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선천성 기관식도루 환자에서 식도를 통한 기관내삽관 -증례보고-
정진헌 ( Jin Hun Chung ),송상우 ( Sang Woo Song ),안기량 ( Ki Ryang Ahn ),김천숙 ( Chun Sook Kim ),강규식 ( Kyu Sik Kang ),유시현 ( Sie Hyeon Yoo ),정지원 ( Ji Won Chung ),구자욱 ( Ja Ug Koo ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.6
H type of congenital tracheoesophageal fistula (TEF) is rare, occurring approximately once in 100,000 births. The presentation of this anomaly in adults is indeed uncommon. We report a case of a 47-year-old male with congenital TEF dectected during epidural hematoma removal under general anesthesia. Intermittent disappearance of normal capnography, bubbling sound at substernal area, and air leakage at oral cavity observed during manually assisted ventilation, especially during inspiration. We observed a H-type of TEF and tracheal intubation via esophagus in chest CT after operation. (Korean J Anesthesiol 2009; 56: 698~702)
증례보고 : Methylprednisolone 투여 후 발생한 알레르기 반응
정진헌 ( Jin Hun Chung ),안기량 ( Ki Ryang Ahn ),전혜정 ( Hye Jung Chun ),김천숙 ( Chun Sook Kim ),강규식 ( Kyu Sik Kang ),유시현 ( Sie Hyeon Yoo ),정지원 ( Ji Won Chung ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.4
Corticosteroid preparations have anti-inflammatory and immunosuppressive properties and are used widely for the treatment of allergic disorders and asthma. Steroids themselves, however, can induce hypersensitivity reactions. In this study, we report the case of a 66-year-old man with chronic obstructive pulmonary disease who exhibited an allergic reaction (rash, bronchospasm, bradycardia, severe hypotension and cardiac arrest) immediately after the intravenous injection of methylprednisolone sodium succinate. Despite cardiopulmonary resuscitation, sinus rhythm was not restored. The anesthesiologist should be aware that allergic reactions to corticosteroids can occur. (Korean J Anesthesiol 2009;57:499∼502)
자치재정권과 정부간관계의 과제 - 유성구 학교급식비 지원 사례를 중심으로 -
정진헌 ( Jin Hun Chung ) 한국지방자치학회 1996 한국지방자치학회보 Vol.8 No.4
This study purports to suggest the desirable directions for improving the intergovernmental relationships and the establishment of the right of financial autonomy in local autonomy era. With beginning of local autonomy, Korean local governments are faced with rapid growth and changes in administrative demands. In order to respond to the changes satisfactorily, the desirable relationships between central government and local government are demanded. However, central power has suppresed local power seriously. This unbalanced power relationships have prevented the stable settlement of local autonomy. So, local government should have more power on their functions and finances. In this respect, this study analyses the Case of Yusung-Gu and suggests several alternatives for enhancing local power, especially focused on local finances. The results of this study can be summarized as follows: - It is necessary to construct the mutural cooperative system from two ways: central and local government, local and local government. The redistribution of intergovernmental functions and the strengthening of local power, especially local financial capacity should be achived. The policy adjustments are demanded between the governmental bureau on conflicting cases. The reinforcement of political leadership should be act.
소아에서 진단 복강경술과 복강경하 수술 시 심폐기능 변화
정진헌 ( Jin Hun Chung ),안기량 ( Ki Ryang Ahn ),신온섭 ( On Sub Shin ),김천숙 ( Chun Sook Kim ),강규식 ( Kyu Sik Kang ),유시현 ( Sie Hyeon Yoo ),정지원 ( Ji Won Chung ),구자욱 ( Ja Ug Koo ),이정석 ( Jeong Seok Lee ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.1
Background: Information concerning the cardiopulmonary effects of pneumoperitoneum in children is lacking. Methods: Twenty eight patients were assigned to receive diagnostic laparoscopy (n=12) or laparoscopic surgery (n=16). Before insufflation of CO2, tidal volume was set at 10 ml/kg and respiratory rate was adjusted to achieve an end-tidal CO2 (P(ET)CO2) of 30-35 mmHg. Abdominal pressure was maintained at 10-15 mmHg by a CO2 insufflator. We measured the changes of systolic arterial pressure (SAP), heart rate (HR), P(ET)CO2 and peak airway pressure (PAP) at 5 min before (control value) and after CO2 insufflation and 5 min after CO2 deflation. Results: SAP and PAP were increased significantly after pnemoperitoneum compared with the control both in diagnostic laparoscopy and laparoscopic surgery (P<0.05). P(ET)CO2 was increased significantly after pneumoperitoneum and after CO2 deflation in laparoscopic surgery compared with the control and also with diagnostic laparoscopy (P<0.05). Driving pressure (the difference between peak airway pressure and abdominal pressure) was increased significantly after pneumoperitoneum in laparoscopic surgery compared with diagnostic laparoscopy (P<0.05). Conclusions: SAP, PAP and P(ET)CO2 increases during diagnostic laparoscopy and laparoscopic surgery, but this effect appears to be of smaller magnitude in diagnostic laparoscopy compared to laparoscopic surgery. We found that these changes had no clinically deleterious effects in healthy children. (Korean J Anesthesiol 2009;56:31~5)
정진헌 ( Jin Hun Chung ),김성훈 ( Sung Hoon Kim ),전대근 ( Dae Geun Jeon ),이관우 ( Gwan Woo Lee ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.6
Spinal anesthesia in preterm infants offers a safe alternative to general anesthesia, especially if general anesthesia is not preferred because of coexisting diseases, such as bronchopulmonary dysplasia and recurring of apnea. But the single-shot technique of spinal anesthesia has some limitations because the duration of surgical anesthesia is approximately 60 min. Since some procedures may require more time, alternative regional techniques which provide more prolonged surgical anesthesia are needed. We present our experience with a combined spinal caudal anesthesia in a preterm infant. (Korean J Anesthesiol 2006; 51: 764~7)
정상인에서 고빈도의 무통증성 경피적 신경자극이 RIII Nociceptive Flexion Reflex와 Temporal Summation에 미치는 영향
김용익,이장원,김정순,정진헌,박욱,Kim, Yong-Ik,Lee, Jang-Weon,Kim, Jung-Soon,Chung, Jin-Hun,Park, Wook 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1
Background: Transcutaneous electrical nerve stimulation (TENS) has been used widely, but its effects are controversial. This is probably due to the varying intensity and type of pain. We designed a study to assess the effects of the TENS on the RIII nociceptive flexion reflex as the resting pain level and the temporal summation as a repeated, movement related pain in 7 normal volunteer subjects. Methods: High frequency (80 Hz), non-noxious TENS was applied over the left popliteal fossa for 20 minutes. Ipsilateral RIII reflexes induced by single electrical stimulus and temporal summation of pain responses to repeated stimuli (five stimuli at 2 Hz) were recorded before, during (just before stopping), and subsequently at 20 minutes after TENS. Results: R (III) nociceptive flexion reflex activity during and after TENS was more significantly decreased than before treatment. However, the temporal summation threshold was not changed. Conclusions: We conclude that high frequency, non-noxious TENS could be effective on resting pain relief in the same segment but not on the movement related pain.
정상인에서 고빈도의 무통증성 경피적 신경자극이 P3 Nociceptive Flexion Reflex 와 Temporal Summation 에 미치는 영향
김용익(Yong Ik Kim),이장원(Jang Weon Lee),김정순(Jung Soon Kim),정진헌(Jin Hun Chung),박욱(Wook Park) 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1
N/A Background: Transcutaneous electrical nerve stimulation (TENS) has been used widely, but its effects are controversial. This is probably due to the varying intensity and type of pain. We designed a study to assess the effects of the TENS on the RIII nociceptive flexion reflex as the resting pain level and the temporal summation as a repeated, movement related pain in 7 normal volunteer subjects. Methods: High frequency (80 Hz), non-noxious TENS was applied over the left popliteal fossa for 20 minutes. Ipsilateral RIII reflexes induced by single electrical stimulus and temporal summation of pain responses to repeated stimuli (five stimuli at 2 Hz) were recorded before, during (just before stopping), and subsequently at 20 minutes after TENS. Results: R (III) nociceptive flexion reflex activity during and after TENS was more significantly decreased than before treatment. However, the temporal summation threshold was not changed. Conclusions: We conclude that high frequency, non-noxious TENS could be effective on resting pain relief in the same segment but not on the movement related pain.