백내장 수술에서의 Curare Akinesia
Curare Akinesia in Cataract Operations
길찬일, 이명석, 신정순,
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길찬일 ( )
고려대학교 의과대학 마취과학교실
이명석 ( )
고려대학교 의과대학 마취과학교실
신정순 ( )
고려대학교 의과대학 마취과학교실
KMID : 0356919770100030143
Abstract
It has been generally understood that curare in small doses produces ocular akinesia. The special value or curare in the surgery of cartaract lies in the selective sequence of the paralysis which it produces. This affects first the muscles innervated by the cranial nerves, then the extremitties, and lastly the respiratory muscles.
Between May 1976 and August 1977, we have used curare in the cataract surgery for akinesia of ocular muscles.
Conclusions are summerized as follows;
1. Smaller dosages of curare are sufficient for quieting the patient and achieving ocular akinesia.
2. Curare is valuable substance fo rreduction the incidence of vitreous loss when eye is opened.
E. Ocular relaxation is a summation of premedication, analgesics, curare and retrobulbar infiltrations.
4. Curare should be administered only by anesthesiologists who are qualified experience with this drug because of it´s toxicity.
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