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갑상선절제술 후 48시간 동안 수술 후 오심과 구토에 대한 palonosetron과 ondansetron의 효과 비교
김유일,송동언,이기현,이일정,송재욱,임진훈 대한마취통증의학회 2012 Anesthesia and pain medicine Vol.7 No.4
Background: Postoperative nausea and vomiting (PONV) are common complications after general anesthesia. This study compared the effects of palonosetron and ondansetron in preventing PONV in patients undergoing thyroidectomy. Methods: 100 non-smoking female subjects were randomly assigned to a palonosetron group (n = 50) or an ondansetron group (n = 50). The patients of each group received 0.075 mg of palonosetron or 8 mg of ondansetron through intravenous bolus injection before induction of general anesthesia. The incidence of nausea and vomiting were monitored at 2 h, 24 h and 48 h after operation. Results: The incidence of PONV during 48 h after operation had no significant differences between the groups. However, the incidence of nausea was lower in the palonosetron group than in the ondansetron group (34% vs. 56%, P = 0.027). No differences were observed in incidences of vomiting, use of antiemetics and adverse events between the groups. Conclusions: Palonosetron was more effective than ondansetron in preventing nausea for patients undergoing thyroidectomy. However,the effect of palonosetron or ondansetron in preventing PONV was similar.
실신의 과거력이 있는 환자의 곡형날후두경을 이용한 조작과 기관내삽관 시 발생한 심장무수축 -증례 보고-
박창현,권영은,송동언,이기현,송재욱 대한마취통증의학회 2012 Anesthesia and pain medicine Vol.7 No.4
Vagal reflex during manipulation with a curved–blade laryngoscope and tracheal intubation may result in severe bradycardia and even,asystole. Manipulation with laryngoscope and tracheal intubation leaded to bradycardia and asystole at a 47-year-old woman during induction of anesthesia with propofol, remifentanil and cisatracurium and sevoflurane inhalation. Withdrawal of laryngoscope and atropine 0.5 mg injection, her heart rate was recovered to normal sinus rhythm. Intubation at secondary trial was done with bradycardia and heart rate was returned to normal sinus rhythm soon. She had a history of syncope in interview after surgery and was examined tilt test to find of cause of syncope. Although the result of the test was negative, the bradycardia and asystole seemed to be caused by vagal reflex.
양측성 손목굴증후군 환자에서 박동성 고주파술을 이용한 치료경험 -증례 보고-
박일봉,김유일,이준학,송동언,송재욱 대한마취통증의학회 2012 Anesthesia and pain medicine Vol.7 No.2
Carpal tunnel syndrome, compression of the median nerve in the carpal tunnel at the wrist, is the most common entrapment syndrome of peripheral nerve. It is characterized by sensory and motor symptoms and signs in the distribution of the median nerve. Radiofrequency thermocoagulation is a neuroablative treatment for various chronic pain disorders, but is associated with neural injury,neuritis, and occasional neuroma. Unlike RF, pulsed radiofrequency,the use of the high current intensity and electrical fields, has been proposed for the modulation of the excited nervous system pathway of pain without neuro-destruction and other potential complications. We report a case of bilateral carpal tunnel syndrome that was relieved after PRF lesioning of both median nerves.