전정맥마취와 흡입마취하에서 실시한 복강경 담낭절제술 시 심전도상 QTc 간격 변화의 비교

• Published in: Anesthesia and pain medicine (Korean society of anesthesiologists) pp. 16 - 20
• Main Authors: 변효진, 정성진, 정현준, 안현수, 이홍식, 이춘수, 송장호
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회 01.01.2013
• Subjects: 마취과학
• ISSN: 1975-5171; 2383-7977

Background: There can be changes in the cardiac function during laparoscopic cholecystectomy. In this study, QTc interval changes were compared between total intravenous anesthesia (TIVA) group and inhalation anesthesia group during laparoscopic cholecystectomy. Methods: The study was conducted on adult patients, ages ranging from 20 to 65 years old, and classified as the American Society of Anesthesiologists physical status I or II. At random, the patients were divided into group 1 (TIVA, n = 20) and group 2(inhalation anesthesia, n = 19). Group 1 patients were induced and maintained with continuous infusion of remifentanil and propofol using a target controlled infusion device. Patients in group 2 were induced with sevoflurane and N2O using mask ventilation, and then anesthesia was maintained with sevoflurane and N2O. The QTc interval, heart rate and mean arterial pressure were measured prior to induction, immediately following intubation, 10 minutes following intubation, following CO2 inflation, immediately following head-up position, 10 minutes following head-up position, following CO2deflation-supine position respectively. Results: In group 1, the ECG sampling showed no prolongation in the QTc intervals at all measured points. In group 2, QTc interval was significantly longer at all other measured points compared to prior to induction (P ＜ 0.05). Except prior to induction, QTc intervals were significantly longer at all other measure points in group 2compared to those in group 1 (P ＜ 0.05). Conclusions: There was no QTc interval prolongation under the TIVA using propofol and remifentanil during laparoscopic cholecystectomy. KCI Citation Count: 0