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임상연구 : 간엽 절제술 시 중심정맥압이 출혈량에 미치는 영향
최승호 ( Seung Ho Choi ),반소영 ( So Young Ban ),전나형 ( Na Hyung Jun ),전동병 ( Dong Byeong Jun ),남순호 ( Soon Ho Nam ),길혜금 ( Hae Keum Kil ),김경식 ( Kyung Sik Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.6
Background: Some studies reported that lowering central venous pressure (LCVP) during liver resection could significantly reduce the intra-operative blood loss, however it is still controversial concerning LCVP induced renal dysfunction, hypovolemia, hemodynamic instability. This study evaluated the association of low central venous pressure with blood loss during liver resection comparing the control group. Methods: A total 62 patients aged 20 to 70 underwent hepatectomy by the same group of surgeon were randomized into group L (CVP<10 mmHg, n = 30) and control group C (CVP>10 mmHg, n = 32) during dissection and lobectomy period. Data such as age, sex, concurrent disease, liver resection site (right or left), pre-, intra- and postoperative day 3 hemoglobin, blood urea nitrogen, creatinine, bleeding time, prothrombin time, activated partitial thromboplastin time, intraoperative blood loss, urine output, transfusion volume, length of hospital stay were collected and compared between the two groups and t-test was used for comparison of results. Results: The difference of total blood loss between two groups was 193.6 ± 432.2 ml (group L; 589.1 ± 380.8 ml, group C; 782.7 ± 316.7 ml), however statistically insignificant (P value = 0.1243). Additionally, there were no significant differences in other data including the length of hospital stay. Conclusions: Our results suggest maintaining CVP under 10 mmHg is not effective in reducing blood loss during liver resection. (Korean J Anesthesiol 2007; 52: 663~8)
증례보고 : 내경정맥을 이용한 중심정맥 도관 삽입 후 발생한 종격동 수종
곽현주 ( Hyun Joo Kwak ),임의성 ( Eui Sung Lim ),반소영 ( So Young Ban ),이지연 ( Ji Yeon Lee ),윤주선 ( Joo Sun Yoon ),길혜금 ( Hae Keum Kil ),김기준 ( Ki Jun Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
We report a patient who developed a hydromediastinum associated with the insertion of a central venous catheter. A 32-year-old male, who presented for left nephroureterectomy, had a central venous catheter inserted after general anesthesia. The patient subsequently showed acute respiratory distress after extubation. His right neck was severely edematous and the chest radiograph revealed a widened mediastinal shadow. The exploratory neck incision showed fluid collection at the neck and mediastinum. (Korean J Anesthesiol 2007; 52: 335~8)