1. 1,,,,,,, TUR-P, TUR-Bt 2 3 TUR P,TUR-Bt 4 2, 3. [ ] 1 2,,, 2

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2 1. 1,,,,,,, TUR-P, TUR-Bt 2 3 TUR P,TUR-Bt 4 2, 3. [ ] 1 2,,, 2

3 2,,,,,, NYHA,,,,, Hugh-Jones,,,,,,,,,,, 10 / l PT-INR1.5 APTT 50 NSAIDs PT-INR PT INR 3

4 <> 25mg or 5mg, or i.v. 50~75mg or 10~15mg or i.v. 1~2 100~150mg or 20~30mg or i.v. 2~3 50~100mg 6~8 i.v. or 0.18mg/kg/h cdiv. 50 g/d ( 1 ) vital sign Na 5mg/d 5mg/d JCLS ( ) ( ) ~ ~ ~ ~ ~ ~54 4

5 : BCG 4 B Room air 5mEq/l3.5mEq/l HbA1c, 5

6 [ ] H2 21:00 H- 1.(150mg) 2.(75mg) 2.(0.4mg) 2.(0.8mg) ( 1) (75) 2C (0.8) 1T (21:00) ( 2) (150) 1T (21:00) ( ) 3 6:00 Ca, ACE, A, 60 []

7 2 2 3 Fabius GS4 3 5 No.3 No.4 6 I.D. 8.0mm I.D.7.5mm 7 LMATUR L 8 1 L1L/10kg 2 3 (Cap ) Fr,14Fr. 7

8 4 1%: 26G1cc 20, 18/16, 22/20 S 8% 16Fr./18Fr. BIS TIVA 1 2 SD 4~5mg/ml 6 BIS BIS 1 2 8

9 (3/4/6 )( ) ( ) 9

10 . 6L/min. 1 2 g/kg. 1 2 /kg. 0.6 /kg Cormack Grade1 4 I.D. mm cm, cc cc, bpm, I:E, PEEP cmh2o cm 10

11 1 EC ,, cc/kg 4, : 8 10 /, : I E = 1 : 2 5, PEEP 3 5cmH2O 6 Volume control BMI ( ) 6 PEEP PEEP 11

12 LMA( ) LMA ProSeal Supreme Classic 3 #4 5 #3 4 () ProSeal Supreme Classic Proseal LMA LMA () ( ) 2mg/kg 2.5mg/kg 2.5mg/kg 3mg/kg ( ) LMA Proseal 2 Supeme ( ) Classic Proseal LMA 15 20cc(#4 5 ) ( ) 12

13 1 SAS: Sleep Apnea Syndrome, 2, Over-Bite, Over-Jet, 3 1 Crush Induction Full-Stomach,, crush induction Crush Induction % priming-dose 0.03mg/kg precurarisation 3 4 precurarisation. cricoid pressure. 3 5mg/kg 2mg/kg 1.5mg/kg 1.2mg/kg. 5 10cc. 20cmH2O 1 2 Full-Stomach 13

14 1 a. (G) (O)(S) I b. TIVA: total intravenous anesthesia TCI(Target controlled infusion)1 c. ( ) 2 ()? ETCO2 ETCO2 () 1. TCI 14

15 a cc /kg/hr 5cc /kg/hr 2cc /kg/hr 3 4cc /kg/hr 2cc /kg/hr b cc/kg 4 < 500cc10% 2 < 1000cc10 20% > 1000cc20% dilution technique MAP 30 15

16 (Af) 4. 16

17 10L/min 1 ()2 5cc/kg cc/hr agitation 2 TOFR 0.9 DBS ) () 17

18 () L/min 18

19 a. b

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