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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
- 발행연도
- 2017.1
- 수록면
- 71 - 76 (6page)
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초록· 키워드
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Purpose: Laser therapy for retinopathy of prematurity (ROP) is commonly performed under general anesthesia (GA). However, the use of GA for laser therapy in neonates who have already undergone invasive ventilation may lead to postoperative complications such as severe apnea or the development of ventilator dependency. This study aimed to examine the safety of administering only sedatives instead of GA in extremely low birth weight (ELBW) infants, who are the usual recipients of laser therapy for ROP.
Methods: Among ELBW infants who were admitted to the neonatal intensive care unit (NICU) at Samsung Medical Center between January and December 2012, we studied 30 patients treated with laser therapy for ROP.
Results: The mean gestational age of the patients was 24.6±1.9 weeks, with a mean birth weight of 646±140 g. The mean age and weight of patients at the time of laser therapy for ROP was 36.3±2.3 weeks and 1,470±423 g. In terms of sedatives, 14 patients (46.7%) were administered chloral hydrate alone, 14 (46.7%) were administered a combination of chloral hydrate and midazolam, one was administered midazolam alone, and one received fentanyl. Prior to laser therapy, 16 patients (53.5%) had established self-respiration, 13 (43.3%) relied on non-invasive ventilation and one patient relied on invasive mechanical ventilation. Following laser therapy, two patients who initially had exhibited self-respiration required respiratory assistance via non-invasive positive pressure ventilation and no patient required intratracheal intubation.
Conclusions: We conclude that the use of sedatives may be safe for ELBW infants who undergo laser therapy for ROP.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Cayabyab R / 2016 / Retinopathy of prematurity:therapeutic strategies based on pathophysiology / Neonatology 109 : 369 ~ 376
Chen SD / 2007 / Variation in anaesthesia for the laser treatment of retinopathy of prematurity - a survey of ophthalmologists in the UK / Eye 21 : 1033 ~ 1036
Connolly BP / 2002 / A comparison of laser photocoagulation with cryotherapy for threshold retinopathy of prematurity at 10 years. Part 2: Refractive outcome / Ophthalmology
Demirel N / 2014 / Remifentanil analgesia during laser treatment for retinopathy of prematurity: a practical approach in neonatal in
Early Treatment for Retinopathy of Prematurity Cooperative Group / 2003 / Revised indications for the treatment of retinopathy of prematurity: results of the early treatment
Chen SD / 2007 / Variation in anaesthesia for the laser treatment of retinopathy of prematurity - a survey of ophthalmologists in the UK / Eye 21 : 1033 ~ 1036
Connolly BP / 2002 / A comparison of laser photocoagulation with cryotherapy for threshold retinopathy of prematurity at 10 years. Part 2: Refractive outcome / Ophthalmology
Demirel N / 2014 / Remifentanil analgesia during laser treatment for retinopathy of prematurity: a practical approach in neonatal in
Early Treatment for Retinopathy of Prematurity Cooperative Group / 2003 / Revised indications for the treatment of retinopathy of prematurity: results of the early treatment
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