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수근관 증후군 환자에서의 정중 신경 차단 - 5예 보고 -
정평식(Pyung Sik Jung),이효근(Hyo Keun Lee),김순열 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.1
N/A Carpal tunnel syndrome is the most common compressive neuropathy of the upper extremi- ty. Clinical manifestations include pain as well as motor and sensory dysfunction in the distri- bution of the median nerve. As nonoperative treatment, median nerve block is performed to relieve pain for carpal tun- nel syndrome. We have experienced 5 such cases. Our results support median nerve block as an excellent treatment for carpal tunnel syndrome.
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중환자실 환자의 진정 효과를 위한 Midazolam 지속정맥주입
이경민,임재진,엄대자,정평식 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.10
Problems related to agitation in the ICU patients include cardiorespiratory instability, ina bility to cooperate with nursing care, failure to maintain op timal positioning in bed, dis- ruption of life sustaining tubes and catheters, and injuries to patients and hospital person- nel. Thus, the ability to provide safe, controllable, and reversible sedation can be important in the care of critically ill patients. Midazolam is a water soluble imidazobenzodiazepine with a rapid onset of ac tion and short elimination half life compared with diazepam or lorazepam. We evaluated the use of midazolam by continuous infusion for prolonged sedation of critically ill adult patients. The results were as follows ; 1) Midazolam infusion effectively controlled severe agitation in all patients. 2) No episodes of cardiovascular depression due to midazolam occur red during the study period. 3) In one patient, tolerance was developed 6 days after infusion. 4) Mean time to alertness was 2.23 hours. 5) In a renal failure patient, there was no significant prolongation of time to alertness. These results suggest that midazolam infusion provides safe, controllable, and reversible sedation in the care of critically ill patients.
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이영복,엄대자,윤경봉,정평식,성낙순 대한마취과학회 1994 Korean Journal of Anesthesiology Vol.27 No.11
Orthopedic surgical procedures are associated with a variety of complications due to em- bolic phenomena. Fat embolism syndrome is associated with multiple trauma injuries and surgery involving longbone fractures. The pathogenesis of syndrome is not clear and treatment remains supportive. We experienced a case of pulmonary embolism associated with total hip replacement. We suspected embolism on pulmonary perfusion scan and diagnosed fat embolism with criteria for diagnosis of fat embolism syndrome by Gurd.
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중증 호흡부전 환자에서 용량조절 환기와 압력조절 환기의 심호흡계 효과의 비교
이종진,이경민,엄대자,임현교,최령,정평식 대한마취과학회 1995 Korean Journal of Anesthesiology Vol.29 No.4
Pressure controlled ventilation has been proposed to recruit closed alveolar units and improve oxygenation through changing the inspiratory flow pattern from a square wave as used with volume controlled ventilation to a rapidly exponentially decaying curve and through maintaining airway pressure at a constant level throughout the inspiratory phase. The purpose of this study was to evaluate the cardiorespiratory efficacy of pressure controlled ventilation in severe respiratory failure. Cardiorespiratory values were measured in ten patients with severe respiratory failure on volume controlled and pressure controlled ventilation. Tidal volume, ventilatory rate, PEEP, inspiratory:expiratory ratio and F₁O₂ were maintained at the same level for both ventilatory modalities. Changing from volume controlled ventilation to pressure controlled ventilation was associated with significant improvement in PaO₂ and decrease in peak inspiratory pressure. There were no significant changes in other cardiorespiratory values, such as arterial blood pressure, heart rate, inspiratory pause pressure and static compliance. These results suggest that pressure controlled ventilation may be a beneficial ventilatory modality in the treatment of severe respiratory failure compared to volume controlled ventilation.
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