재왕절개술을 위한 Fluothane 마취의 임상적 고찰

손항수,김성열,황청자,임주택 대한마취과학회 1971 Korean Journal of Anesthesiology Vol.4 No.1

In 97 cases of uncomplicated Cesarean section proceeding under 0.5% fluothane anesthesia with N₂O and O₂, 2.5% Pentothal sedium(clinical induction doses) was enough until umbilical cord clamp without any supplemental doses but muscle relaxation from succinylcholine might not be potentiated with 0.5% fluothane. On the other hand, Apgar score and postpartum uterine contractility was depending upon duration of anethesia but it was not so serious problem. Also, anesthesia inductien and recovery was rapid, and post operative pulmonary and other complication, even vomiting, did not occur. Conclusively, it is interesting that low concentration of fluothane with nitrous oxide are probably ideal anesthesia metbod for Cesarean section.

Acute hyperpyrexia 의 1 례보고

손항수,김성열,황청자,임주택 대한마취과학회 1971 Korean Journal of Anesthesiology Vol.4 No.1

The authors have experienced a case of acute hyperpyrexia with convulsion during diethyl ether anesthesia, which is rare and its etiology not well known.

韓國人胎兒에 있어서 坐高와 下肢의 相關關係 및 下肢計測値에서 坐高를 推算하는 公式作成에 關한 硏究

孫恒壽,-- 서울의대 1974 서울의대잡지 Vol.15 No.1

제왕절개 수술 마취중 발생한 폐수종 1 예 보고

김인현,손항수,임경님 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.3

Our hospital has been experienced pulmonary edema during general anesthesia for cesarean section of pre-eclampsia. But, the patient recovered rapidly without complication. Therefore, we think that before anesthesia, accurate laboratory data and careful attension are needed for general anesthesia of pre-eclamsia.

갑상선 내시경 절제술: 액와부 접근법

최종욱,전병선,손항수,정명호 대한이비인후과학회 2006 대한이비인후과학회지 두경부외과학 Vol.49 No.5

Background and Objectives:A hypertrophic scar of the anterior neck is the leading complaint of patients who underwentconventional thyroid surgery. In order to minimize the postoperative scars, endoscopic thyroidectomy via axillary approach wastried. Subjects and Method:Thirty-nine cases (female 37, male two, average age 36.3 yrs) with either benign unilateral thyroidnodule or cyst underwent endoscopic thyroidectomy. Under general anesthesia, less than 7 cm of skin incision was made inthe axilla of the same side and subcutaneous tunnel was made over the clavicle. Specially created retractor was placed within thetunnel between platysma and sternocleodomastoid muscle, and under rigid endoscope (4 mm, 5 mm;0°, 30°) thyroidectomywas performed. Results:There were 35 cases of thyroid nodulectomy, one case of isthmusectomy, and three cases of subtotallobectomy. Complete enucleations with the intact capsule were 13 cases, 24 cases with partial rupture of the capsule, and twocases with incomplete removal of the capsule. The mean operative time was 112.5 minutes. Postoperative complications includedone case of postoperative bleeding, two cases of delayed wound healing, three cases of paresthesia of shoulder and arm, and fivecases of hypertrophic scar of the axilla. For all cases, hospitalization period was two days. Conclusion:Endoscopic thyroidectomyvia axillary approach has an excellent cosmetic advantage;however, the procedure requires longer operation time ofabout three times the conventional method. Operation time can be reduced with the development of more versatile surgical tools.However, limited thyroidectomy surgery can not be avoided. (Korean J Otolaryngol 2006;49:527-31)

帝王切開術을 爲한 Fluothane 麻醉의 臨床的 考察

林柱澤,黃淸子,孫恒壽,金晟烈 한국의 현대의학사 1971 한국의 현대의학 Vol.4 No.1

Ludwig`s Angina 환자의 마취후 발생한 저산소증 뇌질환 1예 보고

최경희,안동애,손항수,차석희,임경림 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.5

Ludwig's Angina is the term given to the symptoms resulting from infection of the submandibular space and is characterized especially by extreme edema of the floor of the mouth. Airway obstruction and respiratory difficulty is common due to edema of the mouth, tongue, and the glottis, from mediastinitis due to spread, or from septicemia or pneumonia. Thus, it is necessary for the anesthetist to attend to specific management of airway maintenance. A 49-year-old male had an operation for incision and drainage under balanced anesthesia. After the operation, posthypoxic myoclonus due to anoxia for three minutes appeared while in the recovery room. The patient, controlled by oxygen supply anad diazepam and antiepileptics, has recovered from the seizures, but has not recovered from intention myoclonus and speech disturbance, which are slowly improving. This report describes this case of posthypoxic myoclonus following anesthesia and reviews the literature.

전신마취하에 복강경 담낭절제술시 분시 환기량의 증가가 심혈관계 및 폐환기에 미치는 영향

김병기,안동애,손항수,임경임,박학주,김석홍 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.30 No.6

Background: The pneumoperitoneum created by CO₂ insufflation during laparoscopic cholecystectomy has several potential hemodynamic and respiratory consequences. The purpose of this study is to investigate the effects of augmented minute ventilation on cardiovascular and ventilatory changes and to prevent hypercarbia due to CO₂ insufflation during laparoscopic cholecystectomy. Methods: Thirty-six patients were divided into three groups according to the level of minute ventilation. The three groups were: control group C (minute ventilation $lt;MV$gt; 100 ml/kg, respiratory rate $lt;RR$gt; 12 per minute), group R (MV 150 ml/kg, RR is 18 per minute) and group V (MV 150 ml/kg, tidal volume is 1.5 times as much as group C). We repeatedly measured mean arterial pressure $lt;MAP$gt;, pulse rate $lt;PR$gt;, arterial blood gas analysis and end tidal carbon dioxide $lt;P_(ET)CO₂$gt; and peak inspiratory airway pressure $lt;PIP$gt; before CO₂ insufflation, 15 and 30 minutes after CO₂ insufflation and 15 minutes after CO₂ deflation. Results: During CO₂ ation, MAP significantly increased but PR showed little changes in all three groups. PaCO₂ and P_(ET)CO₂ increased in group C, whereas in group R and V, they remained unchanged during CO₂ insufflation. But the level of PaCO₂ in group V decreased more than in the other two groups after CO₂ deflation,. PIP in group V increased 3 times as much as the control value. Conclusions: These results suggest that augmented minute ventilation in group R and V, prevented hypercarbia during CO₂ insufflation and increasing the tidal volume in controlled ventilation was more effective than increasing respiratory rate after CO₂ deflation.

통증 치료 환자에 대한 임상통계적 고찰

임경임(Kyung Im Lim),김병기(Byung Ki Kim),손항수(H 대한통증학회 1998 The Korean Journal of Pain Vol.11 No.2

N/A We had retrospective analysis of 42l patients who were consulted from other departments. From 1994 to 1997, these patients received nerve blocks, intravenous lidocaine infusion, lasers and so on for their pain. From these results, we are gathering information and making some recommandations. The largest percentage of patients were in their fifties with a distribution of 32.8% male and 55.1% female. The most common condition requiring treatment was low back pain 44.6%, followed by cancer pain 19.2%, cervical pain 7.4%, and shoulder pain 4.3%. In case of low back pain, the largest portion was HNP(27%), followed by spinal stenosis(16%), sprain(11%), and postlaminectomy(10%). The most common cacer was colorectal(28.4%) and the next was stomach(19.7%). The most commonly done nerve block was stellate ganglion block 32.3%, followed by lumbar epidural block 24.5% and caudal block 7.2%,

요통, 좌골 신경통 환자에서의 지속적 경막외 차단의 효과

김석흥(Seok Hong Kim),임경임(Kyung Im Lim),손항수( 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2

N/A Extradural block is a form of treatment described as early as the beginning of the pres- ent centuries. It has since had positive criticism from a number of authors in different countries. Epidural injections of steroids with or without local anesthetic have become an occasional method of conservative treatment in sciatica & lumbago, especially in acute case. We assess the results of continuous epidural block with steroids and local anesthetics in sciatica & lumbago. From July 1994 to June 1995, we treated 46 case of lumbago and sciatica using continu- ous epidural block with steroids and local anesthetics. After placement of 17-Gauge Tuohy needle in the epidural space by the technique of loss of resistance, 0.25% bupivacaine 5cc and triamcinolone 40 mg was administered and then epidural catheter was placed and con- nected to multiday infusor(Paragon) using 1% lidocaine with continuous infusion rate of 1 ml/hour. Usually, the catheter was removed after 1-2 weeks and then treated with the physical therapy. At the time of patient's discharge, 69.5% of all cases showed excellent or good results. Of particular note, 26 of the 46 cases were followed up by telephone. At present, in using continuous epidural block procedure, a relief in symptoms showed in 65.5% of these 26 cases. Continuous epidural block provides shortening of the recovery time from pain, avoidance of long period bed rest and early physical therapy and exercise. Therefore, continuous epi- dural block is simple and safe in the treatment of lumbago and sciatica, especially in acute phase.