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순환정지와 초저체온 및 Barbiturate를 이용한 거대 뇌동맥류 수술의 마취
김상태,배진호,강훈,임승운,민병상,권필순 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.4
The surgical and anesthetic management for giant cerebral aneurysm is difficult because of their great size or lack of an anatomic neck. Recently, total circulatory arrest, profound hypothermia using cardiopulmonary bypass and the cerebral protection of barbiturate are able to manage the difficult cerebral aneurysm operation due to the ease of the surgical approach and the decreased post operative neurological injury. These techniques were successfully utilized in the patient of the diamerer-3 cm sized giant cerebral aneurysm located at the bifurcation between the right internal carotid artery and the anterior cerebral artery, and the surgical and anesthetic considerations are reviewed. (Korean J Anesthesiol 1998; 35: 767∼771)