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증례보고 : 척추마취하 치핵 절제술 종료 직후에 발생한 스트레스성 심근병의증
최락민 ( Rak Min Choi ),윤진선 ( Jin Sun Yoon ),노재훈 ( Jae Hoon Noh ),강경오 ( Kyoung Oh Kang ),김민석 ( Min Suk Kim ),조삼순 ( Sam Soon Cho ),전희정 ( Hee Jung Jun ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.4
A 48-year-old healthy woman was admitted in our hospital for elective hemorrhoidectomy. She developed sudden headache and chest pain, and showed sinus bradycardia, arrhythmia and hypotension forty minutes after spinal anesthesia with 0.5% hyperbaric bupivacaine. An EKG showed ST depression and an transthoracic echocardiogram performed in PACU demonstrated mild LV dysfunction with hypokinesia of LV inferolateral wall. An coronary angiography on postoperative day 1 revealed normal coronary vessel and akinesia of LV inferior wall. Levels of CK-MB and Troponin I were mildly elevated. With medical therapy, the patient`s symptoms improved and recovered without any complication. (Korean J Anesthesiol 2009;56:470~3)
전산하 단층촬영 투시하 성상 신경절의 경피적 고주파 열 응고술
정준석(Jun Seok Chung),최락민(Rak Min Choi) 대한통증학회 1999 The Korean Journal of Pain Vol.12 No.1
Stellate ganglion block is a well established method for the management of certain pain syndromes (e.g., chronic regional pain syndrome, facial pain) in the cervicothoracic region and upper extremity. The stellate ganglion resides between the C7 transverse process and the head of the first rib. Anesthetic injections for the stellate ganglion block are typically made at the level of the transverse process of either the C6 or C7 vertebrae to avoid the pleura, vessels, and nerve roots. Method of positioning the needle tip directly at the ganglion has been described, but are problematic because of the risk of injury to or injection into adjacent structures. It is necessary to know the exact anatomic position of the stellate ganglion when permanent blockade is required by means of radiofrequency thermocoagulation. Whereas fluroscopy shows only bony feature, computerized tomography also images nerves, vessels, and lung, allowing accruate needle placement. We report a case of the percutaneous radiofrequency thermocoagulation of the stellate ganglion after computerized tomography-guided localization.
증례보고 : 갑상선 전적출술 후 회복실에서 발견된 양측 성대마비
박용덕 ( Yong Duck Park ),김민석 ( Min Suk Kim ),최락민 ( Rak Min Choi ),노재훈 ( Jae Hoon Noh ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.4
A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the post-anesthesia care unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy. (Korean J Anesthesiol 2009;57:540∼3)
한국인에서 후방접근법을 통한 요추신경총 차단 시 그 깊이와신체계측지수와의 상관관계
최락민,장경혜,박현혜 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.39 No.4
Background: Lumbar plexus block by posterior approach has been used for thigh and hip surgery and unilateral low back pain and/or low extremity pain control. We measured the needle depth from the skin to the lumbar plexus and its relation with body indices in Korean. Methods: Forty-eight (male 35, female 13) patients with unilateral low back pain and/or low extremity pain received lumbar plexus block by the posterior approach known as psoas compartment block. We measured the distance from the skin to the lumbar plexus with the aid of a nerve stimulator and evaluated its relation to body mass indices such as weight, height, abdominal circumference and body mass index (BMI; kg/m²). Results: The distance described above was 7.42 ±0.82 cm (range 6.0-9.5 cm) in males and 7.18 ±1.24 cm (range 5.3-10.0 cm) in females. Its relation to body weight was greater than with other body indices. The Pearsons coefficient between the distance and body weight was 0.745 in males and 0.842 in females. The predicted diste (cm) was 4.23 + 0.0471×weight (kg) in males (adjusted R²= 0.532) and 1.25 + 0.0975 ×weight in females (adjusted R^2= 0.682). Conclusions: Body weight is the most important factor for prediction of the distance from the skin to the lumbar plexus. The distance was about 6 - 10 cm in korean patients.
개심술시 고도 저체온 및 순환정지가 동맥혈 가스분석치에 미치는 영향
고홍,함병문,최락민 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.6
Eight infants or children with congenital heart disease underwent coorrective cardiac surgery suing hypothemia, cardioulmminary bypass, and total circulatory arrest. There were no significants change in pH,PaCO_2, PaP_2, and arterial bicarbonate ion concentraion between pre-arrest and post-arrest times.