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Korean J Anesthesiol > Volume 56(6); 2009 > Article
Korean Journal of Anesthesiology 2009;56(6):713-716.
DOI: https://doi.org/10.4097/kjae.2009.56.6.713   
Anesthetic management of a patient with pulmonary arteriovenous malformation under total intravenous anesthesia : A case report.
Jong Chan Kim, Kyung Cheon Lee, Jung Ju Choi, Hee Dong Lee, Hyun Jeong Kwak
1Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
2Gachon University Gil Hospital, Incheon, Korea. hyun615@gilhospital.com
Abstract
A 23-year-old woman with pulmonary arteriovenous malformation was scheduled for open reduction and internal fixation due to her mandible fracture. Total intravenous anesthesia using propofol and remifentanil was selected as the anesthetic method in order to avoid the inhibition of hypoxic pulmonary vasoconstriction and the exacerbation of intrapulmonary shunting. After the standard monitoring devices were applied, anesthesia was then induced and maintained with a target controlled infusion of propofol and remifentanil in the range of 2.5-3.0 microg/ml and 2-3 ng/ml, respectively. Anesthesia was performed uneventfully and the patient was discharged without complication.
Key Words: Propofol; Pulmonary arteriovenous malformation; Remifentanil; Total intravenous anesthesia
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