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이성녀 ( Sung Nyu Lee ),김덕규 ( Deok Kyu Kim ),이지혜 ( Ji Hye Lee ),김동찬 ( Dong Chan Kim ),김정희 ( Jung Hee Kim ),이정우 ( Jeong Woo Lee ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
Apert 증후군 환자는 기도 확보가 어려울수 있으므로 마취전 방문을 시행하여 기도상태를 평가하고 안전한 기도 확보를 위한 적절히 마취 계획을 세워야만 한다. We present a case of a 10-year-old child who underwent over 20 times operations. At anesthetic induction, she was difficult to maintain face mask holding and required multi-handed mask ventilation technique. Laryngoscopic grade for endotracheal intubation was 3. We used classic laryngeal mask airway instead to endotracheal intubation. In the case of Apert syndrome, anesthesiologists must be prepared for difficult airway, and other anomaly.
혈관종으로 안면기형이 있는 환자의 전신마취 경험 -증례보고-
김동찬 ( Dong Chan Kim ),이지혜 ( Ji Hye Lee ),김정희 ( Jung Hee Kim ),이성녀 ( Sung Nyu Lee ),김덕규 ( Deokkyu Kim ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
기도관리의 어려움은 마취와 관련된 중요 합병증의 원인 중에 하나이다. 어려운 기도 (difficult airway)에서 기도확보가 늦어지거나 실패한다면 환자는 사망까지 초래될 수 있다. 만약 어려운 기도가 의심된다면 각성 상태 기 관내삽관이나 외과적 기도확보가 추천된다. 저자들은 고관절과 대퇴부의 농양에 대한 수 술이 필요한 52세의 남자 환자에서 안면에 심 한 변형을 유발한 혈관종 때문에 어려운 기도 관리를 경험하였기에 이를 보고하는 바이다. Difficult airway is one of the most important causes of major anesthesia-related complications. If an airway is suspected to be difficult, awake endotracheal intubation or surgical airway were recommended. We report a case that a 52-year-old male underwent a surgery for the abscess of hip and thigh, and he had facial anomaly due to no definite treatment for hemangioma, which is cause of difficult airway.
신전성 급성 신손상으로 오인된 급성 진행성 길랑-바레 증후군 1예
김정희 ( Jung Hee Kim ),이지혜 ( Ji Hye Lee ),김동찬 ( Dong Chan Kim ),이성녀 ( Sung Nyu Lee ),이정우 ( Jeong Woo Lee ) 전북대학교 의과학연구소 2011 全北醫大論文集 Vol.35 No.1
Guillain-Barre syndrome (GBS) is an acute monophasic paralyzing autoimmune disease, characterized by acute flaccid muscle paresis and areflexia, often preceded by an infection. The initial diagnosis of GBS is based upon the clinical manifestation. The cardinal clinical features of GBS are progressive, mostly symmetric muscle weakness and absent or depressed deep tendon reflexes. The weakness can vary from mild difficulty with walking to nearly complete paralysis of all extremities, facial, and respiratory muscles. The most life-threatening complication is acute respiratory failure, which is fully reversible in most cases if managed properly. Although acute kidney injury (AKI) can occur in cases with severe GBS, particularly in those with highly mortal dysautonomia, AKI as the first manifestation of GBS has been rarely reported. Here, we describe a case of rapidly progressive GBS manifested as an acute kidney injury of prerenal type associated with severe dysautonomia.