 평가하였다. 실험견은 마취제의 종류에 따라 군당 5마리씩, 3개 실험군으로 분류하였다 (1군: ketamine 5 mg/kg, IV, 2 군: propofol $156\;{\mu}g$/kg/min, IV, 3군: 2.0% end-tidal concentration of isoflurane). 모든 군에 전마취제로 Medetomidine ($40\;{\mu}g$/kg, IM)을 투여하였다. 뇌파기록전극은 Cz 위치에서 피하에 장착하였다. 뇌파, 심박수, 수축기/이완기 동맥혈압, $pO_2$, $pCO_2$ 및 혈액 pH를 마취 전, 마취 후, 매 출혈 후에 각각 측정하였다. 대퇴동맥에 삽관한 카테타를 통해 총 혈액량의 10%인 7 ml/kg을 10분동안 출혈시켰으며, 총 3회 실시하였다. 출혈기동안 수축기 및 이완기 동맥혈압은 모든 군에서 지속적으로 감소하였다. $pCO_2$ 농도와 심박수는 모든 군에서 증가하였다. $pO_2$ 농도는 다른 군과 비교하여 1군에서 가장 유의적으로 증가하였다. 혈액 pH의 유의적인 변화는 없었다. 뇌파 분석결과 1군과 3군에서는 유의적인 변화는 없었다. 2군의 band 3, 4 및 7은 2번째 및 3번째 출혈 후에 유의성있게 변화하였다. 이와 같은 변화는 propofol 점적 유지마취에서 총 혈액량의 20% 이상 출혈과 관계되는 것으로 사료된다. 따라서, Propofol 마취견이 총 혈액량의 20% 이상 출혈할 경우 propofol 점적 투여율의 조절이 고려되어야 한다.

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).

진도종 개에서 아트로핀에 의해 발생한 역설적 방실 전도 차단 (Atropine Induced Paradoxical Atrioventricular Conduction Block in a Jindo Dog)

  • 이무현;이승곤;문형선;이준석;이용훈;현창백
    • 한국임상수의학회지
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    • 제24권3호
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    • pp.422-425
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    • 2007
  • 6개월령 수컷 진도종 개가 교통사고에 의한 골반 골절 교정술을 위하여 내원하였다. 일반적인 수술 전 검사에서 마취와 관련해 위험성 있는 이상은 발견되지 않았다. 이 개는 아트로핀으로 전처치하고, 유도마취로 thiopental을 주사하였으며 유지 마취 약물로 isoflurane을 사용하였다. 수술 시작 40분 후 갑자기 서맥이 발생하여 아트로핀(18ug/kg)을 천천히 정맥주사 하였으나 즉시 맥박이 증가하지 않고 오히려 heart rate가 감소하며 방실 전도 차단($2^{nd}$ degree type I)이 발생하였다. 따라서 ephedrin을 즉각적으로 주사하였으며, 투여 7분 후 정상 심박으로 회복되었다. 본 증례는 개에서 고용량 atropine 투여로 드물게 발생하는 역설적 방실전도 차단 임상예이다.

Anesthetic Effect of Different Ratio of Ketamine and Propofol in Dogs

  • Lee, Mokhyeon;Kim, Sohee;Moon, Chawnghwan;Park, Jiyoung;Lee, Haebeom;Jeong, Seong Mok
    • 한국임상수의학회지
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    • 제34권4호
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    • pp.234-240
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    • 2017
  • Use of ketamine and propofol combination (so-called Ketofol) anesthesiain a fixed ratio (1:1 mg/ml) was reported in dogs. The use of ketofol reduced cardiovascular suppression, but respiratory-related side effects was not significantly different from propofol alone. In this study, we evaluated the quality of ketofol anesthesia and changes in cardiopulmonary function according to the ratio of ketamine to propofol. The experimental groups were divided into three groups: propofol alone (P group), 3:7 ketofol group (PK1 group) and 1:1 ketofol group (PK2). For each group, the dose of 0.8 ml/kgwas administered intravenously at a constant rate until the tracheal intubation was possible and anesthesia was maintained with isoflurane for 120 minutes after induction of anesthesia. There was no significant difference in the anesthetic quality among three groups. Also, there was no difference in respiratory rate, tidal volume, end-tidal carbondioxide, and oxygen saturation. In group P, heart rate was not changed significantly during anesthesia, but arterial blood pressure decreased, while heart rate and arterial blood pressure increased significantly in group PK2. In the PK1 group, heart rate and arterial blood pressure during anesthesia remained similar to pre-anesthetic values. In conclusion, ketofol might be used as induction agent, and 3:7 ratioof ketofol showed more safe and effective anesthetic effect in dogs. Additionally, 1:1 ketofol may be used in patients with severe bradycardia orhypotension with close monitoring during anesthesia.