[프로젝트 리포트] 한전 KPS R&D COMPLEX 건립공사

강순호(Kang, Soon Ho),김현식(Kim, Hyun Sik),오성제(Oh, Sung Jae) 대한건축학회 2017 建築 Vol.61 No.5

췌장암의 예후

강순호(Soon Ho Kang),최창수(Chang Soo Choi),최영길(Young Kil Choi),백낙환(Nak Whan Paik) 대한외과학회 2003 Annals of Surgical Treatment and Research(ASRT) Vol.64 No.4

벤츄리 유량계의 노즐부 편심에 따른 유량계측 오류에 관한 수치해석적 연구

이장일(Jang-il Lee),강순호(Soon-ho Kang),손동경(Dong-kyung Sohn) 대한기계학회 2018 대한기계학회 춘추학술대회 Vol.2018 No.12

추간판 탈출증 환자에서 발견된 척수 종양

김상현,김기성,강순호,백금철 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.1

A 35 years old female patient was admitted to our neuro-pain clinic with symptoms of low back pain(L4, L5 level) radiated to both lower(L3, L4, L5 level) extremities that developed 6 years prior to admission. Upon initial physical examination, motor weakness or sensory deficit was absent. But on straight leg raising test, it was restricted to 60 degree in both lower extremities. Low back pain and radiating pain improved significantly after we performed epidural steroid injection. However on the next day of procedure the patient complaints more pain and started to experience severe pain during overnight for 3 days. On computer tomography(CT, L3-S1 level), we find suspicious lesion of herniated nucleus pulposus at L5-S1. Otherwise were within normal limits. Based on these symptoms, to find the other lesions, subsequently magnetic resonance imaging(MRI) was performed. Spinal tumor was seen at L2-3 level(2 2 4 cm). Neurosurgical surgery was recommended, and operation was performed. The patient was diagnosed to ependymoma after excision and cytologic studies. Even if one lesion was diagnosed, it must be put off until any other diseases or underlying cancer are ruled out. We report a patient with spinal cord tumor missed on CT, but revealed on MRI in the evaluation and management of herniated nucleus pulposus related(L5-S1) low back pain. (Korean J Anesthesiol 1997; 32: 144∼148)

컴퓨터 단층촬영을 이용한 상부기도의 해부학적 측정에 관한 연구

김상현,김영대,강순호,백금철 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.1

Several methods for the management of intractable pain for various conditions including malignant disorders, herpes zoster, and low back pain and/or sciatica in 80 patients were described and analyzed. Neurolytic blocks of celiac plexus were given to the patients suffering from intra-abdominal pain from malignant origin or chronic pancreatitis. Herpes zoster was treated mainly by chemical sympathectomy via paravertebral route and occassionaly corticosteroid was administered epidurally with the local anesthetic, bupivacaine. All the patients with low back pain and/or sciatica were given epidural corticosteroid one to three times. Other peripheral verve blocks and regional corticosteroid therapy were given to the rest of the patients. Fair to excellent result was obtained in 71% of the patients but the response was poor in the remaining 28% of the patients. It seems that the earlier the patients were referred to the pain clinic, the better the results were.

Laryngeal Mask Airway 를 이용한 역행성 경비기관내 삽관법

김영대,김영기,김필곤,강순호 대한마취과학회 1995 Korean Journal of Anesthesiology Vol.29 No.4

Retrograde intubation has been often used in the patient who reveal difficulty intubation. But, it is time consuming procedure and the patient may be fall into hypoxemia. We have experienced a successful retrograde nasotracheal intubation without hypoxemia by using the Laryngeal Mask Airway. After induction of inhalation anesthesia, ordinary endotracheal intubation was failed in this 45-year-old male patient who was planned to clip the cerebral aneurysm, because the epiglottis could not be seen under direct laryngoscopy. We decided to perform retrograde nasotracheal intubation. Face mask was replaced with Laryngeal Mask Airway and ventilation was continued during procedure. A 18-gauge Tuohy needle was introduced through the cricothyroid membrane and then the epidural catheter was passed cephalad to larynx, distal hole of Laryngeal Mask Airway, and the end of Laryngeal Mask Airway. A 16-F Levin tube was introduced through right nasal cavity and Laryngeal Mask Airway was removed, the Levin tube was tied with epidural catheter in the oral cavity. The epidural catheter was placed from cricothyroid membrane to right nares. The endotracheal intubation was performed successfully by sliding over the catheter. In the postoperative evaluation, significant complications were not detected. The procedure was performed in about 2 minutes and the apneic time was less than 30 seconds. We believe that this procedure may be useful in the patients who may suffer from hypoxemia.

광봉을 이용한 기관내 삽관후 발생한 좌측 피열연골의 탈구

김상현,김영대,김필곤,김용휘,강순호 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.35 No.4

Complications from use of the light wand have been reported rarely. We present a case of arytenoid cartilage dislocation incurred by using this technique for intubation of a patient. A 35-year-old healthy woman was admitted for microsurgical cervical diskectomy. Anesthesia was induced and a 7.0 mm cuffed endotracheal tube with a light wand was inserted during blind orotracheal intubation. The trachea was extubated without any difficulty in the operating room after the surgery. In the third postoperative day, the patient complained sore throat and mild hoarseness. In the eighth postoperative day, the patient was discharged for follow-up of department of neurosurgery. In the second day after the discharge, she was consulted to otolaryngology service in our hospital because she suffered from persistent hoarseness. Flexible nasopharyngolaryngoscopy revealed anterior and inferior dislocation of left arytenoid cartilage. The patient was taken to the operating room for reduction of the dislocated cartilage by the otolaryngologists. Despite the delayed reduction, which was performed tenth day after her initial injury, the patient,s hoarseness had resolved completely without further treatment. (Korean J Anesthesiol 1998; 35: 751∼755)

MRI 를 이용한 정상 한국 성인의 기관지 측정에 관한 연구

김영대,김영기,문병수,김필곤,김용휘,강순호 대한마취과학회 1993 Korean Journal of Anesthesiology Vol.26 No.6

It is clinically important to know the size of normal trachea for airway management and respiratory care. The knowledge is useful for avoiding many possible complications due to tracheal intubation by appropriate choice of endotracheal tube size. Therefore, we investigated antero-posterior(A-P) diameter, transverse diameter and cross- sectional area(CSA) of trachea at various level with MRI(magnetic resonance imaging) in 70 males and 79 females who were divided into three age groups(group 1: 16-39 year of age, group 2: 40-59 year of age, group 3: 60-83 year of age), and they had no abnormalities in cardiopulmonary system. The results were as follows; 1. A-P 2. Transverse 3. Narrowing portion 4. CSA 1. A-P diameter of trachea was 17.1±1.4 mm in male and 13.9±1.3 mm in female. Transverse diameter of trachea was 15.1±1.6 mm in male and 13.3±1.5 mm in female(Table 1). A-P and Transverse diameters were greater in male than in female (P$lt;0.05). 2. C-7 was the narrowest portion of A-P diameter in both sex (P$lt;0,05-5 was the narro- west portion of transverse diameter in both sex (P$lt;0.05). 3. A-P diameters of trachea among male patients were 17.1±1.2 mm, 17.41.6 mm, and 16.6± 1.3 mm in group 1, 2 and 3 (Table 3, Fig. 4). A-P diameters of trachea in female age group 1, group 2 and group 3 were 13.7±1.2 mm, 14.3±1.3 mm, and 13.6±1.5 mm(Table 3, Fig. 4). Transverse diameters of trachea in male age group 1, group 2 and group 3 were 14.8±1.4 mm, 15.1±1.7 mm, and 15.4±1.6 mm(Table 3, Fig. 4). Transverse diameters of trachea in female age group 1, group 2 and group 3 were 13.0± 1.2 mm, 13.6±1.9 mm and 13.5±1.4 mm(Table 3, Fig. 4). 4. CSA(cross sectional area) of trachea were 201.1±31.3㎟ in male and 145.4±27.7(2) mm in female(Table 4). 5. CSA at C5, C6, C7 and Tl in male were 175.9±61.1 ㎟, 201.1±43.8 ㎟, 196.2±36.2 ㎟ and 230.9±463 ㎟ (Table 4, Fig. 5). CSA at C5, C6, C7 and Tl in female were 127.0± 33.4 ㎟, 138.434.6 ㎟, 140.734.7 ㎟ and 171.7±42.0 ㎟ (Table 4, Fig. 5). 6. CSA oe patients were 198.1±28,5 ㎟, 206.2±33.0 ㎟ and 198.3±33.1 ㎟ in group 1, 2 and 3 (Table 5, Fig. 6). CSA of trachea in female age group 1, group 2 and group. 3 were 140.2±25.0 ㎟, 152.8±32.4 ㎟ and 145.6±25.1 ㎟ (Table 5, Fig. 6). But there was no significant difference between groups according to the sex. 7. CSA of trachea in age groups were stastically insignificant for both sex.