http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
실험연구 : 실험견에서 간혈류 차단 및 재관류 시 소량의 Nitroglycerin 투여에 의한 간혈류와 실시간 국소 간관류 및 산소 이용률의 변화
전재규 ( Jae Kyu Cheun ),정정길 ( Jung Kil Chung ),배정인 ( Jung In Rae ),김진모 ( Jin Mo Kim ),김애라 ( Ae Ra Kim ),장영호 ( Young Ho Jang ),안윤정 ( Youn Jeong An ),이용철 ( Yong Cheol Lee ) 대한마취과학회 2003 Korean Journal of Anesthesiology Vol.45 No.2
인공고관절전치환술에 있어서 경막외-전신 병행마취와 전신마취의 비교
이정구,안윤정 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.40 No.3
Background: Surgical repair of a hip fracture and a total hip replacement (THR) are mostly performed in elderly patients. The overall perioerative mortality is 0.5 to 1.0%, for which one of the common causes is pulmonary embolism during the postoperative period. A number of studies have demonstrated reduction in both perioperative blood loss and incidence of postoperative thromboembolism after a total hip replacement with spinal or epidural anesthesia. However a regional technique is often inappropriate for the patient scheduled for a THR because of the long operating time, the positioning and the manipulation required during the procedure. Even though combined epidural-general anesthesia may offer advantages for the patient undergoing a THR, until now the effects of such a technique for a THR have not been reported. The aim of this study was to compare the effects of general anesthesia (GA) and combined epidural-general anesthesia (CEGA) on blood loss, incidence of postoperative thromboembolism and effective postoperative pain control on patients undergoing a THR. Methods: Thirty cases of both GA and CEGA for a THR performed at the department of anesthesiology, Keimyung University Dongsan Hospital from Jan. to Dec. 1999 were selected. The surgical time, volume of intravenous fluid infusion during the operation, intraoperative and postoperative transfusion volume, preoperative and postoperative hemoglobin, postoperative blood loss, use of postoperative analgesics, and incidence of postoperative thromboembolism were measured. Results: Surgical time, volume of intravenous fluid administration during the operation and the use of postoperative analgesics was significaltly less in the group CEGA (P < 0.05). Mean values of intraoperative and postoperative transfusion volume, differences between preoperative and postoperative hemoglobin and postoperative blood loss were less in the CEGA group than in GA group. However, the differences were not found to be statistically significant. No difference was found between the two groups in incidence of postoperative thromboembolism. Conclusions: CEGA decreases surgical time, volume of intravenous fluid administration during an operation and provides effective postoperative pain control in patieno undergoing a THR. Therefore,
심장압진을 유발한 잡견에서 Pentastarch 투여후 Amrinone, Dobutamine 및 Isoproterenol 에 대한 혈역학적 반응과 산소추출의 변화
김애라,김진모,정성원,전재규,안윤정 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.1
Background : Cardiac tamponade is most commonly treated by needle aspiraition or surgical drainage. During this process, it may be necessary to temporarily improve fardiac output and to maintain peripheral perfusion by using vasoactive drugs and volume expanders. The purpose of this study is to examine the hemodynamic eft'tract along with oxygen availability on cardiac tamponade induced dogs caused by the use of dobutamine, isoproterenol and anrinone following pentastarch infusion. Method: Twenty-feur dogs were divided into four groups including a control yiigroup group I), which received only pentastarch 10 ml/kg after artifical tamponade was induced. following the administration of pentastarth, group (n = 6) received dobutamine by dripping 10 ㎍/kg/min, and then by 20㎍/kg/min, group 111 (n - 6) received isoproterenal (0.5 7gfkg/min, 1.0 7g/kgfmin) and group IV (n - 6) received anlrinone (50 ㎍/kg/min, 100㎍/kg/min). The hemodynamic parameters were measured inseven intervals : baseline, thoracotomy, tamponade, tamponade plus pentastarch, pentastarch plus dripping (1st d77e), pentastarch plus drug (2nd in;ection - two times the 1st dose), and pericardiostomy. Arterial and mitred venous blood gas analyses were carried out in three intervals: after thoracotomy, tamponade, pentaitarch plus drug (infusion). Subsequently, oxygen extraction ratios were calculated from the oxygen delivery and oxygen consumption. Results: The heart rate increased significantly during the infusion of isoproterenol (P - 0.032) 1.0 ㎍/kg/min in group 111 and also during the dobutamine iuusion when the pericardiostomy (P = 0.025) was performed in group ll. Compared to the control group, cardiac output increased significantly in group ll from Ihe infusion of the 1st dose and also in group 111 with the 2nd dose infusion but there were no significant changes in group IV Although the average ifltrapericardial pressure was 0.93 mmHg in each group and was increased to 8.23 mmHg during the induced tamponade, no significant changes occurred n the groups with drug ifusion. The oxygen extraction ratio fell significantly in the group Ⅱ, Ⅲ and Ⅳ during the drug infusion. Conclusions : As results of this study, it was concluded that the most effective hemodynamic improvements during the induced cardiac tamponade occured in group Ⅱ with pentastarch-dobutamine while the least effective combination occurred in group Ⅳ with pentastarch-amrinone. ( Korean J Anesthesiol 2000; 38 : 139~151)