순환정지와 초저체온 및 Barbiturate를 이용한 거대 뇌동맥류 수술의 마취 - 증례 보고

• Published in: Korean journal of anesthesiology Vol. 35; no. 4; pp. 767 - 771
• Main Authors: 권필순, Soon Pil Kwoun, 민병상, Byoung Sang Min, 배진호, Jin Ho Bae, 김상태, Sang Tae Kim, 강훈, Hoon Kang, 임승운, Seung Woon Lim
• Format: Journal Article
• Language: Korean
• Published: 대한마취통증의학회(구 대한마취과학회) 30.10.1998
• Subjects: Anesthetic techniques; cerebral giant aneurysm; cerebral protection. Surgery; profound hypothermia. Brain
• ISSN: 2005-6419; 2005-7563

The surgical and anesthetic management for giant cerebral aneurysm is difficult because of their great size or lack of an anatomic neck. Recently, total circulatory arrest, profound hypothermia using cardiopulmonary bypass and the cerebral protection of barbiturate are able to manage the difficult cerebral aneurysm operation due to the ease of the surgical approach and the decreased post operative neurological injury. These techniques were successfully utilized in the patient of the diamerer-3 cm sized giant cerebral aneurysm located at the bifurcation between the right internal carotid artery and the anterior cerebral artery, and the surgical and anesthetic considerations are reviewed. (Korean J Anesthesiol 1998; 35: 767∼771)