지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한노인병학회 Annals of geriatric medicine and research Annals of geriatric medicine and research Vol.20 No.1
- 발행연도
- 2016.1
- 수록면
- 36 - 41 (6page)
이용수
초록· 키워드
오류제보하기
Background: The aim of this study was to evaluate the effect of aging on the hemodynamic response to endotracheal intubation during the induction of anesthesia. Methods: Fifty patients with American Society of Anesthesiologists physical status classification 1 or 2 were enrolled and allocated according to age to either group N (35-44 years, not elderly, n=25) or group E (65-74 years, elderly, n=25). The patients were administered 3 minimum alveolar concentrations of sevoflurane for 5 minutes for the induction of anesthesia. Systolic arterial pressure (SAP) and heart rate (HR) were recorded before (baseline), immediately after (T0), and at 1-minute intervals during the first 4 minutes after endotracheal intubation (T1-T4). Results: SAP increased by 15.4% and 10.8%(p<0.05) from the baseline at T0 and T1, respectively, in group N, and by 21.6%, 17.8%, and 11.8%(p<0.05) from the baseline at T0, T1 and T2 respectively, in group E. The SAP increases at T0, T1 and T2 were significantly greater in group E than in group N (p<0.05). The HR increases at T0 and T1 were significantly greater for group N than for group E (p<0.05). Conclusion: We recommend that anesthesiologists vigilantly monitor and attenuate adverse hemodynamic responses for at least 5 minutes after endotracheal intubation especially in elderly patients, particularly because significant systolic hypertension can occur in this age group.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Henderson J / 2010 / Miller’s anesthesia / Churchill Livingstone :1573~1607
Morgan GE / 2013 / Clinical anesthesiology / McGraw-Hill :334~335
Franklin SS / 1997 / Hemodynamic patterns of age-related changes in blood pressure. The Framingham Heart Study / Circulation 96:308~315
Gribbin B / 1971 / Effect of age and high blood pressure on baroreflex sensitivity in man / Circ Res 29:424~431
Bullington J / 1989 / The effect of advancing age on the sympathetic response to laryngoscopy and tracheal intubation / Anesth Analg 68:603~608
Morgan GE / 2013 / Clinical anesthesiology / McGraw-Hill :334~335
Franklin SS / 1997 / Hemodynamic patterns of age-related changes in blood pressure. The Framingham Heart Study / Circulation 96:308~315
Gribbin B / 1971 / Effect of age and high blood pressure on baroreflex sensitivity in man / Circ Res 29:424~431
Bullington J / 1989 / The effect of advancing age on the sympathetic response to laryngoscopy and tracheal intubation / Anesth Analg 68:603~608
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