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강종만 ( Kang Jong Man ),서민희 ( Seo Min Hee ),길흥배 ( Gil Heung Bae ),노한성 ( Roh Hang Sung ),신용석 ( Shin Yong Suk ) 한국구조물진단유지관리공학회 2017 한국구조물진단유지관리공학회 학술발표대회 논문집 Vol.21 No.2
This study is a method to improve the reliability and effectivity of maintenance. It is necessary to build the integrated management system of BIM throughout the design, construction and maintenance of the structure. In order to apply BIM, it was introduced structural record management from the design stage. And It helps to improve the reliability of maintenance.
정맥-정맥 체외막산소공급 보조 하에 시행한 갑상선전절제수술의 마취 1례
장용석 ( Yong-seok Jang ),강종만 ( Jong-man Kang ) 경희대학교 경희의료원 2021 慶熙醫學 Vol.36 No.1
W-ECMO is used as a supporting device in patients with lung failure or difficulty in securing the airway. In this case study, general anesthesia with W-ECMO for a patient whose ventilation is not possible due to tracheal obstruction is discussed. W-ECMO can cause complications such as bleeding, thromboembolism, neurological injury, catheter related complications, and heparin-induced thrombocytopenia. During anesthesia, patients should be monitored for hypoxemia and hypercapnia, appropriate levels should be maintained through monitoring for blood tests and coagulation tests, and the risk versus benefit of thrombus and bleeding should be considered.