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감시마취관리하 갑상샘 고주파절제술 중 발생한 급성기도폐쇄
주 완,박천희,석은하 조선대학교 의학연구원 2018 The Medical Journal of Chosun University Vol.43 No.2
Monitored anesthesia care (MAC) has been described as a specific anesthesia service for diagnostic or therapeutic procedures performed under local anesthesia along with sedation and analgesia, titrated to a level preserving spontaneous breathing and airway reflexes. Radio-frequency ablation (RFA) is a kind of methods to remove benign thyroid nodules (BTNs) by inducing the irreversible injuries with the use of an ultrasound-guided RF electrode placed inside the nodules. A 37 years old, 157 cm, 81 kg woman underwent RFA of BTNs under MAC. We present with a case report where laryngospasm under MAC was resolved by the use of positive pressure ventilation without any complications.
경요도방광종양절제술 중 발생한 방광천공 및 우측 외 장골정맥 손상
주완(Wan Ju),강현(Hyun Kang),조수영(Soo Young Cho),최준용(Joon Yong Choi) 조선대학교 의학연구원 2023 The Medical Journal of Chosun University Vol.48 No.1
Transurethral resection of bladder tumor is the most effective urologic procedure for bladder cancer surgery, but there are complications such as hemorrhage, postoperative pain, postoperative urinary retention, infection, bladder perforation and transurethral resection of bladder tumor syndrome (TURBTS). Although bladder perforation rarely occurs, when it is accompanied by vascular damage, a large amount of bleeding can occur, causing serious complications such as decreased vital signs, decreased blood volume, acute renal failure, and death. In this case, bladder perforation occurred with injury to the right external iliac vein during transurethral resection of bladder tumor, and the patient decreased vital signs during surgery.
전신마취 유도 직후 발생한 심방조동과 심방세동으로의 전환 -증례 보고-
송진철,석은하,조재형,주완,이철승,임용석 대한마취통증의학회 2017 Anesthesia and pain medicine Vol.12 No.1
The most frequent perioperative cardiovascular event is cardiac dysrhythmia, defined as an abnormality of cardiac rate, rhythm or conduction. Although the occurrence of arrhythmia during the perioperative period is not uncommon, a case of newly developed perioperative atrial flutter which spontaneously converts to atrial fibrillation is rare. We report a case of atrial flutter that developed immediately after induction of general anesthesia, in a 70-year-old male patient who previously had a normal sinus rhythm. Atrial flutter changed spontaneously to atrial fibrillation after discharge to the recovery room. Dysrhythmia was unresponsive to drug therapy, and the atrial fibrillation disappeared after electric cardioversion.
일차성 자발 기흉이 발생한 산모에서의 응급 제왕절개술 마취 관리 1예
최준석(June Seog Choi),서은형(Eun Hyoung Seo),조수영(Soo Young Cho),주완(Wan Ju),강현(Hyun Kang),최준용(Joon Yong Choi) 조선대학교 의학연구원 2022 The Medical Journal of Chosun University Vol.47 No.2
Pneumothorax rarely occurs in pregnancy, but if it occurs, it can cause acute respiratory failure and hypoxia in both mother and fetus, which can result a fatal effect. The most common cause of spontaneous pneumothorax in pregnancy is known as rupture of pulmonary subpleural blebs due to increased oxygen demand in pregnancy. We report a case of emergency cesarean section for a 31-year-old woman with spontaneous pneumothorax in the 39+2 weeks of pregnancy.