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
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.49 No.3
- 발행연도
- 2005.1
- 수록면
- 409 - 412 (4page)
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초록· 키워드
오류제보하기
Severe hypoxemia is considered by many to contraindicate major surgery. Several studies have shown that dependency on oxygen, PaO2 ≤ 60 mmHg, PaCO2 ≥ 45 mmHg, FEV1 ≤ 50%, and FVC ≤ 75% are indicative of a high risk of morbidity and mortality following major surgical procedures. Here, we report our experience of the use of regional anesthesia in such patients. One patient was a 82-year-old female patient who was scheduled for partial hip replacement due to a fracture of the right femur. Her pulmonary function test and preoperative arterial blood gas analysis results were as follows: FVC 1.23 L (49.1%), FEV1 1.11 L (61.3%), FEV1/FVC 90.2%, a room air pH 7.423, PaCO2 43.0 mmHg, PaO2 46.4 mmHg, SaO2 84.5% and base excess 2.7 mM/L. Another patient was a 79-year-old COPD male patient scheduled for appendectomy. His immediate preoperative arterial blood gas analysis results were; room air pH 7.368, PaCO2 62.1 mmHg, PaO2 43.8 mmHg, SaO2 77.4% and base excess 7.3 mM/L. Both patients underwent and tolerated surgery safely with regional anesthesia. No permanent sequela occured postoperatively in these cases. No severe changes in room air arterial blood gas levels were observed before and after surgery. We present a review of two cases of severe hypoxemia in which a regional block was used.
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