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Korean J Anesthesiol > Volume 57(1); 2009 > Article
Korean Journal of Anesthesiology 2009;57(1):100-103.
DOI: https://doi.org/10.4097/kjae.2009.57.1.100   
Intraoperative awareness during sevoflurane-remifentanil anesthesia for minimal invasive mitral valvuloplasty: A case report.
Su Ah Kwon, Eun Soo Kim, Sung Chun Park, Hye Jin Kim, Jae Young Kwon, Seung Hoon Baek
1Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. anebsh@pusan.ac.kr
2Medical Research Institute, Pusan National University Hospital, Busan, Korea.
We report a case of unintentional intraoperative awareness during sevoflurane-remifentanil anesthesia in a 26 years old woman undergoing elective minimal invasive mitral valvuloplasty. Cardioprotective effects of sevoflurane were clinically most apparent when administered throughout the surgical procedure. Also use of sevoflurane during cardiopulmonary bypass decreases incidence of awareness. Although awareness during cardiac anesthesia has been previously described with sevoflurane, the implication of this case is that unexpected awareness can occur in patients with sevoflurane during cardiopulmonary bypass on cardiac surgery. Therefore, more attention is needed to use sevoflurane during cardiopulmonary bypass.
Key Words: Anesthesia; Awareness; Remifentanil; Sevoflurane


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