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수술 후 재발된 메니에르병 환자에서의 성상신경절 차단술
소금영(Keum Young So),김길범(Kil Beom Kim) 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.2
Meniere's disease is a disorder of the membranous labyrinth that is characterized by vertigo, hearing loss, tinnitus and ear fullness. The etiology of Meniere's disease is yet to be described and the manage- ment is also very difficult. Fifty-one years old female patient had paroxysm of severe tinnitus and dizziness after medical therapy and surgical intervention during several years. Patient received stellate ganglion block (SGB) and her symptoms were completely relieved. Therefore, SGB could be considered another therapeutic modality for Meniere's disease.
척추 수술 후 발생된 요부 및 좌측 대퇴전부 통증 치료를 위한 대요근 근구 차단술의 효과
소금영(Keum Young So),박유진(You Jin Park),국종수( 대한통증학회 1998 The Korean Journal of Pain Vol.11 No.2
Psoas compartment block has been used to provide anesthesia and analgesia of hip joint. This block is advocated for relief of pain of various origins in the thigh, leg and lumbar area. A-40-year-old women complained of pain in the left thigh and lumbar area after operation of the second lumbar vertebral compression fracture. To relieve pain, caudal block was performed. This block reduced in lumbar pain but left thigh pain persisted. So, we were performed psoas compartment block using mepivacaine and dexamethasone, which relieved the pain in the left thigh and lumbar area. We recommend psoas compartment block as useful and simple method for patients with thigh and lumbar area pain, especially when the epidural block is not feasible.
퇴행성 골관절염 환자에서 슬관절내 Hyaluronic Acid 주입 후 발생한 Septic Arthritis 경험 2 예 - 증례 보고 -
소금영(Keum Young So),이현영(Hyun Young Lee) 대한통증학회 2002 The Korean Journal of Pain Vol.15 No.1
Osteoarthritis is characterized by loss of articular cartilage, which has a highly limited capacity to heal itself. Knee osteoarthritis is a common but often difficult problem to manage in primary care. Recently, intraarticular hyaluronic acid injectionsW have become frequently used in patients with knee osteoarthritis. Intraarticular hyaluronic acid injections have become frequently used in patients of the synovial fluid and protect the joint cartilage. Adverse local reactions to intraarticular hyaluronic acid injections have been reported in some clinical series. However, its mechanism and long term sequelae are unclear. One potentially serious adverse event is joint infection. We experienced two cases of septic arthritis after intra-articular hyaluronic acid injections in osteoarthritis patients. When performing intraarticular hyaluronic acid injections, meticulous hygiene measures should be emphasized in osteoarthritis patients, especially for the elderly and high risk group of septic arthritis, because it is an invasive and repeated procedure.
임상연구 : 무릎 관절경 수술을 위한 일측성 척추마취에서 고비중 Bupivacaine에 첨가한 Fentanyl의 효과
임영재 ( Young Jae Lim ),정종달 ( Jong Dal Jung ),임경준 ( Kyung Jun Lim ),소금영 ( Keum Young So ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
Background: Unilateral spinal anesthesia prolongs sensory blockade and provides hemodynamic stability. Intrathecal opioids enhance spinal anesthesia without prolonging motor recovery or hemodynamic side effects. The author evaluated the effect of intrathecal fentanyl on unilateral spinal blockade with hyperbaric bupivacaine for knee arthroscopy. Methods: Thirty-six healthy patients undergoing unilateral knee arthroscopy randomly received unilateral spinal anesthesia with 0.5% hyperbaric bupivacaine 4 mg (Group I) or 0.5% hyperbaric bupivacaine 4 mg combined with fentanyl 10μg (Group II). A lateral decubitus position was maintained for 15 minutes after intrathecal injection. The level and duration of sensory and motor blockade were recorded. Results: The regression time of sensory block by two segments on dependent site was prolonged on Group II more than Group I (P < 0.05). There was no significant difference between two groups in recovery time of sensory and motor block. Unilateral sensory block was observed in 18 patients in Group I (100%) and in 2 patients in Group II (11%). Hemodynamic side effects were minimal in both groups, but pruritus was observed in 6 patients in Group II (33%). Conclusions: Small dose of intrathecal fentanyl with bupivacaine unilateral spinal anesthesia prolonged the duration of sensory block on operated site, but did not increase side effects and the duration of motor block and recovery. But intrathecal fentanyl with bupivacaine made disturbance of successful unilateral spinal block by the sensory block of nonoperated site. (Korean J Anesthesiol 2006; 50: 530~5)
천민우,김성환,소금영,문영래,문성표,박용필,이호식,김태곤,Cheon, Min-Woo,Kim, Seong-Hwan,So, Keum-Young,Moon, Young-Lae,Mun, Seong-Pyo,Park, Yong-Pil,Lee, Ho-Sik,Kim, Tae-Gon 한국전기전자재료학회 2007 전기전자재료학회논문지 Vol.20 No.8
We developed the 4channel Light Medical Therapy Apparatus for External Injury Cure using a high brightness LED. This equipment was fabricated using a micro-controller and a high brightness LED, and designed to enable us to control light irradiation time, intensity, frequency and so on, Especially, to control the light irradiation frequency, FPGA was used, and to control the change of output value, TLC5941 was used. Control stage is divided into 4 levels by program. Consequently, the current value could be controlled by the change of level in Continue Wave(CW) and the output of a high brightness LED could be controlled stage by stage. Compared with one LED irradiation, several LEDs irradiation could increase optical power.
임상연구 : 하지 수술에서 고비중 Levobupivacaine과 Bupivacaine을 사용한 일측성 척추마취의 비교연구
이세정 ( Se Jung Lee ),소금영 ( Keum Young So ),유병식 ( Byung Sik Yu ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
Background: Levobupivacaine is the isolated S-enantiomer of bupivacaine and may be a favorable alternative to bupivacaine. The author evaluated the clinical efficacy of levobupivacaine relative to bupivacaine in spinal anesthesia. Methods: The author randomly allocated 40 ASA physical status I or II patients undergoing lower limb surgery to do unilateral spinal anesthesia with 8% glucose bupivacaine 4 mg (n = 20) or 8% glucose levobupivacaine 4 mg (n = 20). Spinal anesthesia was performed at the L3-4 interspace using a 25-gauge Whitacre spinal needle. The lateral decubitus position was maintained for fifteen minutes after injection. Results: Thirty minutes after injection, unilateral sensory block was present in 60% and 40% of cases, and unilateral motor block was observed in 90% and 85% in levobupivacaine and bupivacaine group, respectively. Levobupivacaine group had no differences as compared to bupivacaine group for spinal block resolution. Conclusions: It was concluded that 8% glucose levobupivacaine 4 mg and 8% glucose bupivacaine 4 mg provided similar spinal block for lower limb surgery without hemodynamic unstability. (Korean J Anesthesiol 2006; 50: 536~40)
실험연구 : Ketamine이 백서 자궁 평활근의 수축에 미치는 영향
안태훈 ( Tae Hun An ),소금영 ( Keum Young So ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1
Background: It has been reported that ketamine induced contraction of the uterus. Therefore, it has been recommended as a suitable obstetric anesthetic agent. However, some investigators reported that ketamine inhibited contraction of rat uterine smooth muscle. There has been argument about its effect on the uterine contraction. The aim of the present study was to investigate the effect of ketamine on rat uterine contractile activity in vitro. Methods: Uterine smooth muscle tissues were obtained from non-pregnant rats (n = 20). The uterine ring segments were mounted in organ bath filled with Krebs solution with 95% O2 and 5% CO2. After spontaneous activity had been accomplished, ketamine in various concentrations (10-7 M to 10-3 M) was added cumulatively to the bath and the effects were continuously registered. Results: Ketamine in dose of 10-5 M increased spontaneous myometrial contractile activity. But, ketamine in doses of 10-4 to 10-3 M induced a dose-dependent inhibition of spontaneous myometrial contractile activity. Conclusions: Ketamine constricted the uterine smooth muscle in concentration of 10-5 M but, relaxed the uterine smooth muscle in high concentrations (10-4 to 10-3 M). (Korean J Anesthesiol 2007; 52: 77~80)