지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 255 - 261 (7page)
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초록· 키워드
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Background: Thoracic epidural anesthesia is frequently used to maintain intraoperative and postoperative analgesia. Frequently, 3 ml of local anesthetic is used as a test dose, or for intermittent epidural injection. We assessed the extent of the spread of 3 ml of contrast medium in the thoracic epidural space and attempted to identify any correlating factors affecting the epidurography.Methods: A total of 70 patients were enrolled in the study, and thoracic epidural catheterizations were performed under fluoroscopic guidance. Using 3 ml of contrast medium, epidurography was evaluated to confirm the number of spinal segments covered by the contrast medium. Correlation analysis was performed between patient characteristics (sex, age, body mass index, weight, height, and location of catheter tip) and the extent of the contrast spread.Results: The mean number of vertebral segments evaluated by contrast medium was 7.9 ± 2.2 using 3 ml of contrast medium. The contrast spread in the cranial direction showed more extensive distribution than that in the caudal direction, with statistical significance (P ＜ 0.01). Patient height demonstrated a negative correlation with the extent of distribution of contrast medium (r = −0.311, P ＜ 0.05).Conclusions: Thoracic epidurography using 3 ml of contrast medium results in coverage of a mean of 7.9 ± 2.2 spinal segments, with more extensive cranial spread, and patient height showed a weak negative correlation with the distribution of contrast medium. (Korean J Pain 2016; 29: 255-61)
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Zhang D / 2013 / Distribution of contrast medium epidurally injected at thoracic and lumbar vertebral segments / J Vet Med Sci 75:663~666
Gessler F / 2016 / Postoperative patient-controlled epidural analgesia in patients with spondylodiscitis and posterior spinal fusion surgery / J Neurosurg Spine 24:965~970
Nishimori M / 2012 / Epidural pain relief versus systemic opioid-based pain relief for abdominal aortic surgery / Cochrane Database Syst Rev :CD005059
Pöpping DM / 2008 / Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery : a meta-analysis / Arch Surg 143:990~999
김신형 / 2013 / Patient-controlled Epidural Analgesia with Ropivacaine and Fentanyl: Experience with 2,276 Surgical Patients / The Korean Journal of Pain 26(1):39~45
Gessler F / 2016 / Postoperative patient-controlled epidural analgesia in patients with spondylodiscitis and posterior spinal fusion surgery / J Neurosurg Spine 24:965~970
Nishimori M / 2012 / Epidural pain relief versus systemic opioid-based pain relief for abdominal aortic surgery / Cochrane Database Syst Rev :CD005059
Pöpping DM / 2008 / Protective effects of epidural analgesia on pulmonary complications after abdominal and thoracic surgery : a meta-analysis / Arch Surg 143:990~999
김신형 / 2013 / Patient-controlled Epidural Analgesia with Ropivacaine and Fentanyl: Experience with 2,276 Surgical Patients / The Korean Journal of Pain 26(1):39~45
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