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김완식,윤주식,석민호,안기량,서병태,김명숙,김홍대,최근춘 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.2
Usually, blood pressure and pulse rate are increased in tbe light planes of anesthesia at the end of operation especially just prior to extubation. The increasing of heart rate and blood pressure produce an elevation in cardiac work and oxygen demand and can lead to mycardial ischemia in patients with coronary artery disease. Tracheal anesthesia with 2 or 4% lidocaine (jelly and liquid) was done as a method which permits patients to be extubated during light planes of anesthesia. The results were as follows: 1) Each groups had similar blood pressure and pulse rate five or ten miriutes before extubation. 2) Lidocaine group did not have a significant elevation in systolic or diastolic blood pressure and pulse rate at or after extubation or in the recovery room. 3) The control group had significantly increases in both pressure and pulse rate(p$lt;0.01). The data suggest that maneuver should be of advantage to patients with coronary artery disease who may not be able to tolerate the increased cardiac dynamics during extubation period.
김완식,김교상,박동호,윤주식,김흥대,김명숙,김영석,김미연 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.2
Epidural injection of 2.0 mg morphine with distilled water or 0.9 % normal saline 10 ml were given to a bladder cancer patient with severe chronic intraetable pain which radiated from low ahdomen to gluteal and low leg region. The patient had absolute pain relief which began 2~3 minutes to onset, with 3~5 minutes of peak of action and was effective for 20~25 hours (mean 24 hours) without complications or continuous care as an ambulatory patient. It is suggested thst the morphine reached the subarachinoid space through the membrane and produced its effect by direct action on the specific opiate receptors in the substantia gelatinosa of the posterior horn of the spinal cord.
김완식,박동호,윤주식,김영석,한두호,문준일 대한마취과학회 1973 Korean Journal of Anesthesiology Vol.6 No.2
Sine 1961, Dr. Safar postulated the new form of patient, so called $quot;progressive patient care$quot;, the hospital service in all countries are fashioned with intensive therapy unit. Particulary the- World Federation Society of Anesthesiologists who have discu sincerly at several International congress. we were interested from the literature and visited England, Denmark, United States. and Japan. Of course in Korea, the intensive therapy unit developed from the recovery room and is thus intimately oonnected with anesthesiologists. Here we reviewed with literature and introduced the activities af the iatensive therapy unit of Hanyang University Hospital from May 1972 to October 1973, fram the point view of the definition, building design, location, capacity, equipment, staff organization and charge of patient, several problems and regulations. Furthermore we recommended with the following new ideas for establishment in hospital of an intensive therapy. unit. a. The design should be arranged on the same floor (OR-RR-Anes.-1TU) and in central part of building. b. Several isalation rooms should be made in 1-T-U. c. One central monitoring system will serve each units. d. The 1-T-U equipment should be used with wall trolly system. e. The regulations of 1-T-U should be nated and advocated by all hospital members. f. The beds in 1-T-U should be arranged with open system.
Ziegler-Natta 폐촉매외 Bauxite에서 Alumina의 抽出
김종택,김명철,윤주식 경북대학교 산업기술연구소 1987 産業技術硏究誌 Vol.14 No.-
Alumina extraction technique was developed by treating Bauxite and waste Ziegler-Natta catalyst with 3N~10 N NaOH Solution. Reaction times from 2hrs to 24hrs were compared with the amount of alumina recovered after CO_2 gas neutralization. About 50% of alumina were extracted out from the samples by treating 6~7 N NaOH for 10 hours. This low concentrated NaOH solution technique was very effective for little quantity production of alumina with relatively simple reaction facilities. And this method was definately good for the better recovery of NaOH, and for the raw material such as waste Ziegler-Natta Catalyst.