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KMID : 0356919940270121818
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Korean Journal of Anesthesiology
1994 Volume.27 No. 12 p.1818 ~ p.1821
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A Case Report of Profound Hypotension during Vaginal Hysterectomy in a Geriatric Patient
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윤희동
공명훈/조헌/임혜자/김난숙/장성호
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Abstract
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An anesthesiologist should keep in mind the various risk factors during anesthetic management of geriatric patients. Unlike young patients, elderly patients may manifest more than one pathophysiologic process associated with progressive
degenerative
changes in various organs. The successful anesthetic management requires detailed information about the cause and severity of the underlying disease, thorough understanding of geriatric specific hemodynamic particularities, and more careful
monitoring
by experienced personnel.
We experienced a case of profound hypotension during general anesthesia for vaginal hysterectomy in a 67 year-old female patient. Anesthesia was induced with thiopental-vecuronium and was maintained with nitrous oxide, oxygen and enflurane. One
hundred
and five minutes after the induction, profound hypotension and bradycardia with S-T segment depression developed without specific events and were corrected by vigorous therapeutic managements. She discharged from the hospital on 7th postoperative
day
without complications.
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KEYWORD
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