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1.????
??: ?¡ð¡ð ??: M ??: 70
???: 2007? 1? 18? ?: 155cm ???: 66.2kg
????: ? ????: ?? ??: ??
??: ??
C.C: RUQ pain ?? local ?? ER???? adm. ???: ??
???: 2007? 1? 25?
???: ?? ? ??? GB stone or cholecystitis.
???: ????? Laparoscopic Cholecystectomy.
????: ????

2.?? ? ??
?? L.M.N?? NPO???, ?? ??? ???. ??, ??, ??, ??? ? ?? ?????, ????? ?????. ???, ????, ?? ?????.
Glycopyrrolate 0.2mg IM "On Call"

08:00 ? ??? ???? ?? endoscope ??? ????.
? monitoring, light source, CO2, insufflator, suction, video ? power? ?? ??? ????? ????.
? ?? unit? ??? Line? ?? ? ¡®on` ???.
? ??? channel? L1? ???.
? ????? valve? ??? ?? ??? ???? ?? ? ??? ???.
? Bovie ??? ?? ??, ???? ??? ??? ??.
? suction power? ????.
? Telescope? wydex? ?? ?? ????.
(???? ??? scope? ??? ??.)








08:50 ? ?? ??.
¢ÙPreoxygation ??.
¢ÚVentilator? ??.
¢ÛO2 1.0L/min ??.(?? ??? ??)
¢ÜN2O 1.0L/min ??.(?? ??? ??)
¢ÝRemifentanyl? IVS ??.
¢Þpentotal sodium 200mg? IVS ??.
¢ß??? ??? ????.(¡°??? ?????~¡±)
¢àsevo 1.0%? ????.
¢áVercuronium 6mg? IV??.