무릎 관절경 수술 시 Fentanyl 투여가 압박띠 사용에 따른 혈역학적 변화에 미치는 영향Effect of fentanyl on hemodynamic changes connected with a thigh tourniquet during knee arthroscopic surgery
- Other Titles
- Effect of fentanyl on hemodynamic changes connected with a thigh tourniquet during knee arthroscopic surgery
- Authors
- 이윤숙; 김재환; 차문호; 민두재; 김운영; 장문석; 박영철
- Issue Date
- 2009
- Publisher
- 대한마취통증의학회
- Keywords
- Fentanyl; Hemodynamic change; Tourniquet
- Citation
- Korean Journal of Anesthesiology, v.56, no.1, pp.6 - 10
- Indexed
- KCI
- Journal Title
- Korean Journal of Anesthesiology
- Volume
- 56
- Number
- 1
- Start Page
- 6
- End Page
- 10
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/121000
- ISSN
- 2005-6419
- Abstract
- Background: The use of a tourniquet can produce pain and increase in blood pressure. It is known that fentanyl reduces central sensitization, however its effect on blood pressure increase due to tourniquet is unknown. So we investigated the effect of fentanyl on tourniquet-induced changes of mean arterial blood pressure (MBP), heart rate (HR), and cardiac index (CI).
Methods: ASA physical status I and II, who were scheduled for knee arthroscopic surgery using a tourniquet, were assigned into control (n = 30) and fentanyl group (n = 30). Anesthesia was maintained with enflurane, N2O and O2. Fentanyl was injected 1.5μg/kg at 10 min before inflation of the tourniquet in the fentanyl group. Changes of the MBP, HR, CI were measured before and 10, 20, 30, 40, 50, 60 min after inflation of the tourniquet.
Results: There were no differences in the baseline values. MBP was increased at 40, 50, 60 min in the control group. At 60 min, MBP was lower in the fentanyl than the control group. HR was decreased at 10 min in the fentanyl group. CI was decreased in all groups after tourniquet inflation. At 60 min, CI was more decreased in the control than the fentanyl group.
Conclusions: Fentanyl injection prior to tourniquet inflation can attenuate the tourniquet induced hemodynamic changes in the knee arthroscopic surgery patients.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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