• 대한의용생체공학회:의공학회지
• /
• 제22권5호
• /
• pp.431-438
• /
• 2001

동맥혈액의 총 혈색소 농도와 산화 혈색소 농도의 비율로 정의되는 산소포화도를 비관혈적으로 측정하는 펄스 옥시메터는 주위환경 요인과 피측정자의 호흡 및 움직임에 의한 영향을 받는다. 특히 환자가 움직였을 때 동잡음 신호는 주파수영역에서 정상적인 수신광 신호와 중첩 또는 인접하게 나타나 잡음제거가 어렵다 이러한 문제점을 개선하기 위해 본 논문에서는 필터뱅크와 정합필터를 이용하여 동잡음을 제거하기 위한 방법을 제안한다. 그리고 제안된 방법으로 실험한 결과. ratio의 평균 변화율이 이동평균필터(11.2%)와 적응필터(39.7%)를 이용하였을 때 보다 변화 폭이 4.1%로 나타나 환자의 움직임에서도 보다 안정적인 산소포화도를 측정이 가능할 것으로 사료된다.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제21권4호
• /
• pp.357-361
• /
• 2021

Methemoglobinemia is a blood disorder in which an abnormal amount of methemoglobin is produced, and prilocaine is one of the drugs that can cause this disorder. The maximum recommended dose of prilocaine is 8 mg/kg. We report a case of methemoglobinemia caused by the administration of 4.2 mg/kg of prilocaine without other methemoglobinemia-inducing drugs during general anesthesia. A 17-year-old girl with hyperthyroidism and anemia was scheduled to undergo maxillary sinus floor elevation and tooth extraction. The patient's peripheral oxygen saturation (SpO₂) decreased from 100% at arrival to 95% after receiving prilocaine with felypressin following induction of general anesthesia. However, the fraction of inspired oxygen was 0.6. Blood gas analysis showed that the methemoglobin level was 3.8% (normal level, 1%-2%), fractional oxygen saturation was 93.9%, partial pressure of oxygen was 327 mmHg, and arterial oxygen saturation was 97.6%. After administration of 1 mg/kg of methylene blue, her SpO₂ improved gradually to 99%, and the methemoglobin value decreased to 1.2%. When using prilocaine as a local anesthetic, it is important to be aware that methemoglobinemia may occur even at doses much lower than the maximum recommended dose.