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박희정(Hee Jeung Park),정미향(Mi Hyang Jung),이철 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
A 67year old male with postherpetic neuralgia complained of right anterior chest throbbing pain and also allodynia. We performed thoracic epidural block with 0.25% bupivacaine and 1% lidocaine. Oral carbamazepine and imipramine were also administred concomitantly. One month later, patient complained of fatigue, anorexia, pruritis, jaundice, and dark urine. Liver function test values were significantly elevated then. Therefore we removed the epidu- ral catheter and ceased all medication. Liver function test values decreased rapidly after discontinuation of medication. Hepatitis might have developed as result of drugs administered and could have been prevented if the patient had been monitored with regular clinical labora- tory follow up. The purpose of this case report is to emphasize the importance of early regular laboratory test to detect any possible side effect that may occur by administration of drugs during treat- ment of chronic pain.
이산화탄소를 이용한 흉강경 수술시 좌, 우측 폐환기가 혈역학 및 동맥혈 가스에 미치는 영향
이철,박희정,박천희,정미향 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.6
Backgrounds: There is difference of blood flow between right and left lung, and it is also affected by positional change. The purpose of this study is to compare hemodynamics and arterial blood gas changes between two lungs in thoracoscopic surgery with CO₂ insufflation Methods: Fourteen thoracoscopic-surgical patient were randomly selected and divided into two groups; Group I: right lung ventilation, Group II: left lung ventilation. Blood gas analysis, blood pressure and heart rate were measured at three stages in lateral position; stage I: 10minutes after two-lung ventilation, stage II: 10minutes after one-lung ventilation and CO₂ insufflation, stage III: 10minutes after two-lung ventilation and CO₂ deflation. Results: In both groups, blood pressure and heart rate were slightly increased at stage II, pH was decreased, PaO and PaCO₂ were increased at stage II and stage III. But changes of pH and PaCO₂ were greater in left lung ventilation. Arterial oxygen saturation and base excess did not change in all stages. Conclusions: Thoracoscopic surgery with CO₂ insufflation did not increase the risk of hypoxemia if FiO is 1.0. However blood CO₂ retension is higher in left lung ventilation than in right one. So we have to observe PaCO₂ more carefully when the left lung is ventilated.