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급성 경수 손상환자 마취중 체위변동시 발생한 서맥과 저혈압
김성재,정영균,손주태,안헌영,이헌근,신일우 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.3
Bradycardia is recognized as an acute complication of cervical cord injury. The etiology of such a phenomenon is believed to be due to an imbalance in the autonomic nervous system imposed on the heart by a cervical cord injury. The majority of the episodes of bradycardia occurred either with tracheal suctioning or with changes in position. We experienced a case of severe bradycardia and hypotension when turning the patient with acute cervical spinal cord injury to the prone position, which was reversed by administration of intravenous atropine and ephedrine. (Korean J Anesthesiol 1998; 34: 655∼659)
잡견에서 Ketamine 또는 Sodium Thiopental 이 Venous Capacitance 에 미치는 영향
김성호,이상정,정영균,손주태,이헌근,황경일 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.5
Background : A small change in venous capacitance significantly alters venous return and thus cardiac output. It is therefore important to know the effects of intravenous anesthetics on venous capacitance, particularly in a hypovolemic state. As ketamine does not suppress sympathetic activity, it has been suggested that ketamine may be the drug of choice for anesthesia during hypovolemia. The purpose of this study was to examine the effects of ketamine or sodium thiopental on venous capacitance and total vascular compliance in dogs. Methods : Twenty mongrel dogs, weighing 10∼15 Kg, were divided into two group(ketamine group: 10, sodium thiopental group: 10) of 10 each. Venous capacitance was assessed before and after drug(ketamine 1 mg/kg or sodium thiopental 5 mg/kg) injection by measuring mean circulatory filling pressure(MCFP) in the normovolemia and hypovolemia. MCFP was measured after arresting the circulation by tightening of superior vena cava and inferior vena cava snares simultaneously. Results : Ascompared with MCFP in the normovolemia and hypovolemia, MCFP was significantly increased by ketamine in the normovolemia and hypovolemia. As compared with MCFP in the hypovolemia, MCFP was significantly decreased by sodium thiopental in the hypovolemia. The slope of the regression line relating MCFP and blood volume was not significantly altered by ketamine or sodium thiopental, which suggests that ketamine or sodium thiopental did not alter total vascular compliance. Conclusions : These results suggest that ketamine decreases venous capacitance in the normovolemia and hypovolemia but sodium thiopental increases venous capacitance in the hypovolemia. (Korean J Anesthesiol 1998; 34: 896∼903)
Original Articles : Patient with Kikuchi`s Disease: What Should Pain Clinicians Do?
( Kyeong Eon Park ),( Se Bin Kang ),( Seong Ho Ok ),( Ii Woo Shin ),( Ju Tae Sohn ),( Young Kyun Chung ),( Heon Keun Lee ) 대한통증학회 2012 The Korean Journal of Pain Vol.25 No.3
Kikuchi`s disease (KD) is an idiopathic and self-limiting necrotizing lymphadenitis that predominantly occurs in young females. It is common in Asia, and the cervical lymph nodes are commonly involved. Generally, KD has symptoms and signs of lymph node tenderness, fever, and leukocytopenia, but there are no reports on treatment for the associated myofacial pain. We herein report a young female patient who visited a pain clinic and received a trigger point injection 2 weeks before the diagnosis of KD. When young female patients with myofascial pain visit a pain clinic, doctors should be concerned about the possibility of KD, which is rare but can cause severe complications.