잘못 장착된 기화기로 인한 전신마취 중 각성open accessAwareness during general anesthesia due to the unlock position of the vaporizer
- Other Titles
- Awareness during general anesthesia due to the unlock position of the vaporizer
- Authors
- 김경헌; 조상윤; 김규남; 심재황; 전우재; 염종훈; 신우종
- Issue Date
- Jun-2009
- Publisher
- 대한마취통증의학회
- Keywords
- Awareness; Disconnection; Vaporizer; Awareness; Disconnection; Vaporizer
- Citation
- Korean Journal of Anesthesiology, v.56, no.6, pp.693 - 697
- Indexed
- KCI
- Journal Title
- Korean Journal of Anesthesiology
- Volume
- 56
- Number
- 6
- Start Page
- 693
- End Page
- 697
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/171645
- DOI
- 10.4097/kjae.2009.56.6.693
- ISSN
- 2005-6419
- Abstract
- Awareness with recall after general anesthesia is a relatively infrequent occurrence and this awareness is often associated with significant adverse psychological sequelae, including posttraumatic stress disorder. The occurrence of awareness is often the consequence of the light anesthetic techniques with using minor anesthetic agents. Because the locking lever of the Penlon Sigma Delta Anesthetic vaporizer (sevoflurane) was at the unlock position, disconnection happened between the anesthetic machine and the vaporizer (the SelectatecⓇ vaporizing system). In our two cases, the inhalation agents were not supplied and awareness with recall was identified after surgery. We recommend to check the concentration of the inhalation agents by monitoring the concentration of using endtidal inhalation agents and to measure the hypnotic level of anesthesia via the bispectral index (BIS) and the auditory evoked potential (AEP).
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