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KMID : 0352519940310020289
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Korea Univercity Medical Journal
1994 Volume.31 No. 2 p.289 ~ p.292
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Aclinical Review of Deep Sedation Anesthesia with Midazolam and Kotamine for the Facial Chomical peeling
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장성조
김난숙/임혜자/공명훈/조헌/안덕선
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Abstract
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Various kinds of chemical compounds are used for the practice of facial chemical peeling. Most of the patients who are going to take chemical peeling operation do not need anesthesia except light sedation. But in case of using 50%
trichloroacetic
acid
for that procedure there may be some needs of anesthesia because of severe pain. Deep sedation with midazolam(0.1mg/kg) and ketamine(1mg/kg) was performed for the facial chemical peeling in 85 patients and its clinical effects with usabilities
were
evaluated.
@ES The results are as follows:
@EN 1. No one could recall about one's operation.
2. Dreams occurred in 18.8% of the cases, of which 3.5% were bad dreams.
3. On recovery 89.4% of the cases were peaceful and relaxed, only 3.5% of them were in bad mood.
4. The percentage of the cases who would recommend this anesthesia technique for facial chemical peeling was 87.1.
5. Most common complication of this anesthesia technique was hypertension(83.5%).
Although the above anesthetic method is relatively safe and selected by most of the patients, the control of the high blood pressure is not so easy and sometimes there can be severe hypoxia, so meticulous control of high blood pressure and
continuous
monitoring of arterial oxygen saturation are needed.
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KEYWORD
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