하지 수술을 위한 척추마취 시 척수강내로 주입한 Fentanyl의 효과

Background: Intrathecal opioids in combination with bupivacaine has been shown to provide adequate sensory blockade and early recovery from spinal anesthesia. This study was investigated the added effects of intrathecal fentanyl 10 μg to bupivacaine for spinal anesthesia. Methods: Sixty patients und...

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Bibliographic Details
Published in:Korean journal of anesthesiology 2009, 56(3), , pp.280-283
Main Authors: 이상진, Sang Jin Lee, 김상훈, Sang Hun Kim, 정종달, Jong Dal Jung, 유병식, Byung Sik Yoo, 임경준, Kyung Joon Lim, 소금영, Geum Young So, 안태훈, Tae Hun An, 이여진, Yeo Jin Lee
Format: Article
Language:Korean
Subjects:
Bupivacaine
Intrathecal fentanyl
Spinal anesthesia
마취과학
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Summary:Background: Intrathecal opioids in combination with bupivacaine has been shown to provide adequate sensory blockade and early recovery from spinal anesthesia. This study was investigated the added effects of intrathecal fentanyl 10 μg to bupivacaine for spinal anesthesia. Methods: Sixty patients undergoing lower extremity surgery were into three groups. Group I received bupivacaine 10 mg (0.5%), gruop II received bupivacaine 5 mg with normal saline 1 ml, and group III received bupivacaine 5 mg with fentanyl 10 μg and normal saline 0.8 ml. Results: There was no significant difference between group I and group III in the peak level and duration of sensory block. But the intensity of motor blockade was decreased in group III compared with group I and side effects of spinal anesthesia with local anesthetics was decreased in group III compared with group I. In Group II, 7 patients were complained the pain during surgery. Conclusions: Intrathecal fentanyl 10 μg with bupivacaine 5 mg on spinal blockade provide reliable anesthesia for lower extremity surgery. (Korean J Anesthesiol 2009; 56: 280∼3)
ISSN:2005-6419
2005-7563