http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
심장 수술 환자에서 비위관 거치가 수술 후 오심 및 구토에 미치는 영향
임경실,김종분,이재명,정현주,오승화 대한마취통증의학회 2009 Anesthesia and pain medicine Vol.4 No.4
Background: The incidence of postoperative nausea and vomiting after cardiac surgery is 30−40%. The role of a nasogastric tube for reducing the PONV is still controversial. Methods: 92 patients who were undergoing cardiac surgery with cardiopulmonary bypass were randomized to a receive nasogastric tube after induction of anesthesia (Group 2) or they were placed in the control group (no nasogastric tube) (Group 1). The patients with a history of gastric/esophageal surgery, esophageal varix, esophageal stricture and/or a history of antiemetic treatment were excluded. Routine fast-track cardiac anesthesia and postoperative care were employed for all the patients. The incidence of PONV was recorded hourly for the first four hours after extubation and then every 4 h afterwards for 24 h. The usage of antiemetics and pain medication was also recorded. The data was analyzed with t-tests and chi-square tests for the continuous variables and the categorical data, respectively. P values < 0.05 were considered statistically significant. Results: The groups were similar with respect to the demographic data, the surgical characteristics and the opioid usage. There was no significant difference in the incidence of PONV and the antiemetic usage between the two groups. Conclusions: This study showed that placement of a nasogastric tube did not have an impact on the incidence of PONV or the requirements for antiemetics after cardiac surgery. The results of this study do not support the use of a nasogastric tube to reduce PONV after cardiac surgery.
Takayasu씨 동맥염 환자의 경막외 진통하 질식분만 - 증례 보고 -
임경실 대한마취통증의학회 2008 Anesthesia and pain medicine Vol.3 No.3
Takayasu arteritis is a nonspecific chronic inflammatory disease of the aorta and its major branches, which has a higher incidence during the child-bearing years. There have been several reports of Takayasu arteritis during pregnancy with Cesarean delivery under general or epidural anesthesia. However, there have been few reports of successful vaginal delivery under epidural analgesia. We report a case of successful vaginal delivery under epidural analgesia in a 31-year-old primigravida with a history of Takayasu arteritis.
임경실,김종분,이재명,정현주,한상우,김대우,유건희 대한마취통증의학회 2011 Anesthesia and pain medicine Vol.6 No.2
Background: The recovery time in propofol target controlled infusion (TCI) can be determined by the context sensitive decrement time (CSDT) using a Multichannel TCI system. Therefore, it is important to obtain the default CSDT in a Multichannel TCI system. The effect-site concentrations for eye opening and orientation in adults after propofol-remifentanil TCI were evaluated according to the CSDT using a Multichannel TCI system. Methods: After obtaining informed consent and Institutional Review Board approval, 135 ASA Class I or II patients scheduled to undergo elective surgery were divided into 3 groups according to age. The three groups included the following: group 1 (n = 45), 18−29 years;group 2 (n = 45), 30−39 years; and group 3 (n = 45), 40−54 years. The propofol infusion was started at a propofol target effect-site concentration (CeT) of 6μg/ml. Anesthesia was maintained primarily with a propofol CeT of 2.5μg/ml, a remifentanil CeT of 6ng/ml and with 67% nitrous oxide in oxygen. The average effect-site concentrations of propofol at eye opening and orientation in each group were estimated. Results: The average range of the effect-site concentrations of propofol at eye opening and orientation after surgery were 0.9−1.1μg/ml. The range of times to eye opening and orientation after stopping the nitrous oxide and infusion after surgery were 10.9−12.9 min. Conclusions: The average range of the effect-site concentrations of propofol at eye opening and orientation after propofol-remifentanil TCI in Koreans are 0.9−1.1μg/ml. (Anesth Pain Med 2011; 6:131∼137)
증례보고 : 전신 마취 중 발생한 심박수 의존성 좌각차단
임경실 ( Kyung Sil Im ),정현주 ( Hyun Ju Jung ),이재명 ( Jae Myeong Lee ),박훈 ( Kuhn Park ),김종분 ( Jong Bun Kim ),심진철 ( Jin Cheol Sim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
Rate-dependent left bundle branch block during general anesthesia is rare, but its occurrence makes the electrocardiographic diagnosis of acute myocardial ischemia or infarction difficult. It can also be confused with slow rate ventricular tachycardia. Herein, a case of rate-dependent left bundle branch block, in a patient with no previous history of ischemic heart disease, is reported. The administration of esmolol resulted in a decrease in the heart rate, with reversion to normal sinus rhythm. (Korean J Anesthesiol 2007; 52: 350~4)
증례보고 : 대퇴골 간부 골절 고정술 후 발생한 반대 측 좌골 신경 손상 -증례보고-
임경실 ( Kyung Sil Im ),권용순 ( Yong Soon Kwon ),정현주 ( Hyun Ju Jung ),김종분 ( Jong Bun Kim ),이재명 ( Jae Myeong Lee ),이민혜 ( Min Hye Lee ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.6
A sciatic nerve injury as a complication of the position appears to be rare. There are several reports on sciatic nerve injuries that occurred as complications of the lithotomy position. We present two cases of an opposite sciatic nerve injury after the fixation of a femur shaft fracture. Two patients complained of hyperesthesia of the right foot and a foot drop after surgery. Nerve conduction and electromyographic studies were performed, which revealed a sciatic nerve injury. The patients were treated with physiotherapy and an ankle-foot orthotic. In the case 1, patient had completely recovered ten months after surgery. However, in case 2, the patient still had residual hyperesthesia and weakness two months after surgery when he was lost to follow-up. The mechanism of nerve injury in these patients was a stretching of the nerve. Tension was placed on the nerve as a result of the external rotation of the thigh with the hip and knee joints flexed. (Korean J Anesthesiol 2007; 52: 707~11)
자궁근종조직 및 정상자궁근조직에서 에스트로겐 수용체 알파 , 베타 및 인슐린 유사 성장인자 결합단백질 관계 펩티드 - 1 전령리보핵산의 발현 양상
임경실(Kyung Sil Lim),김정구(Jung Gu Kim) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.3
N/A Objective: To evaluate a possible involvement of estrogen receptor (ER)α ,E R β and insulin-like growth factor binding protein related peptide-1 (IGFBPrp-1)in the growth of leiomyoma. Met hods :The relative expressions of ERα, Rβ and IGFBrp-1 mRNA were analyzed by reverse transcription-polymerase chain reaction in total RNA extracted from the paired specimens of leiomyoma and adjacent myometrium from untreated patients (n=25)and from leiomyoma specimens from patients (n=10) pretreated with gonadotropin releasing hormone agonist (GnRHa)-pretreated for 3 months. Results: There were no significant differences in ER α ,E R β mRNA expression and ERα/ERβ mRNA ratio between adjacent myometrium and leiomyoma, ut IGFBPrp-1 mRNA expression was significantly lower in leiomyoma than in adjacent myometrium from untreated patients. No differences in ERα, ERβ mRNA expressions and its ratio between leiomyoma from GnRHa-pretreated patients and leiomyoma from untreated patients. Leiomyoma from GnRHa-pretreated patients had IGFBPrp-1 mRNA expresion similar to adjacent myometrium from untreated patients and higher than large myoma (more than 150㎤ in volume) from untreated patients. No correlations among ERα, ERβ mRNA expression, its ratio and IGFBPrp-1 Conclusions: IGFBPrp-1 may be involved in the growth of uterine leiomyoma but ER may not.