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오늘 본 자료
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Monitoring the Occurrence of Genetically Modified Soybean and Maize around Cultivated Fields and at a Grain Receiving Port in Korea
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2.5 MeV 이하 단색 중성자 표준장에 대한 중성자 실험실내의 산란 중성자 분포 전산모사
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Cloning and Expression of Partial Japanese Flounder (Paralichthys olivaceus) IgD
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계간 저작권
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사회주의자의 실천 . 2 ^ 정치투쟁과 경제투쟁의 지도방침
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Curriculum and assesment issues:messages for teachers
- 검색키워드
- 저자 : Jiyoun Bang (검색결과 3 건)
- 무료
- 기관 내 무료
- 유료
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Jiyoun Bang,김종욱,이유미,Junghwa Joh,Eun-Hye An,Jae-young Lee,Ji Yeon Kim,최인철 대한마취통증의학회 2011 Korean Journal of Anesthesiology Vol.61 No.6
The addition of thoracic epidural anesthesia to general anesthesia during cardiac surgery may have a beneficial effect on clinical outcome. However, epidural catheter insertion in a patient anticoagulated with heparin may increase the risk of epidural hematoma. We report a case of epidural hematoma in a 55-year-old male patient who had a thoracic epidural placed under general anesthesia preceding uneventful mitral valve replacement and tricuspid valve annular plasty. During the immediate postoperative period and first postoperative day, prothrombin time (PT) and activate partial thromboplastin time (aPTT) were mildly prolonged. On the first postoperative day, he complained of motor weakness of the lower limbs and back pain. An immediate MRI of the spine was performed and it revealed an epidural hematoma at the T5-6 level. Rapid surgical decompression resulted in a recovery of his neurological abnormalities to near normal levels. Management and preventing strategies of epidural hematoma are discussed.
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최병문,Jiyoun Bang,Kyeo-Woon Jung,Ju-Hyun Lee,Heon-yong Bae,노규정 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.65 No.4
Background: Blood-brain equilibration rate constant (ke0) is derived from either pharmacokinetic and pharmacodynamic modeling (ke0_model) or a model-independent observed time to peak effect (ke0_tpeak). Performance in bispectral index (BIS) prediction was compared between ke0_model and ke0_tpeak for microemulsion or long chain triglyceride (LCT) propofol. Methods: Time to peak effect (tpeak, time to a maximally reduced BIS value) of microemulsion propofol after an intravenous bolus (1 mg/kg) was measured in 100 patients (group Amicro). An observed tpeak of 1.6 min for LCT propofol was obtained from an earlier study. Another 40 patients received a target controlled infusions of microemulsion propofol (ke0_model = 0.187/min, group Bmicro = 20) or LCT propofol (ke0_model = 0.26/min, group BLCT = 20) and remifentanil. The ke0_tpeak's in group Bmicro and BLCT were calculated using the observed tpeak value obtained from group Amicro and 1.6 min, respectively. Effect-site concentrations of propofol were recalculated using the amounts of propofol infused over time and ke0_tpeak's. Predicted BIS values calculated by sigmoid Emax equations with ke0_model and ke0_tpeak were compared with observed BIS values during induction and emergence for both formulations of propofol. Results: Observed tpeak of microemulsion propofol was 1.68 min. The median performance errors of BIS in group Bmicro were -1.83% (-24.8 to 18.9, ke0_model) and -2.42% (-26.1 to 36.2, ke0_tpeak), while 8.01% (-20.5 to 30.1, ke0_model) and 7.37% (-27.0 to 49.1, ke0_tpeak) in group BLCT. The median absolute performance errors of BIS in group Bmicro were 11.87% (2.2-31.1ke0_model) and 14.38% (-0.6 to 44.6, ke0_tpeak), while 17.31% (5.54-36.0, ke0_model) and 18.28% (-0.1 to 56.0, ke0_tpeak) in group BLCT. Conclusions: The ke0_model showed better performance in BIS prediction than the ke0_tpeak.
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Anaphylactic reactions after cisatracurium administration in two patients -a report of two cases -
Yangin Yoon,Byungdoo Lee,Hyung-Seok Seo,Jiyoun Bang,Seung Il Ha,송준걸 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.65 No.2
Cisatracurium was initially characterized to have no evident histamine-releasing potential with excellent cardiovascular stability. However, severe anaphylactic reactions to cisatracurium that resulted in bronchospasms and cardiovascular collapse have been reported worldwide. Two cases of severe anaphylactic reactions after the administration of cisatracurium are presented. The anesthetics used in both cases were lidocaine, midazolam, propofol (microemulsion propofol in the second case), remifentanil and cisatracurium. After the administration of these drugs, bronchospasm and hypotension manifested, leading to the diagnosis of anaphylaxis and appropriate treatment. Skin intradermal testing confirmed that both cases were due to immune-mediated anaphylaxis to cisatracurium, despite the fact that neither of the patients had been exposed to the allergen previously. The anaphylaxis may be due to cross-reactivity between neuromuscular blocking agents and substances with quaternary ammonium ions. Anesthesiologists should be aware that cisatracurium has the potential to trigger severe anaphylactic reactions via an immune-mediated mechanism.
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