Previous / Next


[Anesthesiology assistance during GI endoscopy]

¹Ì±¹ ¸¶Ãë°úÇÐȸ¿¡¼­´Â ³»½Ã°æ½Ç¿¡¼­ propofolÀ» »ç¿ëÇÒ ¶§ ¸¶Ãë°ú Àǻ簡 ÇÊ¿äÇÏ´Ù°í ÁÙ±âÂ÷°Ô ÁÖÀåÇÏ°í ÀÖ½À´Ï´Ù. °úÇÐÀûÀÎ ±Ù°Å´Â º°·Î ¾ø½À´Ï´Ù. ¿¹¸¦ µé¾î ¸¶Ãë°ú ÀÇ»ç ¾øÀÌ ½ÃÇàÇÑ ¼ö¸é³»½Ã°æÀº »ç°í°¡ ¸¹Àºµ¥ ¸¶Ãë°ú Àǻ簡 µ¿¿øµÇ¸é »ç°í°¡ ÇöÀúÈ÷ ÁÙ¾îµç´Ù´Â Áú ÁÁÀº ³í¹®À» º» ÀûÀÌ ¾ø½À´Ï´Ù. Àü¹®°¡°¡ monitoringÇÏ¸é ´õ ÁÁÀ» °ÍÀ̶ó´Â ºñ±³Àû ´Ü¼øÇÑ ³í¸®ÀÔ´Ï´Ù. ¹Ì±¹ ¼ÒÈ­±âÇÐȸ¿¡¼­´Â ÁÙ±âÂ÷°Ô ¹Ý´ëÇÏ°í ÀÖ½À´Ï´Ù.

ÁÁÀº °ÍÀÌ ÁÁÀº °ÍÀÌ ¾Æ´Ò ¼ö ÀÖ½À´Ï´Ù. ¾öû ºñ½ÎÁú ¼ö Àֱ⠶§¹®ÀÌÁö¿ä. ¾ÈÀüÀº ÁÁÀº °ÍÀÔ´Ï´Ù. ±×·¯³ª ¾ÈÀüÀº °øÂ¥°¡ ¾Æ´Õ´Ï´Ù. º¸´Ù ³ôÀº ¼öÁØÀÇ ¾ÈÀüÀ» Ãß±¸ÇÏ·Á¸é ±×¸¸ÇÑ ÀÌÀ¯°¡ ÇÊ¿äÇÕ´Ï´Ù. ´©±º°¡ µ·À» ³»¾ß ÇÕ´Ï´Ù. Áß¿äÇÑ °ÍÀº balanceÀÏ °ÍÀÔ´Ï´Ù.

¿ì¸®³ª¶ó Çö½Ç¿¡¼­ propofol »ç¿ëÀ» À§ÇÏ¿© ¸¶Ãë°¡ Àǻ簡 ÇÊ¿äÇÏ´Ù°í »ý°¢ÇÏÁö ¾Ê½À´Ï´Ù. Áö±Ý±îÁö º¸°íµÈ ¼Ò¼öÀÇ »ç°í»ç·Ê¸¦ °ËÅäÇØ º¸¸é ±Ý¹æ ¾Ë ¼ö ÀÖ½À´Ï´Ù. ³»½Ã°æ ½Ã¼ú ÀÚü¿Í ¹«°üÇÏ°Ô Áö¼ÓÀûÀ¸·Î ȯÀÚ »óŸ¦ °¨½ÃÇÒ ¼ö ÀÖ´Â ÈÆ·ÃµÈ »ç¶÷À̸é ÃæºÐÇÒ °ÍÀÔ´Ï´Ù. ÀÌ ¶ÇÇÑ overÀÏ ¼ö ÀÖ½À´Ï´Ù.

ÀÚÁÖ ÀÖ´Â ÀÏÀº ¾Æ´ÏÁö¸¸ °£È¤ ³»½Ã°æ½Ç¿¡¼­ ¸¶Ãë°ú ÀÇ»çÀÇ µµ¿ò ȤÀº ÀÚ¹®ÀÌ ÇÊ¿äÇÑ °æ¿ì°¡ ÀÖ½À´Ï´Ù. ÇÊÀÚ´Â Á¾Á¾ ¸¶Ãë°ú Àǻ翡°Ô consult¸¦ ³»°Å³ª ÀüÈ­·Î ÀÚ¹®ÇÏ°í ÀÖ½À´Ï´Ù. Å« µµ¿òÀÌ µË´Ï´Ù. ±×·¯³ª ¸¶Ãë°úÀǻ縦 ³»½Ã°æ½Ç·Î ¸ð¼Å¾ß ÇÒ °æ¿ì´Â ¾ø¾ú½À´Ï´Ù. °ü½ÉÀÖ´Â ¼ÒÈ­±â³»°ú Àǻ簡 ÇÒ ¼ö ÀÖ´Â ¼öÁØÀÔ´Ï´Ù.

ASGE¿¡¼­ ¹ßÇ¥ÇÑ guideline for anesthesiology assistance during gastrointestinal endoscopy¸¦ ¼Ò°³ÇÕ´Ï´Ù (Gastrointest Endosc 2003;56:613-617). ¿À·¡µÇ¾úÁö¸¸ ¾ÆÁ÷µµ À¯¿ëÇÕ´Ï´Ù.
- Prolonged or therapeutic endoscopic procedure requiring deep sedation
- Anticipated intolerance to standard sedatives
- Increased risk for complication because of severe comorbidity (ASA class III or greater)
- Increased risk for airway obstruction because of anatomic variant


[2013-4-20 ÀÌÁØÇàÀÇ ¼öÁ¤ÀÇ°ß]

2011³â 2¿ù 17ÀÏ Á¦°¡ "¿ì¸®³ª¶ó Çö½Ç¿¡¼­ propofol »ç¿ëÀ» À§ÇÏ¿© ¸¶Ãë°¡ Àǻ簡 ÇÊ¿äÇÏ´Ù°í »ý°¢ÇÏÁö ¾Ê½À´Ï´Ù"¶ó°í ¾´ ÀûÀÌ ÀÖ½À´Ï´Ù. ±× ÀÌÈÄ propofol À̽´¿¡ ´ëÇÏ¿© °ü½ÉÀ» °¡Áö°í ²ÙÁØÈ÷ °øºÎÇϸ鼭 propofolÀÇ À§Ç輺À» ´Ù½Ã Çѹø Àý°¨ÇÏ¿´½À´Ï´Ù (°ü·Ã ÀÚ·á). À§ÇèÇÑ ¾à¹°ÀÌ ³Ê¹« °¡º±°Ô °ü¸®µÇ°í ÀÖ´Â »óȲÀÔ´Ï´Ù. ¸¹Àº »ç¶÷ÀÌ Á×°í ÀÖ½À´Ï´Ù.

Àú´Â ÀÌÁ¦ ÀÌ·¸°Ô »ý°¢ÇÕ´Ï´Ù. ¿ì¸®³ª¶ó Çö½Ç¿¡¼­ propofol »ç¿ëÀ» À§ÇÏ¿© ¸¶Ãë°¡ Àǻ簡 ÇÊ¿äÇÏ´Ù.

¾î¶² blog¿¡¼­ Ãæ°ÝÀûÀÎ »çÁøÀ» º¸¾Ò½À´Ï´Ù. ȯÀÚµéÀÌ ÀÌ·± »çÁøÀ» ±æ°Å¸®¿¡ ³»°Å´Â ÀÌÀ¯¸¦ »ý°¢ÇØ º¸Áö ¾ÊÀ» ¼ö ¾ø½À´Ï´Ù.


[2015-2-8 ÀÌÁØÇàÀÇ ¼öÁ¤ÀÇ°ß]

2015³â 2¿ù 8ÀÏ ÇöÀç Á¦°¡ »ý°¢ÇÏ´Â ¹Ù¸¦ °£´ÜÈ÷ Á¤¸®Çϸé ÀÌ·¸½À´Ï´Ù. "¿ì¸®³ª¶ó Çö½Ç¿¡¼­ propofolÀ» »ç¿ëÇÑ ¼ö¼úÀ» À§Çؼ­´Â ¸¶Ãë°ú Àǻ簡 ÇÊ¿äÇÕ´Ï´Ù. ±×·¯³ª ªÀº Áø´Ü³»½Ã°æ±îÁö ¸¶Ãë°ú Àǻ簡 ÇÊ¿äÇÏ´Ù°í ÁÖÀåÀº ¹«¸®ÀÔ´Ï´Ù. ¹°·Ð ¸¶Ãë°ú Àǻ簡 ¾ø´õ¶óµµ ÃæºÐÇÑ ¾ÈÀü ´ëÃ¥Àº ÇÊ¿äÁ¶°ÇÀÔ´Ï´Ù."

[Home]