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- 저자 : 정유순 ( Yu Soon Jeong ) (검색결과 3 건)
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소아에서 기관내 삽관 후 Sevoflurane과 Desflurane이 호흡 역학에 미치는 영향
김윤희 ( Yoon Hee Kim ),정유순 ( Yu Soon Jeong ),최근석 ( Guen Seok Choi ),박상일 ( Sang Il Park ),손수창 ( Soo Chang Son ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.6
Background: Tracheal intubation causes a reflex tracheal constriction that leads to increased airway resistance. Inhalation anesthetics can prevent or minimize this response. Therefore, this study was conducted to evaluate the effect of 1 MAC sevoflurane or desflurane on respiratory mechanics in children after anesthetic induction using propofol and tracheal intubation. Methods: Sixty children undergoing elective surgery with tracheal intubation were assigned into two groups at random, a 1 MAC concentration of sevoflurane (n=30) and a desflurane (n=30) group. Anesthesia was induced using propofol (1.5 mg/kg) and tracheal intubation was facilitated using rocuronium (0.6 mg/kg). A respiratory profile monitor was used to measure the respiratory resistance, dynamic compliance and peak inspiratory airway pressure. The measurements were made at three time points, after three inspirations from the beginning of mechanical ventilation (baseline) and at 5 and 10 min after the administration of inhalation anesthetics. Results: Sevoflurane and desflurane led to a significant decrease in respiratory resistance and increased dynamic compliance at 5 and 10 min when compared to baseline. There were no significant differences in respiratory resistance and dynamic compliance between the two groups. Conclusions: A 1 MAC concentration of sevoflurane and desflurane has a similar bronchodilatory effect after tracheal intubation in children. (Korean J Anesthesiol 2009; 57: 714∼8)
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임상연구 : 중환자실에서 환자 억제대 사용에 대한 간호사 교육의 효과
김윤희 ( Yoon Hee Kim ),정유순 ( Yu Soon Jeong ),박주현 ( Joo Hyun Park ),윤석화 ( Seok Hwa Yoon ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.5
Background: Physical restraint is widely used to prevent self-harm and treatment interference in the intensive care unit (ICU)s, but it can cause adverse effects such as physical, psychological, and ethical problems. We examined the effect of nurse education on physical restraint use in the ICU. Methods: For 3 months before an ICU patient restraining program (IPRP), we investigated the application ratio of physical restraint, the incidence of complications and self-medical device breakage (self-extubation, self removal of intravenous line, etc.) Then we educated the 49 ICU nurses with an IPRP. The same data was collected again for 3 months after IPRP, and we also collected data from ICU nurses on their knowledge, attitude, and intention when applying physical restraint using questionnaires before and after IPRP education. Results: After IPRP education, the nurses` knowledge about physical restraint use improved significantly and their intension for restraint decreased. The physical restraint application ratio did not change significantly in the period before IPRP (146/475, 30.7%) compared to the period after IPRP (110/399, 27.6%). Significant decreases were shown in the incidence of physical injury and self-medical device breakage after restraint removal. There were no significant differences on the site, duration, or cause of physical restraints. Conclusions: Although the IPRP education did not decrease the restraint application ratio, there were significant decreases on patient physical injuries and medical device breakage after restraint removal. We suggest that education should be performed continuously to both nurses and doctors to decrease the application of physical restraints. (Korean J Anesthesiol 2008;55:590~5)
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