제왕절개환자에 있어서 Succinylcholine-Atracurium의 임상적 고찰 = A Clinical Study of Succinylcholine-Atracurium for Cesarian Section

국문 초록 (Abstract)

제왕절개술 환자 10인에게 Succinylcholine Chloride 및 atracurium을 준 결과 다음과 같은 결론을 얻었다.
1.Succinyline chloride 1㎎／㎏와 atracurium 0.4㎎／㎏를 주어 충분한 근육이완을 유지하였다.
2.혈압과 맥박은 atracurium주사 후 의의있는 변화는 없었다.
3.태아의 Apgar score는 1분과 5부때 8∼10점으로 모두 양호한 상태였다.

다국어 초록 (Multilingual Abstract)

Atracurium was used in 10 parturients undergoing eletive cesarian section under general Anes-thesia.
An initial bolus of 0.4㎎／㎏ of the atracurium was injected after recovery from succinylcholine block. Complete neurmuscular block resulted in all cases. Muscular relaxation was maintained by incremental dose of 0.2㎎／㎏ of atracurium. Administration of atracurium did not cause significant change in blood pressure, pulse rate and infants apgar score. The residual neuromuscular block could be antagonized at the end of the procedure by mixture of 0.005㎎／㎏ glycopyrrolate and 0.03㎎／㎏ of neostigmine.
In all parturients, antagonism was adequate as evidenced by repiratory response and head lift test. Atracurium may be advantageous in parturients undergoing ceasrian section under general anesthesia cause it maintained cardiovascular stability, is non-cumulative, is readily antagonized by neostigmine and has no deleterious effect on the newborn.