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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.68 No.1
- 발행연도
- 2015.1
- 수록면
- 37 - 42 (6page)
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초록· 키워드
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Background: The old age population, including the very old aged (≥ 85 years), is rapidly increasing, and femur neckfracture from accidents is commonly seen in the elderly. Use of bone cement during bipolar hemiarthroplasty can causebone cement implantation syndrome.
Methods: This study was prospectively conducted on the elderly who were scheduled to undergo elective cemented bipolarhemiarthroplasty under spinal anesthesia. Patients were divided into 2 groups: the old age (65–84 years) and very oldage groups (≥ 85 years). Hemodynamic parameters were recorded at the following time points: the start of the operation,femoral reaming, cement insertion, every 2 minutes after cement insertion for 10 minutes, femoral joint reduction, andthe end of operation. When hypotension occurred, ephedrine was given.
Results: Sixty-five patients in the old age group and 32 patients in the very old age group were enrolled. Mean ages were78.9 and 89.4 years, respectively, in the old age and very old age groups. The very old age group showed constantly decreasedlevels of cardiac index and stroke volume from cementing until the end of the operation compared to the old agegroup. To maintain hemodynamic stability after cement insertion, the requirement of ephedrine was higher in the veryold age group than in the old age group (13.52 ± 7.76 vs 8.65 ± 6.38 mg, P = 0.001).
Conclusions: Bone cement implantation during bipolar hemiarthroplasty may cause more prominent hemodynamicchanges in very elderly patients. Careful hemodynamic monitoring and management are warranted in very elderly patientsundergoing cemented bipolar hemiarthroplasty.
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참고문헌 (17)
참고문헌 신청
United States. Census Breau 2010, Population, Age and Sex, United States Departmrnt of Commerce, USA
Population Census, Population/ Housing 2010, Korean Statistical Information Service, Korea
Rosenthal RA / 2004 / Assessment and management of the geriatric patient / Crit Care Med 32(4 Suppl):92~105
Covert CR / 1989 / Anaesthesia for hip surgery in the elderly / Can J Anaesth 36:311~319
Marya SK / 2008 / Prosthetic replacement in femoral neck fracture in the elderly : results and review of the literature / Indian J Orthop 42:61~67
Population Census, Population/ Housing 2010, Korean Statistical Information Service, Korea
Rosenthal RA / 2004 / Assessment and management of the geriatric patient / Crit Care Med 32(4 Suppl):92~105
Covert CR / 1989 / Anaesthesia for hip surgery in the elderly / Can J Anaesth 36:311~319
Marya SK / 2008 / Prosthetic replacement in femoral neck fracture in the elderly : results and review of the literature / Indian J Orthop 42:61~67
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