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소아수술을 위한 Jackson Rees 의 마취방법 : 1235 증례 1235 Cases
전재규,손소인 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.2
The Jackson Rees technique has become increasingly popular in pediatric anesthesia. This article presents an original Jackson Rees technique that we have used on 1235 cases for the past 7 years, and which is known as Pentothal-Curare-Hyperventilation technique or the Liverpool technique because of its origin and agents used. Technique 1) Atropine and demerol generally are given as premedication but atropine is only given in the newborn baby. 2) Patients are given pentothal 4mg/kg to sleep. 3) A dose of curare 0.6 mg/kg is administered to paralyze and the patient is intubated with an appropriate size tube. 4) The ptaient is hyperventilated with three times the minute volume of N_2O/O_2 in a 1:2 ratio suing a Jackson Rees modification unit. 5) At the end of surgery N_2O is discontinued and curare is reveresed with prostigmine 0.1 mg/kg and atropine 0.03 mg/kg. As a result of our experience this technique has been considered to be a very satisfactory technique in all fields of pediatric anesthesia. The advantages and controverses are discussed.
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마취중 우측 쇄골하 및 내경 정맥압과 중심 정맥압과의 비교
김인현,김인규,신명근,송필오,손소인 대한마취과학회 1989 Korean Journal of Anesthesiology Vol.22 No.6
The internal jugular and subclavian veins are considered as satisfactory intravenous routes for rapid blood and fluid replacement. To determine whether these venous pressures can be used as reliable guides for central venous pressure monitoring, simultaneous measurements of the Rt. internal jugular venous pressure and central venous pressure (CVP), or Rt. subclavian venous pressure and CVP using long 14 gauge catheter were made in 20 patients undergoing cardiac anesthesia. The results were as follows: 1. Each mean value of the Rt. internal jugular venous pressure and CVP was 10.64±5.43 cm H₂O and 10.05±5.55cm H₂O (Mean±SD) respectively in first 10 patients. Pressure difference was 0.59±0.39cm H₂O (p$lt;0.005). 2. Each mean value of the Rt. subclavian venous pressure and VP was 7.77±3.37 cm H₂0 and 7.05±3.49cm H₂O (Mean±SD) respectively in second 10 patients. Pressure difference was 0.73±0.59cm H₂O (p$lt;0.005). 3. There were significant correlations between Rt. internal jugular venous pressure and CVP .005) as well as between Rt. subclavian venous pressure and CVP (r=0.98, p$lt;0.005). The results suggest that Rt. internal jugular or subclavian vein catheterized with short intravenous catheter during Anesthesia can be used as effective and reliable guides for CVP monitoring because pressure differences with CVP were small and consistant.
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