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치핵 절제술에서 펜토탈 유도 국소마취와 척추마취의 비교; 전향적 조사

Hemorrhoidectomy Under Local Anesthesia after Pentothal Induction versus Spinal Anesthesia: a Concurrent Nonrandomized Prospective Study

대한대장항문학회지 2006년 22권 1호 p.1 ~ 7
강충훈 ( Kang Chung-Hoon ) - 양병원 대장항문과

이상우 ( Lee Sang-Woo ) - 양병원 마취과
신현근 ( Shin Hyeon-Keun ) - 양병원 대장항문과
정승규 ( Jung Seung-Kyu ) - 양병원 대장항문과
최재표 ( Choi Jae-Pyo ) - 양병원 대장항문과
양형규 ( Yang Hyung-Kyu ) - 양병원 대장항문과

Abstract


Purpose: The aim of this study was to evaluate the effectiveness of local anesthesia compared to spinal anesthesia and the usefulness of pentothal induction before infiltration of a local anesthetic agent.

Methods: A concurrent non-randomized prospective study was conducted on 52 patients who underwent a hemorrhoidectomy. For the spinal anesthesia (SA) group (n=29), 0.5% heavy bupivacaine (MarcaineⰒ), 5 mg (1 ml), was used, and for the local anesthesia (LA) group (n=23), pentothal, 3.3 mg/kg, was administrated intravenously prior to infiltration of a mixture of local anesthetics (2% lidocaine, 14 ml, with 0.5% bupivacaine, 7 ml).

Results: There were no differences between the two groups in terms of operating time, postoperative pain, headache, urinary difficulty, nausea or vomiting, pain-free interval after operation, analgesic requirements, and patient’s or surgeon’s satisfaction. Postoperative ambulation was earlier in the LA group than in the SA group.

Conclusions: Local anesthesia after pentothal induction can be used effectively for a hemorrhoidectomy and may be a safe alternative to spinal anesthesia. J Korean Soc Coloproctol 2006;22:1-7

키워드

치핵절제술;펜토탈;국소마취
Hemorrhoidectomy;Pentothal;Local anesthesia
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