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전후두적출술을 받은 환자에서 Univent? tube를 사용한 일측 폐 마취 -증례보고-
서다미,이지향,이상곤,반종석,민병우 대한마취통증의학회 2006 Korean Journal of Anesthesiology Vol.50 No.2
Which tube is the best one for the one lung ventilation? It is open to discussion of tube choice for the patient with tracheostomy after total laryngectomy. In this situation, we can use the bronchial blocker. We report the case of using a UniventⓇ tube in a patient with tracheostomy after total laryngectomy for one lung ventilation. Successfully, the patient received esophagectomy, esophageal reconstruction and pyloroplasty due to esophageal cancer without any complications. (Korean J Anesthesiol 2006; 50: 213~6)
진단되지 않은 이형성 협심증 환자의 전신 마취 중 phenylephrine 주입 후 발생한 관상동맥 연축과 nitroglycerin을 사용한 성공적인 치료 -증례 보고-
김영록,김은주,서다미,이지향,이상곤,반종석 대한마취통증의학회 2013 Anesthesia and pain medicine Vol.8 No.2
Coronary artery spasm under general anesthesia induces interruption of blood flow of coronary arteries and can be detected by a sudden ST elevation on electrocardiogram, which may be followed by severe cardiovascular complications. We have experienced a case of a sudden ST elevation on a 52-year-old patient with no history of coronary artery diseases undergoing spine surgery under general anesthesia. Following administration of nitroglycerin, ST elevation returned to normal. Postoperative coronary angiogram showed positive on ergonovine provocation test and the patient was diagnosed as variant angina. Correlating with the results, we concluded that the ST elevation was probably due to coronary artery spasm. Although the definite mechanism of the coronary artery spasm is unclear. A-adrenergic stimulation by phenylephrine may have acted as a solitary factor or as one of many factors. Early administration of nitroglycerin and calcium channel blocker seems to be useful in treatment and prevention of recurrence.
성상신경 차단술을 처치 받은 돌발성 난청 환자에서 직선 편광형 근적외선치료의 유용성
이준호,심광석,서다미,김은주,이지향,이상곤 대한마취통증의학회 2013 Anesthesia and pain medicine Vol.8 No.1
Background: Both stellate ganglion block (SGB) and polarized light irradiation (Superlizer) have a tendency to increase blood flow. Increases in blood flow can be estimated indirectly by changes in tympanic membrane temperature. In this study, we sought to evaluate how simultaneous SGB and Superlizer treatment affects tympanic temperature and tympanic blood flow in individuals suffering from sudden deafness. Methods: Among patients who visited the pain clinic complaining of sudden deafness, we divided them into two groups: one receiving only SGB; the other receiving both SGB and Superlizer treatment. By comparing the tympanic membrane temperature measurements of both groups on 10, 30, and 60 minutes after treatment through a prospective study, we intended to evaluate the effect of treatment with SGB and Superlizer. Results: Temperature changes measured after the injection were statistically significant in both groups. Temperature changes of the tympanic membrane were greater in the group who received both SGB and Superlizer compared to the group receiving only SGB. Conclusions: The results suggest that SGB followed by Superlizer has effects on the amount of increase in tympanic membrane temperature. This seems to be attributed to the increase in blood circulation of the inner ear compared with the group receiving only SGB. We came to the conclusion that in sudden deafness patients,the use of SGB combined with polarized light irradiation appears to be more effective in the treatment of sudden deafness.