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압박띠와 Lidocaine 전처치 및 Pentothal 전처치를 이용한 Propfol 정주통의 예방효과
옥시영,김순임,김선종 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3
Background: Pain on injection of propofol is a common problem, the cause of which remains unknown, We evaluated the effect of a tourniquet with intravenous lidocaine and pentothal pretreatments, to decrease the incidence and intensity of pain during intravenous propofol injection. Methods: One hundred fifty five patients scheduled for general anesthesia were randomly divided into three groups. Each patient received one of the pretreatment drugs via 18 G angiocatheter inserted in the antecubital fossa. Control group (CG) (n=31) recived 2 ml normal saline and lidocaine group (LG) (n=31) received 40 mg (2%, 2 ml) and pentothal group (PG) (n=31) received 50 mg (2.5%, 2 ml) and lidocaine tourniquet group (LTG) (n=31) received 40 m g(2%, 2ml) under tourniquest 1 minute inflated and pentothal tourniquet group(PTG) (n=31) received 50 mg (2.5%, 2 ml) under tourniquet 1 minute inflated followed intravenous injection of 2 mg/kg of propofol at a rate of 1 ml/sec. after 50 mg of proplfol were injected, patients were assessed for pain score. The severity of pain was classified as 0, 1, 2, 3 (none, mild, moderate, severe) by one observer. Results: The severity and incidence of pain were significantly reduced in lidocaine group and pentothal group compared with control group for intravenous injection of propofol (P<0.05). But effect of tourniquet is minimal. And the quantity and quality of analgesic effect of lidocaine and petothal on propofol iv injection is similar. Conclusions: Lidocaine 40 mg or pentothal 50 mg pretreatment to induction by propofol revealed a good analgesic effect for propofol injection pain. But effect of tourniquest is minimal.
Sevoflurane 마취 중 흉추 경막외강으로 투여된 ropivacaine이 심혈관게에 비치는 영향
옥시영,유인상,최규영,김순임,김선종 대한마취통증의학회 2007 Korean Journal of Anesthesiology Vol.52 No.4
Thoracic epidural anesthesia (TEA) combined with general anesthesia is commonly used in major upper abdominal surgery. The advantages of this method is the suppression of the perioperative stress response, the improvement in endocardial perfusion, and the reduction of myocardial oxygen consumption, postoperative morbidity and mortality. In particular, this method reduces the level of postoperative ileus and intestinal anastomosis leakage during gastrointestinal surgery. However, there is the possibility of severe cardiovascular depression using this combination method. This study evaluates the cardiovascular effects of extensive TEA combined with sevoflurane general anesthesia. Methods: Fifty patients scheduled subtotal gastrectomy were enrolled in this study. After administering a bolus injection of 20 ml of 0.375% ropivacaine through an epidural catheter during sevoflurane general anesthesia, mean arterial pressure, heart rate, stroke volume, cardiac output, and systemic vascular resistance measured by Hemosonic (HemoSonicTM 100, Arrow, USA) every 5 minutes over a 30-minute period after the injection. Results: All the data showed a significant decrease from 5 minutes after the epidural bolus injection except for the stroke volume, but that was not important clinically. Conclusions: A thoracic epidural injection of 20 ml of 0.375% ropivacaine can be used safely during sevoflurane anesthesia without severe cardiovascular complications during upper abdominal surgery.
유방 종양 제거술을 위한 전신마취 후 오심, 구토의 예방을 위해 투여한 granisetron과 ramosetron의 효과 비교
옥시영,김지은,이창봉,김선종,김순임 대한마취통증의학회 2005 Korean Journal of Anesthesiology Vol.49 No.4
Background: Women undergoing general anesthesia for breast mass excision have a high risk for postoperative nausea and vomiting (PONV). We therefore evaluated the efficacy of ramosetron versus granisetron for preventing PONV. Methods: One hundred twenty women scheduled for breast mass excision received, in a randomized allocated, double-blind manner, an intravenous placebo (P group), granisetron 40μg/kg (G group) or ramosetron 6 μg/kg (R group) at the end of surgery. Emetic episode and side effects were assessed. Results: The incidence and severity of nausea in G and R group was less than P group (P < 0.05) during the first 24 hrs. The incidence of vomiting in R group was less than P group (P < 0.05) during the first 6 hrs. However there was no significant difference in the incidence of PONV between G and R group. Conclusions: Our results showed that both granisetron and ramosetron significantly decreased the occurrence of PONV compared to placebo. However, any different efficacy for preventing PONV was not revealed between granisetron and ramosetron.
Lidocaine과 Pentotal 전투여가 Propofol 정주 시 발생되는 혈관통에 미치는 영향
옥시영,김순임,김선종 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3
Background: Propofol is a good induction agent. But it has a disadvantage of pain on intravenous injection. Pretreatment of lidocaine or pentothal have been reported to reduce pain on injection. Thus we have evaluated the quantity and quality of analgesic effect of lidocaine and pentothal. Methods: Ninety three patients scheduled for general anesthesia were randomly divided into three groups. Each patient received one of the pretreatment drugs via 18 G angiocatheter inserted in the antecubital fossa. Control group (n=31) received 2 ml normal saline and lidocaine group (n=31) received 40 mg (2%, 2ml) and petothal group (n=31) received 50 mg (2.5%, 2 ml) followed intravenous injection of 2 mg/kg of propofol at a rate of 1 ml/sec.After 50 mg of propofol were injected, patients were assessed for pain score. The severity of pain was classified as 0,1, 2, 3 (none, mild, moderate, severe) by one observer. Results: The severity and incidence of pain were significantly reduced in lidocaine group and pentothal group compared with control group for intravenous injection of propofol (P<0.05). And the incidence of pain in lidocaine group and pentothal group is similar but severity of pain is more reduced in lidocaine group Conclusions: Lidocaine 40 mg or pentohal 50 mg pretreatment to induction by propofol revealed a good analgesic effect for propofol injection pain. And lidocaine is more effective for iv propofol injection pain.
자궁경을 이용한 자궁근종 제거술 시 발생한 희석성 저나트륨혈증
옥시영,유승화,김상호,백영희 대한중환자의학회 2009 Acute and Critical Care Vol.24 No.2
Hysteroscopy is utilized for making the diagnosis and treating a series of uterine disease. It`s advantages are more accurate removal of lesion, a short operating time, low morbidity and rapid postoperative recovery. However, serious complications can happen following hysteroscopic surgery. The complications can be divided into the procedure-related, media-related and postoperative events. The procedure-related complications include cervical laceration, uterine perforation, bowel and bladder injury, and hemorrhage. The media-related complications include hyponatremia, gas embolism and excessive fluid absorption. The postoperative events include endometritis and postoperative synechiae. We experienced hyponatermia with pulmonary edema due to excessive fuid absorption in a 52-year-old woman who underwent elective hysteroscopic myomectomy under general anesthesia. She was treated with oxygen therapy, normal saline and furosemide and she recovered without sequelae.
2.5% Pentothal sodium 전처치가 Propofol 정주시 발생되는 통증에 미치는 효과
옥시영,김순임,김선종 순천향대학교 교수학습개발센터 2004 Journal of Soonchunhyang Medical Science Vol.10 No.3
Background: propofol has a high incidence of pain with intravenous injection, and many different methods have been used to minimize the incidence and severity of this pain. In this study, we have compared the effect of saline pretreatment with that of 2.5% pentothal 50 mg pretreatment of propofol injection pain. Methods: Sixty two patients scheduled for general anesthesia were randomly divided into two groups. each patient received one of the pretreatment drugs via 18 g angiocatheter inserted in the antecubital fossa. Control group (n=31)received 2 ml of 0.9% saline pretreatment, 2.5% pentothal group (n=31) received 50 mg of pentothal pretreatment followed intravenous injection of 2 mg/kg of propofol at a rate of 1 ml/sec. After 50 mg of propofol were injected, patients were assessed for pain score. The severity of pain was classified as 0, 1, 2, 3 (none, mild, moderate, severe) by one observer. Results: The severity of pain were significantly reduced in 2.5% pentothal group compared with ontrol group for intravenous injection fo propofol (p<0.05) but incidence is similar. Conclusions: 2.5% pentothal 2 ml (50 mg) pretreatment could significantly reduce the sever the severity of pain for intravenous injection of propofol.
옥시영,이동기,박성원,이봉재 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1
Total spinal anesthesia is the serious complication of epidural anesthesia and can lead to a life threatening conditions. We have experienced a case in which total spinal anesthesia occurred during thoracic epidural anesthesia for modified radical mastectomy. Immediately after epidural anesthesia, the patient became unresponsive and apneic with loss of muscle tone in all extremity and loss of consciousness. We performed resuscitations and about 6 hours later the patient recovered completely without any complications.