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KMID : 0377619770330040379
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Korean Jungang Medical Journal
1977 Volume.33 No. 4 p.379 ~ p.380
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Studies on the Hypoglycemic Effect of Xanthoxalis Corniculata (Linne) Small (I)
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Koh Kwang-Sam
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Abstract
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Since 1963 to 1977, the Neuroleptanesthesia and the Neuroleptanalgesia has been used. A mixture of the phenopheridine and haloperidol with inhalation of nitrous oxide-oxygen has been used to provide Neuroleptanesthesia for gynecologic surgery in 109 cases, 7 cases of laryngoscopic biopsy and larygoscopic microsurgery, with Neuroleptanalgesia was performed in 1965. Since 1965 to 1977, 29 cases Neuroleptanesthesia has been performed with an intravenous administration of Innovar with nitrous oxide-oxygen inhalation requiring muscular relaxation had to be added.
Neuroleptanalgesia for laryngeal microsurgery, an anesthetic technic consists of intravenous administration of Innovar with 1% Tetracaine spray into the larynx. Total doses administered were droperidol 7.7mg (0.14mg/kg) and fentanyl 0.3mg (0.005mg/kg) with pethidine and chloropromazine, respectively. Arterial blood samples showed clinically insignificant PCO2 rise (5rmnHg up) and PO2 decrease (7mmHg down). Advantages of this anesthetic technic includes:
1. Lack of endotracheal tube produces unobstructed wide surgical fields.
2. Patients are conscious during the procedure and the surgeon is able to observed the movement of the vocal cords by the phonation of patients.
3.Anesthetic technic is simple
4. Time for surgery is not limited Disadvantages fort he technic are: 1. The degree of respiratory depression is slight difficuties encountered to obtain adequate depth of anesthesia to control cough reflex. 2. There are high incidences (80%) of hypertension, was used to control high systemic blood pressure.
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KEYWORD
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