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주경화,신혜원,서규석,유탁근 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.2
Baekground : The purpose of this study was to determine whether spinal or epidural anesthesia is more suitable in terms of sensory and motor blockade, cardiovascular stability, intraoperative blood loss, postoperative recovery and patient satisfaction in elderly patients undergoing TURP. Methods : Fourty patients undergoing TURP were randomly allocated to either a spinal or an epidural anesthesia group. The spinal group (n = 20) received 1-12 mg of 0.5% tetracaine in 10% dextrose, while the epidural group (n = 20) received 20-25 ml of 2% lidocaine at L4. intervertebral space. After injection of the agent, changes in sensory and motor blockade, blood pressure and heart rate were measured in the two groups. We compared serum Hb, serum Na, foley removal, hospital stay, side effects, analgesic use, and patient satisfaction between the two groups. Results : The two techniques were similar with regard to the level of blood pressure, heart rate, Hb and Na changes, foley removal and hospita1 stay. At 15 and 3minutes after spinal and epidural anes- thesia, the results for sensory blockade were T_8 zz―S_5, T_9 12 ― S_5(spinal) and T_(10-15)― S_3, T_(8- 21)―S_(4, ±1.) (epidural), and motor blockade was complete in the spinal group but incomplete in the epidural group. Patient satisfaction was better in the epidural group than in the spinal group, but analgesia use was more frequent in the spinal group than in the cpidural group. Conclusions: Both spinal and epidural anesthesia are suitable for TURP. Spinal anesthesia was technically easier and produces a complete and more reliable block of the sacral segment, but was also an unnecessarily profound motor block of the lower extremity. Epidural anesthesia is less pronounced and gives a shorter duration of motor blockade with good patient satisfaction. (Korean J Anesthesiol 2000; 38: 289~295)
전신흡입마취시 Nitrous Oxide 가 기관내튜브의 기낭내 압력 및 용량에 미치는 영향
주경화,현혜신,허경원,강호근 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 obtained in 71% of the patients but the response was poor in the remaining 28% of the patients. It seems that the earlier the patients were referred to the pain clinic, the better the results were.
요관경하배석술을 위한 Propofol 단독 정맥마취의 평가
김운영,구영권,주경화,신혜원,서규석,어홍선,유탁근 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.3
Background: Propofol is an intravenous anesthetic characterized by rapid induction and prompt recovery. Recently, its is used widely in clinical practice, especially when early discharge is advisable. We conducted this study for the evaluation of the effects of propofol as a sole intravenous anesthetic on the operation with minimal pain such as TUL(transurethral lithotripsy). Methods : Patients were recruited for ASA class 1 and 2 from those who received TUL operation. Propofol was administered 2 mg/kg for induction and continuously infused at the rate of 1.2∼1.4 mg/kg/hr after the loss of consciousness. With the stabilization of the vital signs, we reduced the dose of propofol to 1.0∼1.2 mg/kg/hr. We checked the patients' movement, vital signs, recovery time and monitored the appearance of the symtoms such as nausea, vomiting postoperatively. Results : 1) The average time of operation was 15 12 minutes. 2) The average recovery time was 15 9 minutes(range 2∼30 min). 3) Blood pressure and peripheral oxygen uration(SpO2) were declined during anesthesia, but SpO2 was normalized in the recovery room. 4) No significant complications were observed. 5) Mild movement of the patient was noticed in the begining of operation, but it did not affect the surgical procedure. Conclusions : Propofol was effective as a sole intravenous anesthetic to minimize postoperative complications such as nauea, vomiting for TUL with minimal pain. (Korean J Anesthesiol 1998; 34: 531∼536)
김운영,이봉재,김명옥,주경화,신혜원,서규석,배상욱 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.5
Air can be introduced into the epidural space during the loss of resistance technique used to identify needle entry into the epidural space. Complications resulting from the injection of air into the epidural space include pneumocephalus, spinal cord and nerve root compression, retroperitoneal air collection, subcutaneous emphysema, venous air embolism, and possibly, incomplete analgesia and anesthesia. We experienced a case of a large epidural collection of air following epidural anesthesia attempted one month before. The CT scan revealed epidural air extending from Ll-Sl with moderate compression of nerve root at L4-5. (Korean J Anesthesiol 2000; 38: 927~930)