2010 1. 2. 3. 4. 5. 6. 7. 7. 8. 1
1. 1,,,,,,, TUR-P, TUR-Bt 2 3 TUR P,TUR-Bt 4 2, 3. [ ] 1 2,,, 2
2,,,,,, NYHA,,,,, Hugh-Jones,,,,,,,,,,, 10 / l PT-INR1.5 APTT 50 NSAIDs 4 1 12 24 12 5PT-INR PT INR 3
<> 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 ( ) ( ) 1 70 8~12 4 150 12~36 5 150 12~36 5 200 24~48 25 200 36~54 25 200 36~54 4
: BCG 4 B2 4 21 24 12 21 5 20 21 4 Room air 5mEq/l3.5mEq/l HbA1c, 5
[ ] 1 0 2 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 [] 9 30 1 1 6
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 ) 4 5 6. 7 8 10Fr,14Fr. 7
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
. 2 1 1 (3/4/6 )( ) ( ) 9
. 6L/min. 1 2 g/kg. 1 2 /kg. 0.6 /kg..... 10. Cormack Grade1 4 I.D. mm cm, cc cc, bpm, I:E, PEEP cmh2o cm 10
1 EC 1 2 3 2 1. 2. 3. 4. 5. 6. 1 3 1. 2. 3. 4. 5.,, 4 6 10cc/kg 4, : 8 10 /, : I E = 1 : 2 5, PEEP 3 5cmH2O 6 Volume control BMI22 1 2 3 4 5 ( ) 6 PEEP PEEP 11
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
1 SAS: Sleep Apnea Syndrome, 2, Over-Bite, Over-Jet, 3 1 Crush Induction 1 6 2 2 2 Full-Stomach,, crush induction Crush Induction... 100% 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
1 a. (G) (O)(S) I b. TIVA: total intravenous anesthesia TCI(Target controlled infusion)1 c. ( ) 2 ()? ETCO2 ETCO2 () 1. TCI 14
3 2.5 51 2 4 a. 3 10 cc /kg/hr 5cc /kg/hr 2cc /kg/hr 3 4cc /kg/hr 2cc /kg/hr b. 60 70cc/kg 4 < 500cc10% 2 < 1000cc10 20% > 1000cc20% 1 2.5 2 3 4 dilution technique MAP 30 15
5 1. 100 2. 3. (Af) 4. 16
10L/min 1 ()2 5cc/kg 200 250cc/hr 100 1 agitation 2 TOFR 0.9 DBS ) () 17
() L/min 18
1 2 1 3 4 a. b. 5 6 1 19