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�뫕 留덉랬�쑀�룄�쓽 諛⑸쾿
�뿬�윭 媛�吏� 諛⑸쾿�뱾�씠 �궗�슜�맆 �닔 �엳�뒗�뜲 �솚�옄�쓽 �굹�씠, �룞諛섎맂 吏덊솚, �닔�닠�쓽 醫낅쪟, 留덉랬�쓽�쓽 �닕�젴�룄��� 痍⑦뼢�뿉 �뵲�씪 �꽑�깮�맆 �닔 �엳�떎. 鍮좊Ⅴ怨� �솚�븘�뿉寃� 寃곸쓣 �뜙 二쇰뒗 留덉랬�쑀�룄媛� �꽑�샇�릺硫� �젙�떊�쟻�쑝濡� �븞�젙�떆�궎湲� �쐞�빐 �솚�븘媛� 留덉랬�쑀�룄 �긽�솴�쓣 議곗젅�븷 �닔 �엳寃� �븳�떎. �삁瑜� �뱾�뼱 留덉랬�쓽 臾대쫷�뿉 �븠嫄곕굹 媛꾪샇�썝�씠 �븞嫄곕굹 �닔�닠��� �쐞�뿉 �븠�뒗 寃껋쓣 �솚�븘媛� �꽑�깮�븯寃� �븯�뒗寃껊룄 醫뗫떎.
�몺 inhalation induction
�븞硫� 留덉뒪�겕�뿉 �쓽�븳 �씉�엯 留덉랬�쑀�룄�뒗 誘멸뎅�쓽 寃쎌슦 �냼�븘留덉랬�뿉�꽌 媛��옣 �쓷�엳 �궗�슜�릺�뒗 諛⑸쾿�씤�뜲 ���遺�遺꾩쓽 �솚�븘�뿉�꽌 �긽����쟻�쑝濡� 鍮좊Ⅴ怨� �돺寃� 留덉랬�쑀�룄瑜� �씠猷� �닔 �엳怨� �젙留μ뭅�뀒�뀒瑜� �궫愿�蹂대떎 嫄곕��媛먯쓣 �뜙 二쇨린 �븣臾몄씠�떎.
留덉뒪�겕瑜� �궗�슜�븷 �븣�뒗 `funny-smelling gas`or `smells like mommy`s perfume`�벑怨� 留먯쓣 �삩�쉶�븯寃� �븯�뒗 寃껋씠 �룄����씠 �맂�떎.
• choice of agents
Halothane��� ����씉�엯留덉랬�젣蹂대떎 �뜙 irritating�븯怨� smooth induction�쓣 �븷 �닔 �엳�떎. �떒�젏�쑝濡쒕뒗 �삁�븸怨� 議곗쭅�뿉 �넂��� �슜�빐�룄瑜� 蹂댁씠怨� cardiac toxicity媛� �엳�떎.
�떎瑜� 留덉랬�젣�뱾�씤 enflurane, isoflurane, desflurane��� halothane蹂대떎 �옄洹뱀쟻�씠硫� isoflurane留덉랬�쑀�룄�떆�뿏 5%�쓽 �솚�븘�뿉�꽌 �썑�몢寃쎈젴�씠 �깮湲곌퀬 enflurane留덉랬�쑀�룄�떆�뿏 7%�쓽 �솚�븘�뿉�꽌 寃쎈젴�씠 �깮湲곌퀬 desflurane留덉랬�쑀�룄�떆 �씎遺꾩�� 100%, �샇�씉以묒���뒗 50%, 湲곗묠��� 30%, �썑�몢寃쎈젴��� 30%媛� �깮湲대떎怨� �븳�떎.
諛섎㈃ �깉濡쒖슫 agent�씤 sevoflurane��� 遺��옉�슜�씠 �쟻�뼱 halothane�쓽 �떒�젏�쓣 蹂댁셿�븯�뿬 pediatric anesthesia�뿉�꽌 �겙 鍮꾩쨷�쓣 李⑥���븯怨� �엳�떎. �삉�븳 airway reflex 諛섏쓳�쓣 蹂댁씠吏� �븡�븘 halothane蹂대떎 鍮좊Ⅴ寃� 留덉랬�쑀�룄瑜� �븷 �닔 �엳怨� cardiovascular event(bradycardia)瑜� �쟻寃� �씪�쑝�궓�떎.
�씉�엯留덉랬�젣�쓽 怨듯넻�쟻�씤 遺��옉�슜�쑝濡쒕뒗 co���(�깮�왂)
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