Propofol 목표농도조절주입 중 경비 또는 경구 기관내 삽관을 위한 remifentanil의 효과처농도 비교

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dc.contributor.advisor김종엽-
dc.contributor.authorChoi, Yi Hwa-
dc.date.accessioned2019-10-21T07:17:58Z-
dc.date.available2019-10-21T07:17:58Z-
dc.date.issued2011-02-
dc.identifier.other11257-
dc.identifier.urihttps://dspace.ajou.ac.kr/handle/2018.oak/17926-
dc.description학위논문(석사)--아주대학교 대학원 일반대학원 :의학과,2011. 2-
dc.description.tableofcontentsABSTRACTⅰ TABLE OF CONTENTSⅱ LIST OF FIGURES ⅲ LIST OF TABLESⅳ TEXTⅴ Ⅰ. INTRODUCTION1 Ⅱ. METHODS 2 Ⅲ. RESULTS 6 Ⅳ. DISCUSSION 9 V. CONCLUSION 17 REFERENCES ⅵ 국문요약 ⅶ-
dc.language.isoeng-
dc.publisherThe Graduate School, Ajou University-
dc.rights아주대학교 논문은 저작권에 의해 보호받습니다.-
dc.titlePropofol 목표농도조절주입 중 경비 또는 경구 기관내 삽관을 위한 remifentanil의 효과처농도 비교-
dc.title.alternativeEffect-site Concentration of Remifentanil for Nasotracheal versus Orotracheal Intubation during Propofol Target-controlled Infusion-
dc.typeThesis-
dc.contributor.affiliation아주대학교 일반대학원-
dc.contributor.alternativeNameChoi, Yi-Hwa-
dc.contributor.department일반대학원 의학과-
dc.date.awarded2011. 2-
dc.description.degreeMaster-
dc.identifier.localId569438-
dc.identifier.urlhttp://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000011257-
dc.subject.keywordRemifentanil-
dc.subject.keywordPropofol-
dc.subject.keywordOrotracheal intubation-
dc.subject.keywordNasotracheal intubation-
dc.description.alternativeAbstractBackground: The purpose of this study was to determine the effect-site concentrations of remifentanil required for acceptable nasotracheal (NT) intubation in adults after propofol target-controlled infusion (TCI) without neuromuscular blocking agent, and whether or not these concentrations differ from those for orotracheal (OT) intubation. Methods: Fifty patients were assigned to receive either OT intubation (OT group, n = 25) or NT intubation (NT group, n = 25). Anaesthesia was induced with propofol TCI at the effect-site concentration of 5.0 μg/ml. Two minutes later, the predetermined effect-site concentration of remifentanil was started (from 4.5 ng/ml) using Dixon’s up-and-down method. Tracheal intubation was performed during the remifentanil infusion 2 min after beginning. Acceptable intubation was defined as excellent or good intubating conditions. Results: EC50 ± SD of remifentanil in the OT and NT groups was 5.58 ± 0.75 ng/ml and 6.08 ± 0.75 ng/ml, respectively; there was no statistical significance between the groups (P = 0.277). Using isotonic regression, EC50 (95% CI) of remifentanil in the OT and NT groups was 5.00 (3.34-7.46) ng/ml and 5.75 (3.66-7.84) ng/mlv, respectively (P = 0.592). Conclusion: The effect-site concentration of remifentanil for acceptable NT intubation was 6.08 ng/ml in 50% of adults during propofol TCI at an effect-site concentration of 5.0 μg/ml without neuromuscular blocking agent. The predicted effect-site concentration of remifentanil for NT intubation was not different from OT intubation.-
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