http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
임상연구 : 복강경하 부인과 수술 시 Nicardipine 투여가 마취 유도, 마취유지 및 회복에 미치는 효과
전우재 ( Woo Jae Jeon ),최윤정 ( Yun Jeong Choi ),이건승 ( Gurn Seung Lee ),심재항 ( Jae Hang Shim ),조상윤 ( Sang Yun Cho ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
Background: Pneumoperitoneum for a gynecologic laparoscopic surgery induces hemodynamic changes. We evaluated the effects of nicardipine on induction, maintenance, and recovery. Methods: Thirty patients scheduled for gynecologic laparoscopic surgery were randomly allocated to two groups: control group (placebo group, n = 15), group N (nicardipine group, 10μg/kg followed by 0.5-2.0μg/kg/min). The systolic arterial pressure, mean arterial pressure, and heart rate were measured at preinduction, induction, intubation and 5, 10, 15, 20 min after insufflation. Loss of consciousness, induction dose, effective site concentration, propofol maintenance dose (the maintenance dose of propofol from intubation to end of anesthesia, PMD) were also measured. Propofol was titrated to maintain a bispectal index value of 40-60. Results: There was a significant difference in PMD between two groups. The PMD of group N was significantaly less than group C. Nicardipine adminstration attenuated increase in the blood pressure, but did not affect on heart rates during CO2 insufflation. Conclusions: Co-administration of nicardipine was effective in attenuating the hemodynamic changes after pneumoperitoneum during gynecologic laparoscopic surgery, without changes of induction and recovery. (Korean J Anesthesiol 2006; 50: 515~8)
임상연구 : 광봉을 이용한 기관내 삽관 시 혈역학적인 변화를 최소화하기 위한 Remifentanil의 정적 효과처 농도는?
이정혁 ( Jeoung Hyuk Lee ),전우재 ( Woo Jae Jeon ),심재항 ( Jae Hang Shim ),조상윤 ( Sang Yoon Cho ),염종훈 ( Jong Hoon Yeom ),신우종 ( Woo Jong Shin ),김경헌 ( Kyoung Hun Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3
Background: In the previous studies, remifentanil reduces the hemodynamic change induced by endotracheal intubation. We studied the optimal effect site concentration of remifentanil for endotracheal intubation using light wand. Methods: Sixty ASA 1 or 2 patients scheduled for elective surgery under general anesthesia were classified in three groups according to the TCI (target controlled infusion) dose of remifentanil. Each group was administered 4μg/ml of propofol TCI, rocuronium, with 2 ng/ml (group 1), 4 ng/ml (group 2), 6 ng/ml (group 3) of remifentanil TCI. Blood pressure, heart rate and bispectral index score were measured before induction, 3 minutes after remifentanil and propofol TCI, after endotracheal intubation using light wand, and 3 minutes after endotracheal intubation. Statistical analysis was done for comparison of time and dose dependant change among the groups. Results: After endotrachal intubation, blood pressure and heart rate were significantly increased in group 1, and decreased in group 2 and 3. 3 minute after endotracheal intubation, heart rate significantly decreased in group 3, but there were no changes in group 2. Conclusions: The spontaneous BRS was decreased during ketamine induction of general anesthesia. These results suggest that anesthesia induction with ketamine impairs baroreflex control of heart rate, which may provoke hemodynamic instability. (Korean J Anesthesiol 2007; 52: 278~83)
임상연구 : Clonidine 전투약이 Propofol에 의한 마취유도 및 기관내 삽관 시 A-Line(TM) ARX Index와 혈역학적 변화에 미치는 영향
최원진 ( Won Jin Choi ),전우재 ( Woo Jae Jeon ),심재항 ( Jae Hang Shim ),조상윤 ( Sang Yoon Cho ),염종훈 ( Jong Hoon Yeom ),신우종 ( Woo Jong Shin ),김경헌 ( Kyoung Hun Kim ) 대한마취과학회 2003 Korean Journal of Anesthesiology Vol.45 No.1
클라우드 네이티브 IAM(Identity and Access Management) 솔루션
박채림 ( Chae-rim Park ),전우재 ( Woo-jae Jeon ),박진형 ( Jin-hyung Park ),박성훈 ( Sung-hun Park ) 한국정보처리학회 2022 한국정보처리학회 학술대회논문집 Vol.29 No.2
본 논문은 클라우드 환경에 적합한 IAM(Identity and Access Management) 솔루션을 제안한다. 오픈소스 라이브러리인 Keycloak[1]을 이용하여 그룹 별 권한 관리 및 권한에 따른 리소스 관리가 가능하도록 하며, 솔루션을 쉽게 도입하여 사용할 수 있도록 컨테이너 기술을 통해 신속하게 환경을 구축하고 배포할 수 있게 도와주는 플랫폼인 Docker 를 사용해 Docker image 형식으로 제공한다.
증례보고 : Cornelia de Lange Syndrome 환자의 전신마취 경험
조상윤 ( Sang Yun Cho ),전우재 ( Woo Jae Jeon ),조영현 ( Yung Hyun Cho ),심재항 ( Jae Hang Shim ),염종훈 ( Jong Hoon Yeom ),신우종 ( Woo Jong Shin ),김경헌 ( Kyoung Hun Kim ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6
Cornelia de Lange syndrome (Amsterdam dwarfism) is a congenital disease characterized by mental retardation associated with multiple malformation. A genetic etiology has been proposed, with suggestions of autosomal dominant and recessive inheritance. It affects one in 30,000 to 60,000 live births. Two-thirds of patients with the condition die before the end of their first year; death occurs from pulmonary aspiration in infancy, and from infections and bowel obstruction in later life. One reference to the syndrome highlights problems with seizures, cardiac abnormalities and difficult tracheal intubation but apart from this paper, there is little published information about the anesthetic management. (Korean J Anesthesiol 2008; 55: 769~73)
김영선 ( Young Sun Kim ),신우종 ( Woo Jong Shin ),신중천 ( Joong Cheon Shin ),심재항 ( Jae Hang Shim ),전우재 ( Woo Jae Jeon ),조상윤 ( Sang Yoon Cho ),염종훈 ( Jong Hoon Yeom ),김경헌 ( Kyoung Hun Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.2
Background: High monitors are patients who require information on anesthesia and surgery and generally carry out active searches. These patients will benefit from more information related to surgery preoperatively whereas low monitors will benefit from less detailed information. This study examined whether or not patients` desire for information related to anesthesia and surgery differ according to their coping style classified by the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Methods: 465 patients were asked to fill out the questionnaires in APAIS, State-Trait anxiety inventory (STAI) and also to mark their perception on a 10 cm line in a visual analog scale (VAS). The APAIS with the other subjective measurements of anxiety were evaluated according to their gender, ASA class, past history of surgery and degree of education. Thirteen questionnaires were evaluated according to their coping styles. Results: High monitors wanted to know all 13 questions compared with low monitors, whereas low monitors preferred not to know (P<0.05). The APAIS has a significant relationship with the VAS and STAI (P<0.05). Women, patients with no prior history of surgery, and patients with ASA 2 were significantly more anxious than men, patients with a prior experience of surgery and ASA 1 patients, respectively (P<0.05). The VAS and APAIS were in good agreement in defining patients as anxious and there were significant correlations between the two instruments (P<0.05). Conclusions: The APAIS can be used as an efficient tool for identifying patients who are particularly anxious or require information. (Korean J Anesthesiol 2007; 53: 153~8)