http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
두아람,한영진,김덕규,차경남,김동찬 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.64 No.4
Pheochromocytoma is a rare catecholamine producing tumor. Anesthetic management for the resection of pheochromocytoma is hard and challenging issue to anesthesiologist, because of its potentially lethal cardiovascular complications. It becomes more complicated when the patient is pregnant. Clinicians must keep the safety of both mother and fetus in mind. The timing of surgery for pheochromocytoma in pregnancy is very important for the maternal and fetal safety and depends on the gestational age when diagnosis is made, clinical response to medical treatment, the surgical accessibility of the tumor, and the presence of fetal distress. We report anesthetic experience of a laparoscopic resection for pheochromocytoma in 25th week gestational woman.
고위 경추 손상 환자에서 전신 마취 후 발생한 음압성 폐부종
이지혜 ( Ji Hye Lee ),두아람 ( A Ram Doo ),차경남 ( Kyung Nam Cha ),임형선 ( Hyung Sun Lim ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
음압성 폐부종은 상기도 폐쇄가 발생한 후 흉강내 음압이 형성되어 발생하며, 근육이 잘 발달되어 있는 환자에서 보다 큰 흉강내 음압이 형성되기 때문에 음압성 폐부종이 잘 발생한다. 하지만 증례의 환자와 같이 고위 척수신경의 손상으로 인하여 사지의 근력이 저하되어 있는 경우에서도 환기능력이 유지된다면 음압성 폐부종이 발생할수 있으므로 주의해야 한다. Negative pressure pulmonary edema is also known as post obstructive pulmonary edema. This is life threatening complication of post general anesthesia. This is secondary to generating large negative intrathoracic and transpulmonary pressure. These have generally been reported to be secondary to trying to inspire against an obstructed airway. Inspiratory force needs a muscle power but a quadriplegia patient has low respiratory muscle power. We are report a negative pressure pulmonary edema in quadriplegia patient.
안지오텐신 수용체 차단제를 복용 중인 환자에서 마취 중 발생한 불응성 저혈압
김정희 ( Jung Hee Kim ),두아람 ( A Ram Doo ),차경남 ( Kyoung Nam Cha ),김덕규 ( Deok Kyu Kim ),임형선 ( Hyung Sun Lim ) 전북대학교 의과학연구소 2012 全北醫大論文集 Vol.36 No.2
고혈압환자에서 수술 중에 수액치료와 고식적인 승압제 치료에도 반응하지 않는 심한 저혈압이 발생하였다. 이 환자에서 저혈압의 원인은 장기간 복용중인 항고혈압제 안지오텐신 수용체 차단제로 생각된다. 안지오텐신 수용체 차단제를 복용하고 있는 환자에서 마취 중 심한 저혈압 발생 가능성에대한 충분한 대비가 있어야 할 것으로 생각한다. We report refractory hypotension after induction of anesthesia in a patient chronically treated with drugs inhibiting the renin-angiotensin system. A 68-years old man was scheduled for a radical cystectomy with ileal conduit. He was treated for hypertension with angiotensin receptor blocker. After induction of anesthesia, severe hypotension did not respond to dopamine and norepinephrine with fluid therapy. After infusion of vasopressin and epinephrine, his arterial blood pressure was stable. No cardiac postoperative complications were noted. The hypotensive episodes were refractory to classical vasoconstrictor therapy.