치핵 절제술에서 펜토탈 유도 국소마취와 척추마취의 비교; 전향적 조사
Hemorrhoidectomy Under Local Anesthesia after Pentothal Induction versus Spinal Anesthesia: a Concurrent Nonrandomized Prospective Study
강충훈, 이상우, 신현근, 정승규, 최재표, 양형규,
소속 상세정보
강충훈 ( Kang Chung-Hoon )
양병원 대장항문과
이상우 ( Lee Sang-Woo )
양병원 마취과
신현근 ( Shin Hyeon-Keun )
양병원 대장항문과
정승규 ( Jung Seung-Kyu )
양병원 대장항문과
최재표 ( Choi Jae-Pyo )
양병원 대장항문과
양형규 ( Yang Hyung-Kyu )
양병원 대장항문과
KMID : 0356720060220010001
Abstract
Purpose: The aim of this study was to evaluate the effectiveness of local anesthesia compared to spinal anesthesia and the usefulness of pentothal induction before infiltration of a local anesthetic agent.
Methods: A concurrent non-randomized prospective study was conducted on 52 patients who underwent a hemorrhoidectomy. For the spinal anesthesia (SA) group (n=29), 0.5% heavy bupivacaine (MarcaineⰒ), 5 mg (1 ml), was used, and for the local anesthesia (LA) group (n=23), pentothal, 3.3 mg/kg, was administrated intravenously prior to infiltration of a mixture of local anesthetics (2% lidocaine, 14 ml, with 0.5% bupivacaine, 7 ml).
Results: There were no differences between the two groups in terms of operating time, postoperative pain, headache, urinary difficulty, nausea or vomiting, pain-free interval after operation, analgesic requirements, and patient’s or surgeon’s satisfaction. Postoperative ambulation was earlier in the LA group than in the SA group.
Conclusions: Local anesthesia after pentothal induction can be used effectively for a hemorrhoidectomy and may be a safe alternative to spinal anesthesia. J Korean Soc Coloproctol 2006;22:1-7
키워드
치핵절제술;펜토탈;국소마취
Hemorrhoidectomy;Pentothal;Local anesthesia
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