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후관절 관절증으로 인한 요통 및 좌골신경통에 대한 후관절강내 차단
반종석(Jong Seok Ban),고준석(Jeon Seock),민병우(By 대한통증학회 1989 The Korean Journal of Pain Vol.2 No.2
N/A An intra-articular lumbar facet joint block with a local anesthetic and asteroid is a reliable method of diagnosis and therapy for low back pain and/or sciatica caused by lumbar facet arthropathy under fluoroscopy. We injected 40 mg of methylperdnisolone acetate and 1 ml of 0.5% bupivacaine into each lumbar facet joint to 14 patients. The results are as follows: 1) Excellent pain relief in 2 patients (14.29%) 2) Good pain relief in 6 patients (42.85%) 3) Fair pain relief in 4 patients (28.57%) 4) Non effective pain relief in 2 patients (14.29%)
분만시 지주막하강내 미량의 Morphine 주입으로 인한 제통효과
민병우,반종석,고준석 대한마취과학회 1983 Korean Journal of Anesthesiology Vol.16 No.4
Interathecal injection of a small amount of morphine was used to provide obstetric analgesia in 20 primiparous women in labor. When the cervix was 3-4 cm dilated approximately, 0.25 mg or 0.5 mg of morphine was injected intrathecally in each patient. In all parturients, later pains were completely relieved after 10~60 min and analgesia lasted 8 to 15 hours. The vital signs of all Parturients after intrathecal morphine injection were stable. The analgesia was well achieved but there was no alteration of motor power or pinprick sens-ation. The maternal side effects such as itching, nausea, vomiting, somnolence and urinary reten-tion occured in a high proportion of parturients, but severity of these side effects were mild in most cases. Urinary retention wa9 most severe side effect in our cases. All newborns were scored as having B~10 on Apgar scores at 1 min after birth.
Halothane 마취중 5 % 포도당 및 Hartmann 용액 사용시 시간에 따른 혈당농도의 변화
민병우,반종석,황정한 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.4
This study was attempted to cumpare the effects on blood glucoge of 5% Dextrose in Water (D_5W) and Hartmann's solution infused during halothane anesthesia.20 female patients in the state of A.S.A. classification I were chosen and divided into 2 groups, i.e. first group D_5W. the second group Hartmann's solution. Blood samples were collected on the operating table prior to starting I.V. infusion, after 1/2 hour, 1 hour and 11/2hour from the time I.V. infusion started. Intravenous fluid was administered at 10 ml/kg/hr. Changes of blood glucose levels were as follows. In the group of D_5W, the values of bleed glucose were 83.4±13.5 mg% at N.P.O., 198.4±33.6 mg% at 1/2 hour, 245.5±55.6mg% at 1 hour, and 259.5±40.1 mg% at 1/2 hours. In the group of Hartmann's solution, the values of blood glucose were 64.9±9,5 mg% at N.P.O., 93.3±21.9mg% at 1/2 hour. 99.0±15.6mg% at 1 hour, and 105.6±24.2mg% at 1 1/2hours.
하지 수술을 위한 경막외 마취시 Ropivacaine 과 Bupivacaine 의 비교
이상곤,민병우,반종석,문철준 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.4
Comparison of Epidural Ropivacaine and Bupivacaine in Patients Undergoing Lower Extremity Surgery Chul-Jun Mun, M.D., Sang-Gon Lee, M.D., Jong-Suk Ban, M.D. and Byung-Woo Min, M.D. Department of Anesthesiology, Fatima Hospital, Daegu, Korea Background: Ropivacaine is an amide local anesthetic structurally related to bupivacaine. A ran-domized, double-blind study was performed to compare the clinical effectiveness of ropivacaine and bupivacaine in patients undergoing lower-extremity surgery. Methods: Forty-nine patients (ASA Ⅰ-Ⅱ) were randomized to receive 15 ml of 0.5% ropivacaine or bupivacaine. Twenty patients received 15 ml of ropivacaine and 20 patients received 15 ml of bupiva-caine at the L3,4 or L4,5 interspace. Parameters measured were the onset time, duration and spread of sensory block, the onset time, duration and degree of motor block, the quality of anesthesia and the heart rate and blood pressure profile during the block onset. Results: Demographic characteristics were similar among the groups. Seven patients were excluded from the study due to technical failure of the block, two patients were excluded due to insufficient data. The onset and duration of analgesia at T10 dermatome (mean ?? SD) was 18.9 ?? 7.0 minutes and 187.5 ?? 34.6 minutes respectively for ropivacaine, and was 15.2 ?? 8.8 minutes and 187.8 ?? 40.0 minutes respectively for bupivacaine. Maximum block height (mean ?? SD) was T6.5 ?? 2.0 for ropivacaine and T6.4 ?? 2.0 for bupivacaine. The incidence of complete motor block (Bromage scale 3) was low in the ropivacaine group, being 3/20 for ropivacaine and 12.20 for bupivacaine. Conclusions: The sensory blockade profile of ropivacaine, administered epidurally, is similar to that obtained with an equal dose of bupivacaine. However motor blockade with ropivacaine is less intense, less frequent, and of shorter duration than with bupivacaine. (Korean J Anesthesiol 2001; 41: 434~438)
민병우,강긍모,반종석 대한통증학회 1988 The Korean Journal of Pain Vol.1 No.2
Since the introduction of epidural corticosteroid injectians for the management of sciat- ica1), lumbosacral radiculopathy has become one of the most common pain problems enco- untered by anesthesiolo#gists. In order to function effectively, anesthesiologists should be able to: recognize those syndromes which may respond to nerve block; understand the pathophysiology of the conditions being treated and R be familiar with alternate ther- apeutic pathways for patients not responding to merre block. There are many etiologic factors of low back pain and lumbosacral radiculopathy. Particularly, Nerve root compression caused by a protruding disc, a osteophyte or tumors are usually responsible for pain, Neural inflammation, therefore, is considered to play a major role in pain production. The use of local anesthetics in mixture with steroids is believed to break down neural inflammation. Steroids and local anesthetics were injected lumbar or caudal epidmal to 106 patients for the purpose of relieving low bck pain and lumbosacral radiculopathy. The results are as follows: Excellent pain relieved group: 27 patients(25.5%) Good pain relieved group: 49 patients(46.1%) Fair pain relieved group: 15 patients(14.2%) Not effective group: 15 patients(14. 2%)
민병우,강긍모,반종석 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.1
Since the introduction of epidural corticoateroid injections for the management of sciatica, lumbosacral radiculopathy has become one of the most common pain problems encountered by anesthesiologists. In order to function effectively, anesthesiologiats should be able to: ① recognize those syndromes which may respond to nerve block: ② understand the pathophysiology of the conditions being treated and ③ be familiar with alternate ther-apeutic pathways for patientg not responding to merre b1ock. There are many etiologic factors of low back pain and lumbosacral radiculopathy. Particularly, Nerve root compression caused by a protruding disc, a osteophyte or tumors are usually responsible for pain. Neural inflammation, therefore, is considered to play a major role in pain production. The use of local anesthetics in mixture with steroids is believed to break down neural inflammation. Steroids and local anesthetics were injected lumbar or caudal epidmal to 106 patients for the purpose of relieving low back paind lumbosacral radiculopathy. The resu1ts are as follows : Excellent Pain relieved group : 27 Patients (25.5%) Good Pain relieved group: 49 Patients(46.1%) Fair pain relieved group : IS patients(14.2%) Not effective group : 15 Patients (14.2%)