http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
( Si Ra Bang ),( Hyun Joo Ahn ),( Hyo Jin Kim ),( Gunn Hee Kim ),( Jie Ae Kim ),( Mi Kyung Yang ),( Jin Kyoung Kim ),( Hyun Sung Cho ) 대한마취과학회 2010 Korean Journal of Anesthesiology Vol.59 No.5
Background: Coughing is a side effect of opioids that is rarely studied. Here, we evaluated the incidence of remifentanil induced coughing during anesthesia induction in an attempt to identify its risk factors and to examine the preventive effects of lidocaine and salbutamol. Methods: A total of 237 patients scheduled to undergo general anesthesia were allocated randomly into three groups. Group C received no medication, while Group L received 2% lidocaine at 0.5 mg/kg intravenously 1 minute prior to remifentanil infusion and Group S inhaled one metered aerosol puff of salbutamol 15 minutes prior to entering the operating room. Remifentanil was infused at 5 ng/ml by target controlled infusion and coughing was measured for five minutes and graded as none, mild, moderate, or severe based on the number of coughs. Results: The incidences of coughing were 30.4%, 25.3%, and 35.4% in Groups C, L, and S, respectively. The incidences, onset times, and severity of coughing did not differ significantly among groups. In addition, multivariate analysis showed that non-smoking and a lower body weight were risk factors of remifentanil-induced coughing (odds ratio, 8.13; P = 0.024, 1.11, and 0.004, respectively). Conclusions: The incidence of remifentanil-induced coughing was 30%. A total of 0.5 mg/kg lidocaine and 1 metered aerosol puff of salbutamol did not prevent coughing. Non-smoking and low body weight were found to be risk factors of remifentanil-induced coughing. (Korean J Anesthesiol 2010; 59: 319-322)
경막외 Hydromorphone 자가조절진통에서 소양증에 대한 경막외 Naloxone의 효과
방시라 ( Si Ra Bang ),김희숙 ( Hee Suk Kim ),김지혁 ( Ji Hyeok Kim ),심우석 ( Woo Seok Sim ),곽미숙 ( Mi Sook Gwak ),양미경 ( Mi Kyung Yang ),김정수 ( Chung Su Kim ),함태수 ( Tae Soo Hahm ),조현성 ( Hyun Sung Cho ),최덕환 ( Duck H 대한통증학회 2006 The Korean Journal of Pain Vol.19 No.1
Gunn Hee Kim,안현주,Hyun-Soo Kim,Si Ra Bang,조현성,양미경,김지애 대한마취통증의학회 2011 Korean Journal of Anesthesiology Vol.60 No.6
Background: Endoscopic thyroidectomy was recently introduced and has been rapidly accepted by surgeons and patients. The present study was conducted to estimate and compare the incidences of postoperative nausea and vomiting (PONV) after endoscopic thyroidectomy using two different anesthetic methods: sevoflurane based balanced anesthesia; total intravenous anesthesia (TIVA). Methods: Ninety nine female patients that were scheduled to undergo elective endoscopic thyroidectomy under general anesthesia were enrolled. These patients were randomly allocated to receive sevoflurane based balanced anesthesia (BA group) or propofol-remifentanil anesthesia (TIVA group). PONV was evaluated using a 4-point Likert scale, and pain using a visual analogue scale (VAS; range 0 to 100) for 0-2, 2-6, and 6-24 hours postoperatively. At 24 hours postoperatively, overall patient satisfaction regarding PONV and pain were recorded. Results: The incidence of PONV was 14.6% in the TIVA group and 51.3% in the BA group. The incidence of nausea at 0-2 and 2-6 hours postoperatively was lower in the TIVA group than in the BA group (4.2% vs. 35.9%, 6.3% vs. 23.1%, respectively), but no between-group difference was observed at 6-24 hours postoperatively (8.3% vs. 5.1%). Antiemetic usage at 0-2 and 2-6 hours was lower in the TIVA than the BA group (4.2% vs. 38.5%, 6.3% vs. 23.1%),but no between-group difference was observed for 6-24 hours (6.3% vs. 7.7%). There were no differences in pain or in patient satisfaction. Conclusions: After endoscopic thyroidectomy, total intravenous anesthesia with propofol-remifentanil is associated with less PONV during the early postoperative period (0-6 hours) than sevoflurane based balanced anesthesia.
Lee, Ki-Hwa,Choe, Ji-Hyun,Lee, Sang-Eun,Park, Jae-Hong,Bang, Si-Ra,Kim, Yong-Han,Jeon, Sang-Yoon The Korean Pain Society 2011 The Korean Journal of Pain Vol.24 No.4
Surgical excision was performed on a 30-years old woman with a painful mass on her left thigh. The pathologic findings on the mass indicated fibromatosis. After the operation, she complained of allodynia and spontaneous pain at the operation site and ipsilateral lower leg. We treated her based on postoperative femoral neuropathy, but symptom was aggravated. We found a large liposarcoma in her left iliopsoas muscle which compressed the lumbar plexus. In conclusion, the cause of pain was lumbar plexopathy related to a mass in the left iliopsoas muscle. Prompt diagnosis of acute neuropathic pain after an operation is important and management must be based on exact causes.
( Sang Yoon Jeon ),( Ji Hyun Choe ),( Sang Eun Lee ),( Jae Hong Park ),( Si Ra Bang ),( Yong Han Kim ) 대한통증학회 2011 The Korean Journal of Pain Vol.24 No.4
Surgical excision was performed on a 30-years old woman with a painful mass on her left thigh. The pathologic findings on the mass indicated fibromatosis. After the operation, she complained of allodynia and spontaneous pain at the operation site and ipsilateral lower leg. We treated her based on postoperative femoral neuropathy, but symptom was aggravated. We found a large liposarcoma in her left iliopsoas muscle which compressed the lumbar plexus. In conclusion, the cause of pain was lumbar plexopathy related to a mass in the left iliopsoas muscle. Prompt diagnosis of acute neuropathic pain after an operation is important and management must be based on exact causes.
증례보고 : 소장 절제술을 시행받은 환아에서의 소장 이식 수술의 마취 관리
김한수 ( Han Soo Kim ),김형균 ( Hyung Kyun Kim ),김지애 ( Jie Ae Kim ),방시라 ( Si Ra Bang ),김갑수 ( Gaab Soo Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.6
Small bowel transplantation is becoming the treatment of choice for short-gut syndrome. Improvements in surgical techniques, immunosuppressants, and anesthetic management of patients have allowed this procedure to become the standard of treatment for patients who are unable to continue total parenteral nutrition (TPN) therapy due to TPN-associated complications. We experienced small bowel transplantation in a 10-month-old male infant who had small bowel resection for small bowel volvulus and has suffered from complications such as recurrent sepsis, disseminated intravascular coagulation (DIC) due to long-term TPN. We report our experience with a brief review of the relevant literature. (Korean J Anesthesiol 2007; 53: 791∼5)