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임상연구 : 복강경하에 담낭절제술을 받는 환자에서 Propofol과 Remifentanil을 이용한 전 정맥마취와 Sevoflurane과 Alfentanil을 이용한 마취의 비교
구은혜 ( Eun Hye Koo ),김현정 ( Hyun Jung Kim ),김희주 ( Hee Zoo Kim ),오혜란 ( Hye Ran Oh ),이일옥 ( Il Ok Lee ),김난숙 ( Nan Sook Kim ),이미경 ( Mi Kyung Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.1
Background: The aim of this prospective, double-blind randomized study was to compare the clinical properties of sevoflurane-alfentanil with propofol-remifentanil anesthesia in patients undergoing a laparoscopic cholecystectomy. Methods: Forty patients (ASA physical status 1, 2) scheduled for elective surgery received total intravenous anesthesia (TIVA group) with remifentanil and propofol or sevoflurane-alfentanil. The TIVA group was induced with propofol 5μg/ml and remifentanil 4.5 ng/ml. The anesthesia was maintained with a continuous infusions of propofol 2.5μg/ml and remifentanil 3 ng/ml. The sevoflurane-alfentanil group was induced with alfentanil 15μg/kg and propofol 1.5 mg/kg IV. Maintenance was obtained with 2.0 vol% sevoflurane and a bolus of alfentanil 10μg/kg IV where needed. Results: There were no significant differences in the systolic and diastolic blood pressure and heart rate between the two groups. There were no significant differences in the time to eye opening, the time to extubation, post-anesthetic recovery room stay time and the incidence of postoperative nausea and vomiting between the two groups. Conclusions: Propofol-remifentanil (TIVA) and sevoflurane-alfentanil both provided satisfactory anesthesia for a laparoscopic cholecystectomy. (Korean J Anesthesiol 2006; 51: 24~8)
증례보고 : 중지의 복합 부위 통증 증후군 2형 환자에서 경부 척수자극술 -증례보고-
서경원 ( Kyoung Won Seo ),최상식 ( Sang Sik Choi ),이호준 ( Ho Jun Lee ),구은혜 ( Eun Hye Koo ),김희주 ( Hee Zoo Kim ),오혜란 ( Hye Ran Oh ),김난숙 ( Nan Sook Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.6
Complex regional pain syndrome (CRPS) is quite difficult to comprehend and manage, of which etiology and pathophysiological mechanisms have not been fully understood. CRPS is classified as either type 1 (without any known nerve injury) or type 2 (with apparent nerve or tissue injury). Spinal cord stimulation is a restorative therapy that currently offers the best chances of obtaining long-term pain relief in CRPS patients with pain that has not responded to other treatments such as physical therapy or analgesic medications. A 45 years old male patient referred to our pain clinic due to uncontrolled pain at the middle finger for 4 years after crushing injury. He was diagnosed with CRPS type 2 and treated with medication, stellate ganglion block, thoracic sympathetic block, and pulsed radiofrequency therapy, but their effects were transient and not satisfactory. A percutaneous spinal cord stimulation (SCS) with a single quadripolar electrode was tried and the patient`s finger pain was improved significantly (from VAS 10 to 2). SCS is an effective treatment for CRPS type 2 which results from crushing injury when alternative therapies fail. (Korean J Anesthesiol 2007; 52: 733~6)
金蘭淑 고려대학교 의과대학 1977 고려대 의대 잡지 Vol.14 No.1
The effects of premedicants on blood sugar was investigated in sixty-five cases. Blood samples were collected before and forty minutes after premenication. The comparative study was done in the change of blood sugar level by premedicants, age and sex. The results were as follows: 1. The significant elevation of blood sugar level in atropine-meperidine, atropin-diazepam and atropine-haloperidol groups were observed. 2. No significant elevation was seen in atropine group, in comparison with other premedicants. 3. No significant effect of premedicants on blood sugar was observed statistically. 4. The blood sugar level was more elevated in the young age group than old. 5. No difference of blood sugar level in sex group was seen.
기관내 삽관시 윤활제 튜브 도포 및 석시닐콜린 사용 여부가 술후 인후통에 미치는 영향
김재환,김난숙,장성호,임혜자,채병국,임춘학,전은희 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.30 No.5
Background: Sore throat has been reported to occur in 24-90% of intubated patients after general anesthesia. This study was done to evaluate the influence of succinycholine and tracheal tube lubrication on postoperative sore throat. Methods: Three hundred and two patients requiring orotracheal intubation for surgery were randomly allocated to one of three groups according to kinds of lubricants on endotracheal tube: control group, 2% lidocaine jelly group, K-Y jelly group. All patients were premedicated similarly and anesthesia was induced with thiopental sodium. Patients were paralyzed with succinylcholine or non-depolarizing muscle relaxants and endotracheal intubation was done by one anesthesiologist. All patients were interviewed postoperatively after 24 hour by individals who did not know which lubricants and muscle relaxants were used. Results: The incidence of postoperative sore throat was no statistically significant difference in three groups when non-depolarizing agents were used for endotracheal intubation. And the incidence of postoperative sore throat was increased in control group with succinylcholine compared with control group with non-depolarizing muscle relaxants(p$lt;0.05). But the incidence of postoperative sore throat was decreased in K- Y jelly group and 2% lidocaine jelly group compared to control group when succinylcholine were used for endotracheal intubation(p$lt;0.05). Conclusions: We suggest that succinylchoine can induce the sore throat, but lubrication of tracheal tubes provide advantage in terms of reducing sore throat when succinylcholine was used for intubation.
김성애,김난숙 한국조리과학회 1994 한국식품조리과학회지 Vol.10 No.2
This study was to investigate fat content and fatty acid composition of 19 various fast-foods. Fat content per serving in double cheese burger was 38.8g, shrimpburger 27.5g, gogi-mandoo 26.3g, pizza 25.8g and chicken nuggets 18.8g, respectively. Fatty acid contained in fast-foods mostly were oleic acid, palmitic acid, linoleic acid and stearic acid. The ratio of P/S in yubu-chobab was 3.1/1, ccochinoodle 2.3/1, pork cutlet 2.3/1, bibimbab 1.5/1 and shrimpburger 1.3/1 when all the other tested fast-foods' P/S were less than 1. The ratio of P/M/S in ham cheese sandwich was 1/1/1, shrimpburger 1.3/1.5/1, bibimbab 1.5/1.5/1, which are similar to recommended 1∼1.5/1∼1.5/1. The ratio of ω6/ω3 fatty acids was found to be kimbab(34.0/1), chicken nuggets(25.3/1), ccochi noodle(20.0/1), yubu-chobab (16.5/1), fried chicken(16.3/1), chickenburger(12.6/1) and hot dog(10.2/1), which were higher than 10/1. Also pizza(3.5/1), spaghetti(3.7/1) were lower than 4/1. The rest of the fast-foods were within the range of 4/1∼10/1.