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J Korean Soc Laryngol Phoniatr Logop > Volume 20(1); 2009 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2009;20(1): 11-16.
외래 후두 수술의 술전처치 및 마취
이승원1, 김재욱1, 고윤우1, 이준호2
1순천향대학교 의과대학 이비인후과학교실
2순천향대학교 의과대학 마취통증의학과학교실
Premedication & Anesthesia for OPD Based Laryngeal Procedures
Seung-Won Lee1, Jae-Wook Kim1, Yoon-Woo Koh1, Jun-Ho Lee2
1Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine
2Anesthesia & Pain Medicine, Soonchunhyang University College of Medicine
ABSTRACT
OPD based laryngeal procedures offers a new avenue to the modern laryngologist, incorporating new technology in the office setting. With the development of flexible fiberoptic endoscopes, compact video system, and short acting anesthetics and sedatives allow these procedures. The success or failure of procedures are depend on excellent topical anesthesia. An inadequately anesthetized patient is apt to be uncomfortable, anxious and hyperresponsive and therefore unlikely to tolerate the procedure. On the other hand, a patient who is well informed, reassured, and thoroughly anesthetized can complete procedures. Therefore, optimal anesthesia is obligatory for excellent surgical results. The phonosurgeon should choose the anesthetic and sedative agents based on duration of action, time of onset of action, and any medical contraindications that the patient may have. And should be familiar with the properties and interaction of the agents used, as well as the signs of toxicity.
KEY WORDS: Local anesthesia;Outpatient;Vocal cord paralysis;
중심 단어: 부분마취;외래;성대마비;
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