만성 폐색성 폐질환이 동반된 위암환자에서의 일측 내장신경 차단

김정자(Joung Ja Kim),윤덕미(Duck Mi Yoon),오흥근(H 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.1

N/A Splanchnic nerve block with neurolytics has been used to control the upper abdominal cancer pain. This gastric cancer case with severe chronic obstructive pulmonary disease complained of upper abdominal pain, severe dyspnea and orthopnea. He maintained a sitting position most of the time with nasal oxygen inhalation because he could not remain in a supine or prone position. We performed the unilateral splanchnic nerve alcohol block under right lateral position at the T12 and Ll vertebral level. For a short time after the block, he required oxygen inhalation therapy, Three months after unilateral alcohol block, he is still alive without severe abdominal pain and severe dyspnea.

안면신경마비에 대한 성상교감신경절 차단요법

조성국(Sung Kuk Cho),윤덕미(Duck Mi Yoon),오흥근(H 대한통증학회 1989 The Korean Journal of Pain Vol.2 No.1

N/A Bells palsy is not a serious disease and recovery is spontaneous in more half of the patients, but this recovery is long delayed in many instances and the cosmetic effect of an altered facial appear- ance is psychologically distressing. The etiology is unknown, but Kettles ischemic hypothesis has been widely accepted. The aim of treatment is to reduce edema and improve circulation to the facial nerve. Stellate ganglion block (SGB) resulted in abolishing cerebral vascular spasm and in increasing cerebral blood flow. Thus, stellate, ganglion block is effective in treatment of Bells palsy. From 1978 to Oct. 1988, we have treated 222 patients (20 patients were recurred cases) with facial palsy by SGB and analysed the effect of SGB. We noticed that SGB was very effective in early repetitive treatment (90% recovery). This study is reported and the literature is reviewed.

지속적 경막외 차단후 카테터 끝의 감염에 대한 검사

윤덕미(Duck Mi Yoon),이윤우(Youn Woo Lee),오흥근(H 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.1

N/A Continuous epidural analgesia is widely used in pain management. We investigates the in- cidence of contamination of epidural catheters used in epidural catheters for pain control. The tips of epidural catheters were examined for bacterial growth after use. In culture from 250 patients undergoing continuous epidural catheterization, 33(l3.2%) catheters were found to be contaminated: staphylococcus epidermis 66.9%; staphylococcus aureus l2.1%; alpha streptococcus l2.1%; and others 9.l%. One significant epidural infec- tion occured. One of the most common causes of the epidural infection during long time ep- idural block is the transmission of the microorganism from the contaminated skin to the epidural space along the epidural catheter. To prevent epidural infection, sterilization of the skin around the epidural catheter is essentiaL

성상신경절 페놀차단 - 증례보고 -

김대영(Dae Young Kim),조희원(Hee Won Cho),오흥근(H 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2

Stellate ganglion block is extensively performed in pain closing to treat a diversity of diseas-es. Stellate ganglion phenol neurolysis, however, has not been not popular because of risk and complications such as: permanent horner's syndrome, hoarseness, pneumothorax and intravas- cular or intraspinal injection. But Racz recently performed stellate ganglion phenol neurolysis successfully, under fluoro- scopic guide, minus significant complications. Three patients were recently treated at our pain clinic by repeated stellate ganglion block with local anesthetics. Patients showed immediate signs of improvement but prolonged pain relief was not a- chieved. Therefore we reported to performing stellate ganglion phenol neurolysis following Raczs technique. We successfully treated: two cases of reflex sympathetic dystrophy of the upper extremity, and a case of postherpetic neuralgia of jaw, neck and upper chest wall, by stellate ganglion phenol neurolysis, devoid of any significant complications.

무수 알코올에 의한 내장신경차단에 관한 임상적 연구

이효근(Hyo Keun Lee),윤덕미(Duck Mi Yoon),오흥근(H 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.2

N/A It has been well known that the splanchnic nerve block is effective for patients who suffer from intractable upper abdominal pain. However, it is unclear whether the effect of the splanchnic nerve block depends on varied alcoholic concentration. In this study, an attempt was made to use absolute ethanol on patients who recieved a splanchnic nerve block at Severance Hospital during the period from September l990 to April l991. The results are as follows; 1) Among the 33 patients, including 22 males and 1l females, the fifties and sixties were the major age groups. 2) Stomach cancer was the most common underlying disease(13 cases), with pancreatic can- cer next(9 cases). 3) The main locations of pain were the upper abdomen, epigastrium, and entire abdomen in decreasing order. 4) There were 17 cases who had had chemotherapy, and 1l cases of whom had had surgery before the splanchnic nerve block. 5) The volume of alcohol used was 12 ml bilaterally. 6) Among the 33 patients, 15.2% required a second block within two weeks of the first block. One case required a third block. 7) The most common complications of splanchnic nerve block were hypotension(33.3%), occa- sional transient sharp burning pain, flushing of face, pain on injection site, nausea, vomiting, dyspnea, chest discomfort and diarrhea. 8) The supplemental block most commonly used was a continuous epidural block. It was used both as a diagnostic block and to afford relief from pain before the splanchnic nerve block was done. 9) The interval between the receiving the absolute ethanol block and discharge was within 2 weeks in l5 cases. But, in the patients with poor general health, the interval between the splanchnic nerve block and discharge prolonged. The above results suggest that bilateral splanchnic nerve block done with absolute ethanol after an effective test block with 1% lidocaine under C-arm fluroscopic control is satisfactory and reliable. Still, 26.6% of the patients received a repeat block within 2 weeks. Insufficient spread of ethanol due to its small volume seems to be a major factor in the repeat block. Mini- mizing the incidence of repeat block remains a problem to be solved.

만성 미골통 환자에 대한 신경차단

방은치(Eun Chi Bang),윤덕미(Duck Mi Yoon),오흥근(H 대한통증학회 1992 The Korean Journal of Pain Vol.5 No.1

Coccygodynia is severe burning pain around the coccyx and idiopathic coccygodynia refers to the forms of coccygeal pain that are not associated with well defined pathological conditions, such as recent fractures, dislocation, infectious diseases, or tumors of the coccyx. We experienced a case of coccygodynia in which patient had suffered from intermittent se-Were pain around the coccyx for nine years without a well defined cause. So coccygeal nerve block and low caudal blocks were performed with local anesthetics and steroid and the pain was controlled effectively.

慢性疼痛症候群

吳興根 최신의학사 1976 最新醫學 Vol.19 No.3

Dodeyl diamino thyi glycin hydrochloride(Hygien 51)의 각종항산균에 대한 항균작용에 관한 시험관내 실험

황청자,진재신,김주덕,오흥근 대한마취과학회 1970 Korean Journal of Anesthesiology Vol.3 No.1

In order to prevent cross-infection, the sterilization of used and/or contaminated anesthetic- apparatus is still a difficult problem in clinical practice, particularly, following anesthesia for known advanced pulmonary tuberculosis cases. Therefore the antibacterisl activities of, an amphoteric detergent, Dodecyl diaminoethyl glycin hydrochloride (Hygien 51) were tested in vitro as a disinfectant against mycobacteria (M. tuberculosis H37 Rv, M. bovis, M. avium, M. tuberculosis H37 Ra, M. phlei, B.C.G.) The antimycobacterial activity tests were perfomed according to the modified Kolmer method. The testing organisms were cultured in Dubos broth at 37°C, and the detergent, Hygien 51, was: diluted with sterile distilled water to 1,3,5 and 10%. One half milliliter of culture was pipetted into each tube containing 4.5 ml of diluted detergent, and at intervals of 3, 15, 30, 60, 120, 180 and 240 minutes, a 4mm loopful of the material was removed from each tube, and transferred to Ogawa media. The tests were carrid out at two different temperatures, 20°C and 50°C. The subcultures were incubated at 37°C for more than 8 weeks. The results were obtained as follows: 1) At room temperature (20°C), all mycobateria, except M. bovis, were destroyed by treatment- with 10% solution of the detergent for more than 60 minutes. M. bovis was relatively sensitive to the detergent, and was killed by 5% solution for 30 min. and 10% for 15 min., but M. avium. was very resistant, and was not killed by 10% solution for 240 min. 2) By treatment with the detergent at 50°C, the antimycobacterial activities of the detergent were highly increased. All mycobacteria were destroyed by 1% solution for 180 min, and by 10% for less than 30 min at 50°C. In the comparison of the antibacterial activities against mycobacteria and other bacteria, it shows that mycobacteria are generally more resistant to the detergent, Hygien 51.