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제왕절개술시 Succmylcholine과 Pancuronium의 임상적 비교

A Clinical Comparison of Pancuronium and Succmylcholine for Cesarean Section Anesthesia

대한마취과학회지 1976년 9권 2호 p.173 ~ 179
김영익, 이종현,
소속 상세정보
김영익 (  ) - 전주 예수병원 마취과
이종현 (  ) - 전주 예수병원 마취과

Abstract


In this study, we adopted two different general anesthetic techniques for Cesarean section.
Patients were randomly assigned to two groups;
Group Ⅰ ; 51 patients, thiopental-succinylcholine-nitrous oxide-oxygen supplemented with ether or halothans anesthesia.
Group Ⅱ ; 67 patients, pancuronium-thiopental-nitrous oxide-oxygen supplemented with ether or halothane anesthesia.
Group Ⅰ (Succinylcholine group):
51cases were induced for anesthesia with 150∼250㎎ of thiopental and intubated with 1㎎/㎏ of succinylcholine followed by 100% oxygen with controlled ventilation. After delivering the fetus, anesthesia was maintained with nitrous oxide-oxygen-ether or halothane throungout-the procedure.
Group Ⅱ (Pancuronium group);
Anesthesia was performed with 150∼250㎎ of thiopental, 0.08㎎/㎏ of pancuronium with endotracheal intubation for 67 patients.
After delivery, nitrous oxide with oxygen and supplemental ether or halothane were given, if necerssary.
It was concluded that incidence of hypotension was less in the pancuronium group, and no evidence of fetal effects was seen.
And there is no clinical evidence of significant placental transfer of pancuronium and that this is a safe and efficacious agent for incorporation into the nitrous oxide-relaxant anesthetic technique for Cesarean section.
No clear superiority of succinylcholine over pancuronium was demonstrated in this study.

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