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증례보고 : 미추마취 후 인지된 폐 샘암종의 천미골 전이 -증례보고-
정미영 ( Mee Young Chung ),정재철 ( Jae Cheol Jeong ),채준석 ( Jun Seuk Chea ),이병호 ( Byung Ho Lee ),김창재 ( Chang Jae Kim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
The caudal block has been used as an alternative to general anesthesia in specific circumstances such as anal surgery, perineal surgery or surgery of lower extremity etc. It has been also used as an adjunct to general anesthesia, administered at the completion of surgery to provide postoperative analgesia especially in children. But, it has variable complications such as generalized intoxication, pain on the injection site, infection or urinary retention etc. We report an unusual case of metastatic sacrococcygeal tumor from adenocarcinoma of lung presenting as severe anal pain and sciatica which was aggravated after the trial of caudal anesthesia. (Korean J Anesthesiol 2006; 50: 588~91)
임상연구 : 단측 슬관절 전치환술 후 정맥내 통증자가조절 시 대퇴신경차단의 병용이 미치는 영향
정미영 ( Mee Young Chung ),김창재 ( Chang Jae Kim ) 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.5
Background: Postoperative pain is a major concern after total knee replacement (TKR). Intravenous patient-controlled analgesia (IV PCA) is very easily controlled method for managing pain, however it is less effective than other methods, especially immediately after TKR. Therefore, we evaluated the effect of the femoral nerve block combined with IV PCA after a unilateral TKR for postoperative pain control. Methods: The patients in group I (n=20) were given only IV PCA with morphine and group II (n=20) taken femoral nerve block before extubation followed by IV PCA. We evaluated the effects of the femoral nerve block with 12 ml of 0.25% bupivacaine and epinephrine 1:400,000 on the postoperative cumulative opioid consumption, hourly dose during each time interval, numerical rating pain score, side effects and hemodynamics. Results: Cummulative opioid consumption was decreased in group II. The pain score in group II was lower than that in group I immediately after recovery of awareness and 3, 6 hours postoperatively. The hourly dose in group II was also lower than that in group I until 6 hours postoperatively. But there was no difference in side effects between the groups. Conclusions: We concluded that femoral nerve block is effective as an easy adjuvant of IV PCA for pain management during early postoperative period after TKR. (Korean J Anesthesiol 2008;55:596~601)
정미영(Mee Young Chung),이해규(Hae Giu Lee),이철우 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.1
N/A Celiac Plexus neurolysis (C. P. N) has been commonly used to treat malignant pain of the abdomi- nal area that is intractable. It relieves the pain effectively instead of using massive systemic narcotic analgesics. C. P. N. with modified transaortic technique was performed under C-T guidance, in which a single needle was advanced from a left posterior paramedian approach through the aorta in order to inject anesthetic agents directly into the celiac plexus. There was marked pain relief without any hemorrhagic and neurological or other complications. We found this modified transaortic method of C. P. N. to be very effective, safe and easy to perform compared with the classic two needle tech- nique.
실험연구 : 흰쥐 뇌에서 고속원심 분리법을 이용한 신경줄기세포 추출 및 배양
김현숙 ( Hyun Sook Kim ),정미영 ( Mee Young Chung ),김창재 ( Chang Jae Kim ),채준석 ( Jun Seuk Chea ),임용걸 ( Yong Gul Lim ),문세호 ( Se Ho Moon ),최봉철 ( Bong Chul Choi ),이병호 ( Byung Ho Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.3
Background: During recent two decades of crucial revision of some cornerstone concepts has opened new horizons in neurosciences. Modern basic viewpoints include the idea of high CNS plasticity which means not only rearrangement of neurons and their interconnections, but also the formation of new neural cells in humans and animals during their whole life span. The purpose of this study is to harvest neural stem cell from the adult rat brain using the high speed centrifugation method and study the characteristics of these cell. Methods: 60 rats (Fisher 344, 150-160 g) brain were saved under inhalation anesthesia and dissect the subventricular zone under the microscope. The brain tissue was digested with enzyme to make a cell suspension. The cell suspension was processed high speed centrifugation to separate the neural stem/progenitor cells according to the buoyancy. After 2 weeks culture, immuno-staining (O4, GFAP, Nestin, beta-tubulin III and DAPI) were performed and replated the cultured cells. Results: The 2 weeks culture cells were positive 92.8% in Nestin, 91.5% in O4 and 87.6% in Gal-C. But only positive 1.4% in β-tubulin III and 5.5% in GFAP. And replated cell culture shows similar results compared to the primary culture. Conclusions: With this high speed centrifugation method, authors can harvest neural stem/progenitor cells from the adult rat brain. Although we have many limitations using these cell in clinical trial, but we can afford to next step on neural stem cell research. (Korean J Anesthesiol 2006; 51: 343~9)
증례보고 : 요추 경막외 차단 후 발견한 경막외 농양과 요근 농양 -증례보고-
김창재 ( Chang Jae Kim ),정미영 ( Mee Young Chung ),채준석 ( Jun Seuk Chea ),이병호 ( Byung Ho Lee ),정재철 ( Jae Chul Chung ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.1
Epidural block is widely used for the diagnosis and treatment of the acute and chronic pain in pain clinic. But, it has several complications like as headache, spinal injury, epidural hematoma and infection including epidural abscess, meningitis and osteomyelitis. Among them, the simultaneous occurrence of psoas and epidural abscesses is extremely rare. We report a patient diagnosed as epidural and psoas absesses one month after lumbar epidural block and treated successfully with surgical decompression and drainage. (Korean J Anesthesiol 2006; 51: 109~11)
증례보고 : 노인환자에서 고관절 치환술 수술 후 발견된 뇌경색
최용우 ( Yong Woo Choi ),정미영 ( Mee Young Chung ),김창재 ( Chang Jae Kim ),이병호 ( Byung Ho Lee ),이효정 ( Hyo Jung Lee ),채준석 ( Jun Seuk Chea ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.1
Perioperative cerebral infarction is uncommon and its mechanism is often uncertain. This is a report of an unusual case of acute cerebral infarction following general anesthesia. The patient was a 83-year-old female admitted for total hip replacement arthroplasty (THRA). There were no previous cerebro- and cardio-vascular symptoms and history. During introduced general anesthesia with sevoflurane, there was a persistent low systolic BP of 80-100 mmHg (preoperative BP was 140/85 mmHg). On emerging from anesthesia, confusion and dense right hemiparesis were observed. Emergency CT brain scan showed early cerebral infarction in the middle cerebral artery (MCA) territory. Even though prompt supportive neurosurgical intensive care was initiated, the patient died at postoperative 4 days. (Korean J Anesthesiol 2007; 52: 119~22)
폐쇄성 수면 무호흡증으로 구개수 구개인두성형술(Uvulopalatopharyngoplasty)을 시행받을 환자의 기관내 삽관 난이도의 예측
이병호,김창재,정미영,채준석,문장혁 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.41 No.2
Estimate of the Degree of Difficulty in Endotracheal Intubation in Patients with Obstructive Sleep Apnea Syndrome Chang Jae Kim, M.D. Jun Seuk Chea, M.D., Mee Young Chung, M.D. Jang Hyuk Mun, M.D., and Byung HO Lee, M.D. Department of Anesthesiology, College of Medicine, The Catholic University of Korea, Seoul, Korea Background: Tracheal intubation may be difficult in many patients with sleep apnea syndrome because of anatomical abnormalities in their upper airway. Methods: For 30 patients with obstructive sleep apnea syndrome, we evaluated two classifications; Samsoon-Young and Cormack-Lehane, and five airway examinations; interincisors' distance on mouth opening (DI), angle on cervico-occipital extension (ACO), thyromental distance (TD), and existence of edentulous with atrophic mandible and prominent maxillary incisor. Results: 20 patients (67%) belonged to class Ⅲ or Ⅳ according to the Samsoon-Young classification and 22 patients (73%) to grade Ⅲ or Ⅳ according to the Cormack-Lehane classification. The incidence rate for DI less than 40 mm, ACO less than 160??, TD less than 60 mm, atrophic mandible and prominent maxillary incisor were 30%, 37%, 50%, 13% and 27% respectively. Conclusions: According to our results, we concluded that most patients with obstructive sleep apnea syndrome are difficult for anesthesiologists to intubate. Therefore, we suggest that anesthesiologists must prepare variable for ventilation if there is any suspicion of difficult intubation in those patients. (Korean J Anesthesiol 2001; 41: 148~152)