@article{ART002404867},
author={Taewan Yoon and kim seung oh},
title={Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients},
journal={Journal of the Korean academy of pediatric dentistry},
issn={1226-8496},
year={2018},
volume={45},
number={4},
pages={508-513},
doi={10.5933/JKAPD.2018.45.4.508}
TY - JOUR
AU - Taewan Yoon
AU - kim seung oh
TI - Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients
JO - Journal of the Korean academy of pediatric dentistry
PY - 2018
VL - 45
IS - 4
PB - The Korean Academy Of Pediatric Dentistry
SP - 508
EP - 513
SN - 1226-8496
AB - Tidal volume by sevoflurane in small amounts is stable due to the increase in the breathing rate. But alveolus ventilation decreases due to sevoflurane as the degree of sedation increases; this ultimately causes PaCO2 to rise. The occurrence of suppression of breath increases the risk of severe hypoxia and hypercapnia in deeply sedated patients with disabilities. Sevoflurane inhalation anesthesia has a number of risks and may have unexpected problems with hemodynamic changes depending on the underlying state of the body. This study was conducted to examine the stability of internal acid-base system caused by respiratory depression occurring when patients with disabilities are induced by sevoflurane.
Anesthetic induction was carried out by placing a mask on top of the patient’s face and through voluntary breathing with 4 vol% of sevoflurane, 4 L/min of nitrous oxide, and 4 L/min of oxygen. After the patient’s loss of consciousness and muscle relaxation, IV line was inserted by an expert and intravenous blood gas was analyzed by extracting blood from vein.
In a deeply sedated state, the average amount of pH of the entire patients was measured as 7.36 ± 0.06. The average amount of PvCO2 of the entire patients was measured as 48.8 ± 8.50 mmHg. The average amount of HCO3 - of the entire patients was measured as 27.2 ± 3.0 mmol/L.
In conclusion, in dental treatment of patients with disabilities, the internal acid base response to inhalation sedation using sevoflurane is relatively stable.
KW - Patient with disabilities;Sevoflurane inhalation sedation;General anesthesia;Respiratory depression
DO - 10.5933/JKAPD.2018.45.4.508
ER -
Taewan Yoon and kim seung oh. (2018). Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients. Journal of the Korean academy of pediatric dentistry, 45(4), 508-513.
Taewan Yoon and kim seung oh. 2018, "Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients", Journal of the Korean academy of pediatric dentistry, vol.45, no.4 pp.508-513. Available from: doi:10.5933/JKAPD.2018.45.4.508
Taewan Yoon, kim seung oh "Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients" Journal of the Korean academy of pediatric dentistry 45.4 pp.508-513 (2018) : 508.
Taewan Yoon, kim seung oh. Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients. 2018; 45(4), 508-513. Available from: doi:10.5933/JKAPD.2018.45.4.508
Taewan Yoon and kim seung oh. "Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients" Journal of the Korean academy of pediatric dentistry 45, no.4 (2018) : 508-513.doi: 10.5933/JKAPD.2018.45.4.508
Taewan Yoon; kim seung oh. Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients. Journal of the Korean academy of pediatric dentistry, 45(4), 508-513. doi: 10.5933/JKAPD.2018.45.4.508
Taewan Yoon; kim seung oh. Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients. Journal of the Korean academy of pediatric dentistry. 2018; 45(4) 508-513. doi: 10.5933/JKAPD.2018.45.4.508
Taewan Yoon, kim seung oh. Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients. 2018; 45(4), 508-513. Available from: doi:10.5933/JKAPD.2018.45.4.508
Taewan Yoon and kim seung oh. "Blood Gas Analysis of Respiratory Depression during Sevoflurane Inhalation Induction for General Anesthesia in the Disabled Patients" Journal of the Korean academy of pediatric dentistry 45, no.4 (2018) : 508-513.doi: 10.5933/JKAPD.2018.45.4.508
