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지속적 액와부 상완신경총 차단술 - I. 카테테르 삽입방법의 변형 -
이후전(Hoo Jeon Lee),태일산(Il San tae) 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.2
N/A Background: Authors modified the traditional continuous axillary brachial plexus block technique of Selander for purpose of increasing success rate and decreasing complications by use of commercial epidural anesthesia set. Method: Thirty-nine patients scheduled for upper extremity operations were injected with 40 ml of anesthetic solution by axillary perivascular technique, using 23-25G immobile needle at 2 cm from the pectoralis major. Tuohy needle was immediately introduced at 4 cm from the pectoralis major and pierced the expanded neurovascular sheath at an angle of 30 degree to the skin. The pop was well noted. Needle was advanced 0.5 to 3.0 cm and epidural catheter introduced through the needle. After removal of needle, occlusive dressing was done. Tip of catheter and spread of solution were demonstrated by fluoroscopy with contrast dye after completion of procedure. Result: Catheter insertion was successful at first attempt for all case. Total length of insertion was from 6 to 13(10.0+1.7) cm. Tip of catheter was placed in infraclavicular space(66.7%), about the humeral head(17.9%) and in upper arm in 3 cases as U-shape(7.9%). Catheters were maintained for 6.7+ 2.6(3-12) days. There were no complications such as: perforation of major vessels, needle trauma to nerve, infection, bleeding or hematoma. Conclusion: This study demonstrated continuous axillary brachial plexus block with epidural anesthesia set is safe, easy and convenient modification of technique of Selander.
0.5% 고비중 Bupivacaine 과 Tetracaine을 사용한 척추 마취의 비교
이후전,류지한,심규호,전병돈,이신우,태일산 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.1
Several methods for the management of intractable pain for various conditions including malignant disorders, herpes zoster, and low back pain and/or sciatica in 80 patients were described and analyzed. Neurolytic blocks of celiac plexus were given to the patients suffering from intra-abdominal pain from malignant origin or chronic pancreatitis. Herpes zoster was treated mainly by chemical sympathectomy via paravertebral route and occassionaly corticosteroid was administered epidurally with the local anesthetic, bupivacaine. All the patients with low back pain and/or sciatica were given epidural corticosteroid one to three times. Other peripheral verve blocks and regional corticosteroid therapy were given to the rest of the patients. Fair to excellent result was obtainde in 71% of the patients but the response was poor in the remaining 28% of the patients. It seems that earlier the patients were referred to the pain clinic, the better the results were.
복강내에 주입된 이산화탄소와 체위변화가 뇌압에 미치는 영향
이후전,오택훈,박선규 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.2
Background: The laparoscopy requires CO₂ insufflation and posture changes for operational convenience. However, above circumstances aFfect the cardiopulmonary systems significantly. And then intracranial pressure(ICP) may be also influenced. Methods: To ascertain the changes of ICP, an experimental study was performed, in which the parameters of hemodynamic status, arterial blood gas components and ICP were measured from twelve cases of Korean mongrel dogs. Pneumoperitoneum was produced by CO₂, insufflation(15 mmHg) and then posture was altered from horizontal to head-down tilt of 20, 30 and 40 degree*. The measurements were obtained before (control), after CO₂ insufflated horizontal position at 20, 40 and 60 minute in CO insufflated tilt and CO, deflated horizontal. Results: MAP and HR were not related to the insufflated time and degree of tilt. CVP and PCWP were significantly increased after CO₂ insufflated tilt (p$lt;0.0l), but retumed to control after deflated supine. PaCO₂ was not significantly ch after CO₂ insufflated supine, but grdually increased with degree of tilt and time (p$lt;0.01). ICP was increased at 40 and 60 minute of 20, and at 20 minute of 30 (p$lt;0.05), then markedly increased at 40 and 60 minute of 30, and at 20, 40 and 60 minute of 40 tilt (p$lt;0.01). The increment of ICP was parallel with time and degree of tilt. But, ICP was returned to control after deflated supine. Conelusions: ICP was increased significantly during laparoscopy in head-down tilt, although it was reversible. Therefore, the patient must be given special attention during laparoscopy in whom the increment of ICP may be harmful.