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권병연 대한마취과학회 1978 Korean Journal of Anesthesiology Vol.11 No.1
This is a report of ketamine anesthesia with exploratory laparatmy for ruptured ectopic pregnancy. The Patients preoperative state was as the following: Hb; 4. 0m%, Ht; 12%, BP; undetectable Mentolity; semicomatous In the emergency room, she received 2 pints of whole blood, 1,000 ml of Hartmanns soltion and 500 ml of Rheomacrodex via two intravenoues routes. In the operating room, blood pressure was 70/60 mmHg. Intrbatien was perfamed after ketamine induction with d-tubocurarine 3mg (to prevent fascicul- ations) and succinykholine 50 mg intravenously. Anesthesia was maintained with ketamine and d-tubocurarine without trouble. Duriag surgery blood pressure was 110/80 mmg Hg after transfusion of 2 more pints of whole bood. She tolerated the surgery well, and was discharged on the 8th postoperative day in a healthy state.
권병연,김학수,김동휘,이중호,전영준,김영진 대한미용성형외과학회 2017 Archives of Aesthetic Plastic Surgery Vol.23 No.3
Sialocele formation is a recognised complication of parotid surgery. Most cases resolve after conservative therapy consisting of pressure dressing, fasting, and repeated aspiration. However, some cases are resistent to such treatment and require further intervention. In this report, we present the method of botulinum toxin (BTX) injection into the parotid gland under ultrasonographic guidance along with atropine injection. A 63-year-old female underwent excision of a pleomorphic adenoma abutting an accessory parotid gland. Sialocele formation persisted after almost 3 weeks of conservative therapy. BTX A was given under ultrasonographic guidance and the sialocele disappeared after two doses of treatment. BTX injection under ultrasonographic guidance was thus a safe and effective method for treating persistent sialocele.
정맥내부위마취의 합병증 : 증례보고 A Case Report
권병연 대한마취과학회 1978 Korean Journal of Anesthesiology Vol.11 No.1
Intravenous regional anesthesia is a convenient anesthetic technique of for some cases of surgery to the legs, fingers, or forearms, especially with a full stomach. However as in other anesthesia, we must watch closely and check the equipment for intravenous regional anesthesia earefully. The author had experience with a case of complication of intravenous regional anesthesia with a defective touraiguet which allowed local anesthetic to leak into the general circulation, and the patient developed convulsions, unconciousness, tachycardia, tachypnea, and hypertention about 40 seconds after injection of lidocaine 200 mg (0.5%) into a regional vein just above the wound. The patient was intubated after induction with thiopental sodium 250 mg and succinylcholine 80 mg intravenously. Fortunately the convulsion disappeared and vital signs became stable after injection of thiopeewil sodium. The patient tolerated the surgery well and was discharged in a healthy state on the 6th postoperative day.