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      • KCI등재

        Airway obstruction by extrinsic tracheal compression during spinal surgery under prone position -A case report-

        최락민,윤진선,노재훈,강경오,유상욱,조삼순,정희정 대한마취통증의학회 2010 Korean Journal of Anesthesiology Vol.59 No.-

        Tracheal compression by vascular anomalies in adults is uncommon and most related reports are of children. A 79-year-old woman without any respiratory history underwent a lumbar spine surgery under general anesthesia. She suddenly developed airway obstruction after a position change from supine to prone. A fiberoptic bronchoscopy showed the obstruction of endotracheal tube. The obstruction was relieved after we changed the depth of endotracheal tube and supported the patient’s neck with a cotton roll. The surgery ended without any other event and the patient recovered safely. A computed tomography revealed the rightward tracheal deviation and tortuous innominate artery contact with trachea. The patient didn’t manifest any respiratory related symptoms during postoperative period, and she was discharged without any treatment.

      • KCI등재

        Suspected transcutaneous cerebral spinal fluid leakage without postural headache after implantable intrathecal drug delivery system removal - A case report -

        최락민,양재영,최유선,박주영,정준혁,이보성,이광행,이재도 대한마취통증의학회 2019 Anesthesia and pain medicine Vol.14 No.2

        A 55-year-old man with an implantable intrathecal drug delivery system (IDDS) implant removal surgery was performed to control a suspected implant infection. Clear discharge from a lumbar wound was detected after IDDS removal, but transcutaneous cerebral spinal fluid (CSF) leakage was not suspected because the patient did not suffer from a postural headache. Finally, a suspected CSF leakage was resolved with a single epidural blood patch.

      • SCOPUSKCI등재

        한국인에서 후방접근법을 통한 요추신경총 차단 시 그 깊이와신체계측지수와의 상관관계

        최락민,장경혜,박현혜 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.39 No.4

        Background: Lumbar plexus block by posterior approach has been used for thigh and hip surgery and unilateral low back pain and/or low extremity pain control. We measured the needle depth from the skin to the lumbar plexus and its relation with body indices in Korean. Methods: Forty-eight (male 35, female 13) patients with unilateral low back pain and/or low extremity pain received lumbar plexus block by the posterior approach known as psoas compartment block. We measured the distance from the skin to the lumbar plexus with the aid of a nerve stimulator and evaluated its relation to body mass indices such as weight, height, abdominal circumference and body mass index (BMI; kg/m²). Results: The distance described above was 7.42 ±0.82 cm (range 6.0-9.5 cm) in males and 7.18 ±1.24 cm (range 5.3-10.0 cm) in females. Its relation to body weight was greater than with other body indices. The Pearsons coefficient between the distance and body weight was 0.745 in males and 0.842 in females. The predicted diste (cm) was 4.23 + 0.0471×weight (kg) in males (adjusted R²= 0.532) and 1.25 + 0.0975 ×weight in females (adjusted R^2= 0.682). Conclusions: Body weight is the most important factor for prediction of the distance from the skin to the lumbar plexus. The distance was about 6 - 10 cm in korean patients.

      • SCOPUSKCI등재

        증례보고 : 척추마취하 치핵 절제술 종료 직후에 발생한 스트레스성 심근병의증

        최락민 ( Rak Min Choi ),윤진선 ( Jin Sun Yoon ),노재훈 ( Jae Hoon Noh ),강경오 ( Kyoung Oh Kang ),김민석 ( Min Suk Kim ),조삼순 ( Sam Soon Cho ),전희정 ( Hee Jung Jun ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.4

        A 48-year-old healthy woman was admitted in our hospital for elective hemorrhoidectomy. She developed sudden headache and chest pain, and showed sinus bradycardia, arrhythmia and hypotension forty minutes after spinal anesthesia with 0.5% hyperbaric bupivacaine. An EKG showed ST depression and an transthoracic echocardiogram performed in PACU demonstrated mild LV dysfunction with hypokinesia of LV inferolateral wall. An coronary angiography on postoperative day 1 revealed normal coronary vessel and akinesia of LV inferior wall. Levels of CK-MB and Troponin I were mildly elevated. With medical therapy, the patient`s symptoms improved and recovered without any complication. (Korean J Anesthesiol 2009;56:470~3)

      • KCI등재

        1920年代 開城商人들의 紅蔘販路 視察記 考察 : 『中遊日記』와 『香臺紀覽』을 中心으로

        최낙민(Choi, Nack-Min)(崔洛民) 대한중국학회 2020 중국학 Vol.73 No.-

        한반도의 인삼은 중국의 비단과 차, 일본의 은과 함께 동아시아 상품교역네트워크를 구성하는 중요한 상품이었고, 지금도 그 상품가치를 높여가고 있다. 인삼이 해외수출상품으로 확립된 것은 개성상인들의 노력에 힘입은바가 크고, 일제강점기에 활동한 개성상인 孫鳳祥과 孔聖學은 紅蔘과 白蔘 등 인삼제품을 해외시장에 수출한 주역이었다. 전통학문에 대한 깊은 소양을 갖춘 儒商 손봉상과 공성학은 중국, 대만과 홍콩 등지의 헌삼판매처를 시찰한 자신들의 활동을 『中遊日記』와 『香臺紀覽』에 남겼다. 그러나 개성상인들이 남긴 우리나라 최초의 해외시장 시찰기라 할 두 책을 텍스트로 한 홍삼판로 시찰에 대한 연구가 전무한 상황이라 이에 대한 연구가 시급하다. 본고는 일제강점기, 개성상인들의 중국 및 세계 인삼시장에 대한 인식과 함께 고려인삼의 해외시장 개척에 대한 그들의 의지와 노력을 확인하고자 하였다. Ginseng on the Korean Peninsula, along with silk and tea from China and silver from Japan, was an important product that formed the East Asian Trade Network, and is still increasing its value. Ginseng was established as an overseas export product thanks to the efforts of Kaesong merchants. While Japanese colonial era, Bong-sang Son and Sung-hak Gong, who Kaesong merchants were to played a major role in exporting ginseng products to overseas markets. In 1923 and 1928, they visited red ginseng markets in China, Hong Kong, and Taiwan at the invitation of the Mitsui Company. After returning home, they published two books, China sightseeing diary中遊日記 and Travel in Hong Kong and Taiwan香臺紀覽, recording their inspection activities in the red ginseng market. In Chapter 2 of this paper, confirmed the perception of the global ginseng market by Kaesong merchants by organizing and analyzing the red ginseng market research records, especially the Shanghai meeting data contained in the China seeing diary. Chapter 3 looked at the passion for the development of red ginseng markets in southern China and Southeast Asia, including Taiwan and Xiamen, based on the record of Travel in Hong Kong and Taiwan. Chapter 4 confirmed the willingness and efforts of Kaesong merchants to develop their own overseas white ginseng sales market, which is not restricted by Mitsui Trading Co., a red ginseng monopoly, through an investigation of Ok Kwan-bin and Lee Yoo-sun, whom they met in Shanghai.

      • KCI등재

        玄卿駿의 작품을 통해 본 國境都市 圖們

        최낙민(Choi Nack Min)(崔洛民) 대한중국학회 2017 중국학 Vol.61 No.-

        도문은 두만강을 사이에 두고 함경북도 온성군 남양시와 마주한 간도의 국경도시이다. 1932년 만주국의 신경과 도문을 연결하는 경도선철도건설공사의 착공과 함께 성장한 도문은 이후 ‘북조선 삼항(청진, 웅기, 나진)’의 배후도시, ‘중계 국경역’으로 발전하였다. 현경준은 일제강점기 도문에서 활동한 대표적인 조선족 소설가이다. 1937년 일제의 문화동화정책을 피해 만주로 이주한 현경준은 국경도시 도문에 거주하면서 현지에서 생활하는 조선인의 삶과 ‘밀수’라는 사회문제에 천착하였다. 현경준은 작품을 통해 살아가기 위해 어쩔 수 없이 밀수를 할 수밖에 없었던 현지 조선인들의 삶을 변호하고, 그들을 ‘타락’으로 이끈 일본제국주의의 침탈을 간접적으로 비판하였다. 또한 현경준은 도문역을 통해 북만주로 이주하는 조선인의 모습을 작품 속에 담았다. 그는 국경도시 도문역을 배경으로 일제의 식민정책으로 자기의 고국에서 못살고 타국으로 쫓겨 가는 인민들, 이민자들에게 아무런 도움도 제공하지 않는 이민보도소 관리, 그들의 배후에서 기생하는 인신매매업자 등의 다양한 군상들을 통해 도문이란 국경도시가 갖는 의미와 함께 일본제국주의의에 대한 비판의식을 드러내었다. Tumen(圖們) is the border city of Gando(間島), facing Namyang(南陽) City of Onsung County, North Hamkyung Province, across the Tumen River. In 1932, Tumen began to develop with the construction of the Jing-Tu Line Railway(京圖線) Corporation, which connects the capital city of Manchuria and Japan. Since then, Tumen has developed into the back city of North Korea s Third Ports(Cheongjin, Ungki, Najin) & Border Station . Hyun Kyung-joon(玄卿駿) is a representative Korean-Chinese novelist who worked in the Japanese colonial period. In 1937, he moved to Manchuria to avoid the cultural assimilation policy of Japanese imperialism. Hyun Kyung-joon was attention to the life of Korean residents living in the border cities and the social problems of smuggling . Hyun Kyung Jun defended the local Koreans who were forced to become smugglers through novels, and indirectly criticized the invasion of Japanese imperialism that led them to corruption . In addition, Hyun Kyung-jun included the image of the Korean who migrated to North Manchuria through Tu-Men Station. He depicted the Korean people who were being thrown out at Mother land by Japanese imperialism through the border city Tu-men. Hyun Kyung - joon showed the resistance to the Japanese imperialism, and the meaning of the border city through various groups.

      • KCI등재

        Epidural anesthesia for permanent spinal cord stimulation with a cylindrical type lead: a case series

        이상은,최락민,기림,이강훈,전상윤,정재욱,김우진,윤진선 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.2

        Spinal cord stimulation (SCS) in trials involving external stimulation are easily conducted under local anesthesia. However,implantation of a permanent SCS system is painful, and can be intolerable in some patients. Epidural anesthesia canbe used to perform the SCS implantation without discomfort if the patient can localize the area of paresthesia. However,little is known about epidural anesthesia for SCS. This paper reports 23 cases of permanent SCS with a cylindrical typelead implanted under the epidural anesthesia. Epidural anesthesia was sufficient in 22 patients without discomfort andsignificant complications. The remaining patient experienced incomplete epidural anesthesia and required additional analgesicsto blunt the pain. All the leads were placed consistent with the patient’s report of paresthesia area under epiduralanesthesia. Thus, epidural anesthesia is an effective and safe method for the optimal placement of SCS to minimize thediscomfort for patients without impairing patients’ response to the intraoperative stimulation test.

      • SCOPUSKCI등재
      • SCOPUSKCI등재

        개심술시 고도 저체온 및 순환정지가 동맥혈 가스분석치에 미치는 영향

        고홍,함병문,최락민 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.6

        Eight infants or children with congenital heart disease underwent coorrective cardiac surgery suing hypothemia, cardioulmminary bypass, and total circulatory arrest. There were no significants change in pH,PaCO_2, PaP_2, and arterial bicarbonate ion concentraion between pre-arrest and post-arrest times.

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