KMID : 0356920090560060713
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Korean Journal of Anesthesiology 2009 Volume.56 No. 6 p.713 ~ p.716
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Anesthetic management of a patient with pulmonary arteriovenous malformation under total intravenous anesthesia -A case report -
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Kim Jong-Chan
Kwak Hyun-Jung Lee Kyung-Cheon Choi Jung-Ju Lee Hee-Dong
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Abstract
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23-year-old woman with pulmonary arteriovenous malformation was scheduled for open reduction and internal fixation due to her mandible fracture. Total intravenous anesthesia using propofol and remifentanil was selected as the anesthetic method in order to avoid the inhibition of hypoxic pulmonary vasoconstriction and the exacerbation of intrapulmonary shunting. After the standard monitoring devices were applied, anesthesia was then induced and maintained with a target controlled infusion of propofol and remifentanil in the range of 2.5?3.0?g/ml and 2?3 ng/ml, respectively. Anesthesia was performed uneventfully and the patient was discharged without complication.
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KEYWORD
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Propofol, Pulmonary arteriovenous malformation, Remifentanil, Total intravenous anesthesia
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