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증례보고 : 급성 대상포진 환자에서 성상신경절에 박동성 고주파술을 이용한 치료경험
이상모 ( Sang Mo Lee ),박천희 ( Choon Hee Park ),김원태 ( Won Tae Kim ),이철승 ( Cheol Seung Lee ),최준석 ( June Seong Choi ),김정률 ( Jung Yul Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.5
Herpes zoster represents the reactivation of latent varicella-zoster virus located in the dorsal root ganglion. The virus multiplies and migrates to the skin surface producing a characteristic, usually painful, pustular eruption. Severe pain during the acute phase of herpes zoster has been associated with a higher risk of developing postherpetic neuralgia. Sympathetic ganglion block and somatic nerve block have been used for patients in the acute phase of herpes zoster to alleviate pain and prevent postherpetic neuralgia. Sympathetic nerve block appears to achieve these goals by blocking the profound sympathetic stimulation that is a result of the viral inflammation of the nerve and ganglion. However, they require repeated local anesthetic injections to relieve the symptoms of acute herpes zoster as well as to prevent the occurrence of postherpetic neuralgia. Pulsed radiofrequency has been proposed as safe, nondestructive treatment method. We present a case of acute herpes zoster that was managed with pulsed radiofrequency treatment. The results were satisfactory. (Korean J Anesthesiol 2007; 52: 586~90)
편도선 절제술 중 Epinephrine 국소침윤에 의한 심정지와 급성 폐부종 1예
안익순,최준석,박천희,이철승,김원태,임경준 朝鮮大學校 附設 醫學硏究所 2006 The Medical Journal of Chosun University Vol.31 No.3
Hemostasis and a clear surgical field are obtained by the local infiltration of a local anesthetic mixed with epinephrine during tonsillectomy. However, epinephrine may in itself, due to its cardiovascular effect, cause arrhythmia, heart failure, Pulmonary edema, and even cardiac arrest. We describe a 22-year-old patient who developed cardiac arrest due to epinephrine infiltration during tonsillectomy. The patient was resuscitated and recovered without any sequele after intensive treatment.