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KMID : 0374919950160040633
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Inje Medical Journal
1995 Volume.16 No. 4 p.633 ~ p.638
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Continuous Epidaral Anethesia for Lower Abdomen and Perianal Prostatic Surgery in Geriatric Patients
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김성주
유병훈/김정원/신동엽/홍기혁
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Abstract
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Recently, surgery and anesthesia for old age has been increased because of the development of medicine and economic state. There are various complicated problems in geriatric patients, such as the intraoperative hemodynamic instability,
postoperative
pulmonary complications and thromboembolism.
So the regional anesthesia is considered to be better than general anesthesia for geriatric patients in the respect of safety in management. We studied optimal epidural anesthesia for lower abdomen and lower extremities, perianal, prostate of the
ages
over 65 years. And we tried to make proper dosage of anesthetics and anesthetic level selection of anesthetics according to it's characteristics.
We concluded that 0.6 ml for each spinal segment is optimal dosage for 65 years old age. And selection of anesthetics for epidural anesthesia should be considered for its' duration of effect and properties such as muscle relaxation power and
systemic
toxicity.
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KEYWORD
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