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Korean J Crit Care Med > Volume 15(1); 2000 > Article
Korean Journal of Critical Care Medicine 2000;15(1): 52-55.
저산소성 뇌손상에서 BIS를 이용한 Thiopental Sodium의 치험
권재영, 송슬기, 김경훈, 신상욱, 백승완
부산대학교 의과대학 마취과학교실
The Use of Thiopental Sodium with BIS Monitoring in Hypoxic Brain Damage
Jae Young Kwon, Sul Ki Song, Kyung Hoon Kim, Sang Wook Shin, Seong Wan Baik
Department of Anesthesiology, College of Medicine, Pusan National University, Pusan, Korea.
ABSTRACT
Hypoxemia is a common and potentially serious postoperative complication. Hypoxic encephalopahty may occur in prolonged hypoxemia. This condition needs brain protection. There are many brain protective methods. The primary cental nervous system protective mechanism of the barbiturates is attributed to their ability to decrease the cerebral metabolic rate, thus improving the ratio of oxygen (O2) supply to O2 demand. The electroencephalogram-derived bispectral index system (BIS) is a promising new method to predict probability of recovery of consciousness. We experienced two cases of hypoxic brain damage in recovery room. The patients were treated with thiopental and monitored with BIS. The use of thiopental as brain protection during complete global ischemia after cardiac arrest was not effective.
Key Words: Anesthetics; intravenous; thiopental; Anesthetic equipment; bispectral index; monitoring device; Brain; hypoxia
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