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.70 No.2
- 발행연도
- 2017.1
- 수록면
- 213 - 216 (4page)
이용수
초록· 키워드
오류제보하기
Severe hypercapnia can be predicted by a decrease in cerebral electrical activity. The authors describe a sudden decrease in spectral entropy due to severe hypercapnia-induced respiratory acidosis in a patient with chronic pulmonary obstructive disease during lung resection. After two and a half hours of low tidal volume ventilation in the lateral position, the state entropy suddenly dropped from 45 to 7, without any changes in the effect-site concentration of propofol, end-tidal carbon dioxide (CO2) tension, oxygen saturation, or arterial pressure. However, arterial blood gas analysis showed severe respiratory acidosis (pH 7.01, PaCO2 115 mmHg and PaO2 246 mmHg with FIO2 of 0.5). Immediate hyperventilation improved the state entropy and acid-base balance. Electroencephalography-based spectral entropy can detect severe hypercapnia in chronic pulmonary obstructive disease patients with a large arterial to end-tidal CO2 difference due to prolonged hypoventilation during thoracic surgery.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Wahba RW / 1996 / Misleading end-tidal CO2 tensions / Can J Anaesth 43:862~866
Tobias JD / 2003 / Noninvasive carbon dioxide monitoring during one-lung ventilation: end-tidal versus transcutaneous techniques / J Cardiothorac Vasc Anesth 17:306~308
Cavus E / 2010 / Effects of cerebral hypoperfusion on bispectral index: a randomised, controlled animal experiment during haemorrhagic shock / Resuscitation 81:1183~1189
Yoshida H / 2007 / Flat electroencephalogram caused by carbon dioxide pneumoperitoneum / Anesth Analg 105:1749~1752
Bein B / 2006 / Entropy / Best Pract Res Clin Anaesthesiol 20:101~109
Tobias JD / 2003 / Noninvasive carbon dioxide monitoring during one-lung ventilation: end-tidal versus transcutaneous techniques / J Cardiothorac Vasc Anesth 17:306~308
Cavus E / 2010 / Effects of cerebral hypoperfusion on bispectral index: a randomised, controlled animal experiment during haemorrhagic shock / Resuscitation 81:1183~1189
Yoshida H / 2007 / Flat electroencephalogram caused by carbon dioxide pneumoperitoneum / Anesth Analg 105:1749~1752
Bein B / 2006 / Entropy / Best Pract Res Clin Anaesthesiol 20:101~109
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