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사희순(Hee Soon Sa),김태헌(Tae Heon Kim) 대한통증학회 1989 The Korean Journal of Pain Vol.2 No.1
N/A Epidural block is used extensively in each of the fields of surgical anesthesia, obstetric anesthesia, and diagnosis and management of acute and chronic pain. New developments in the understanding of pain conduction have extended the use of continuous epidural blockade to the administration of drugs that selectively block pain conduction while leaving sensation and motor power essentially unchanged. The safety and the reliability of spinal epidural catheter techniques have permitted relief of acute and chronic pain. However, one of the important aspects of the management of the epidural catheter is the possibility of epidural infection. We have experienced a case of epidural infection during control of post-herpetic neuralgia and discuss management of the epidural catheter in this article.
김태현,사희순 대한통증학회 1988 The Korean Journal of Pain Vol.1 No.1
Ramsey Hunt Syndrome occurs when herpes zoster afters the facial nerve, It causes vesicular eruption of the pinna, external auditory meaturs and ear drum, severe otalgia with associated facial paralysis and vertigo. We experienced a case of Ramsey Hunt syndrome and managed it with repeated sympathetic blocks using a stellate ganglion block. We achieved early resolution of the eruption, relief of pain and prevention of postherpetic neural- gia. We concluded that SGB was effective treatment against Ramsey Hunt Syndrome.
오흥근,남순호,방서욱,사희순 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.2
We have mnanaged the anesthetic and postoperative care in 9 patients with myasthenia gravis who underwent thymectomy and obtained following resultsa : 1) Premedication was glycoprrolate 0.004mg/kg or atropine 0.01mg/kg and hydroxyzine 1∼2mg/k7, I.M. Anesthetic induction was by thiopental 4∼5ml/kg with the inhalation of halothane 1∼2 % or enflurane 4∼5%, and followed by endotracheal intubation. Anesthetic maintanance was done by N_2O and halothane or enflurane. 2) Mean duration from the end of operation to intubation was 11.83±3.37hrs. 5 patients required reintubation. The mean duration from the extubation to re·intubation was 33.11± 21.06hrs for these 5 patients. Over all this entire group of patients were placed on the respirator for a mean of 5.33±1.46dara. 3) Complication occured were 2 cases of cholinergic crisis, 1 cases of lung abscess, 2 cases of dyspnea and 1 case of tension pneumothorax 4) Abstinence of muscle relaxants, adequate respiratory care and the protection from cholinergic crisis weost important factors for successful management.
Atracurium 에 의한 중중근무력증 환자의 근육이완
박광원,김원옥,남순호,윤경봉,사희순 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.1
Generally, myasthenic patients are believed to have enhanced sensitivity with variety to the nondepolarizing neuromuscular blockade, even though some authors do not agree with that. Recent1y, the use of the new intermediate-acting nondepolarizing relaxant atracurium has been reported in patient with myasthenia gravis. The unique mode of elimination of atra-curium, which undergoes spontaneous degradation at physiologic body temperature and pH. may offer an advantage over the previously available Bong-acting muscle relaxants. We describe a case report of the anesthetic management of mysthenic patient using atracurium because of its relatilvely rapid rate of recovery. Reduced dosage of atracurium appeared to be a reasonable choice for myasthenic patients requring surgical relaxation when clinically indicated. However, continuous monitoring of neuromuscular function is of course mandatory for the proper and safe use of atracurium.
체외순환에 따른 혈청내 Sodium, Potassium 및 당 변화에 관한 연구
최세진,이정은,김태관,사희순 대한마취과학회 1988 Korean Journal of Anesthesiology Vol.21 No.6
In order to study the changes of blood sugar and electrolyte during cardiopulmonary bypass (CPB) in open heart surgery, 28 patients were selected and observed. The results are as follows: 1) The levels of blood sugar were increased significantly (p<0.01) in all patients compared to the controls as the operation advanced to the end of the CPB. But there was no significant correlation the with the CPB. 2) The increase in blood sugar level was greatest in the TOF group and it was at singificantly increased (p<0.01) after the CPB and was maintained higher at the end of the CPB. 3) THe changes of electrolyte and arterial blood gas values during CPB were not remarkable.