Blood gas and hemodynamic effects of sedatives and analgesics when used as a supplement to local anesthesia in plastic surgery.
Abstract
In 20 patients undergoing a rhinoplasty or rhytidectomy under local anesthesia combined with intravenous sedatives and hypnotics, fairly satisfactory operating conditions were obtained. This technique was associated with respiratory depression and hypoxia, however, with statistically significant elevations in the arterial carbon dioxide tensions, and depressions in the arterial oxygen tensions. We now advocate the routine use of supplement oxygen and periodic deep breathing during the operation, and in the immediate postoperative period. We will continue to advise the use of general anesthesia in patients with cardiopulmonary disease. The mental detachment and inability to articulate discomfort during the procedure are major disadvantages to the use of fentanyl and droperidol in these patients.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | rhinoplasty
|
코성형술 | dict | 1 | |
| 시술 | rhytidectomy
|
안면거상술 | dict | 1 | |
| 해부 | Blood
|
scispacy | 1 | ||
| 해부 | intravenous sedatives
|
scispacy | 1 | ||
| 약물 | carbon dioxide
|
C0007012
carbon dioxide
|
scispacy | 1 | |
| 약물 | oxygen
|
C0030054
oxygen
|
scispacy | 1 | |
| 약물 | fentanyl
|
C0015846
fentanyl
|
scispacy | 1 | |
| 약물 | droperidol
|
C0013136
droperidol
|
scispacy | 1 | |
| 약물 | sedatives
|
scispacy | 1 | ||
| 질환 | respiratory depression
|
C0235063
Respiratory Depression
|
scispacy | 1 | |
| 질환 | hypoxia
|
C0242184
Hypoxia
|
scispacy | 1 | |
| 질환 | depressions
|
C0011570
Mental Depression
|
scispacy | 1 | |
| 질환 | cardiopulmonary disease
|
C0034072
Cor pulmonale
|
scispacy | 1 | |
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | arterial
|
scispacy | 1 | ||
| 기타 | arterial oxygen tensions
|
scispacy | 1 | ||
| 기타 | cardiopulmonary
|
scispacy | 1 |
MeSH Terms
Adult; Analgesics; Anesthesia, Local; Blood Pressure; Carbon Dioxide; Female; Hemodynamics; Humans; Hypnotics and Sedatives; Male; Oxygen; Surgery, Plastic
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