http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
김영진,송찬우,김정원,신동엽,홍기혁 인제대학교 1995 仁濟醫學 Vol.16 No.3
소아에서 흔하지 않은 갈색세포종의 적출술을 위한 마취를 성공적으로 시행하였기에 보고하고자 한다. An one anesthetic experience with right adrenalectomy for phochromocytoma in a 13-year-old children has been reported. Thiopenthal sodium 174mg and succinylcholine 40mg were used for endotrachal intubation, followed by N2O, O2, and isoflurane for induction and maintenance. During anesthesia and operation, the highest systolic blood pressure was 210mmHg, the lowest was 130mmHg, and some variable arrhythmias were present. But these were well controlled immediately after administration of labetalol and propranolol. The patient tolerated anesthesia and surgery well, despite the episodic hemodynamic changes. Although specific anesthetic drugs have been recommended, we believe that optimal preoperative preparation, a gentle induction of anesthesia and good communication between surgeon and anesthesiologist are most important for anesthetic management.
노인환자에 있어서 항문 및 하복부 수술시의 지속적 경막외마취
김성주,유병훈,김정원,신동엽,홍기혁 인제대학교 1995 仁濟醫學 Vol.16 No.4
노인환자는 연령에 따른 신체기능의 저하 및 동반질환에 대한 이환율의 증가에 따른 합병증의 높은 발생률을 보인다. 이러한 합병증으로 인한 위험도를 줄이기 위해 안전한 마취 관리 및 유지가 요구된다. 본 교실에서는 항문 및 하복부 수술을 받은 65세 이상의 환자 60명에서 지속적 경막외 마취를 시술하여 그 적합성 및 적절한 국소 마취제의 용량을 평가하고자 하였다. Recently, surgery and anesthesia for old age has been increased because of the development of medicine and economic state. There are various complicated problems in geriatric patients, such as the intraoperative hemodynamic instability, postoperative pulmonary complications and thromboembolism. So the regional anesthesia is considered to be better than general anesthesia for geriatric patients in the respect of safety in management. We studied optimal epidural anesthesia for lower abdomen and lower extremities, perianal, prostate of the ages over 65 years. And we tried to make proper dosage of anesthetics and anesthetic level selection of anesthetics according to it's characteristics. We concluded that 0.6 ml for each spinal segment is optimal dosage for 65 years old age. And selection of anesthetics for epidural anesthesia should be considered for its' duration of effect and properties such as muscle relaxation power and systemic toxicity.
신동엽,김성주,문순홍,박장수,홍기혁 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.30 No.4
Background: Adequate evaluation and monitoring for pre-eclamptic paturient and capable assistance before induction for anesthesiologist, must be taken to avoid sudden severe maternal hypertension with intubation during a Rapid Sequence intravenous induction. Such event predispose the paturient to intracranial hemorrhage and pulmonary hypertension with pulmonary edema. To diminish danger of hypertension that can be developed during general anesthesia and facilitate control of blood pressure, 24 women presenting for cesarean section were studied. Methods: All received 17.9±2.6ml of 0.5% bupivacaine, including 3ml of test dose, through the epidural catheter inserted in T-L interspace using 18 gauge Tuohy needle to the patients with a lateral decubitus position. We measured blood pressure and heart rate in 5, 10, 15, 20, 30, 45, and 60 minutes after injection of 0.5% bupivacaine and 15 minutes after transferred to recovery room. Results: The blood pressure of the patients started to decrease in 5 minutes and mot decreased in 20 minutes after injection, the heart rate had little change but decreased significantly in 45 minutes. Apgar Scores of the neonates at 1 and 5 minutes were 7.3±2.0 and 9.2±1.5. The patients used ephedrine and crystalloid solution for correction of hypotension were 6 of 24 women and had no any systemic toxicity or neurologic symptoms by local anesthetics(bupivacaine). Conclusion: Continuous epidural anesthesia for cesarean section in preeclamptic patients is recommended for safe anesthesia.