http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
임상연구 : 목표 농도 조절 주입에서 예측 제지방체중과 실측 제지방체중의 차와 Propofol 혈중농도의 상관관계
최석환 ( Suk Whan Choi ),임세훈 ( Se Hun Lim ),이상은 ( Sang Eun Lee ),김영환 ( Young Hwan Kim ),이정한 ( Jeong Han Lee ),이근무 ( Kun Moo Lee ),정순호 ( Soon Ho Cheong ),최영균 ( Young Kyun Choe ),김영재 ( Young Jae Kim ),신치만 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.6
Background: We evaluated the correlation between the difference of estimated lean body mass (LBM(E)) with actual lean body mass (LBM(A)) and actual blood concentration of propofol, hemodynamic variables and Bispectral index (BIS) during target controlled infusion (TCI) of propofol in Korean female patients who would take total intravenous anesthesia (TIVA) using propofol-remifentanil combination. Methods: Eighty Korean women participated in this trial. Demographic data were collected and LBM(A) was measured using body mass analyzer. Target concentration of propofol was set at 6 μg/ml during induction and 3μg/ml during maintenance. Hemodynamic variables and BIS were measured at 60 minutes after anesthetic induction. Peripheral blood sample was collected from a large forearm vein on the contralateral side of infusion for measurement of whole blood concentration of propofol at 60 minutes after anesthetic induction. Delta lean body mass (ΔLBM) was obtained by subtracting LBM(A) from LBM(E). Correlation analyses were done between ΔLBM and plasma propofol concentration, blood pressure, and BIS, respectively. Results: Blood concentrations of propofol were 1.9-6.9μg/ml. Mean plasma concentration of propofol was higher than target concentration. ΔLBM had a positive correlation with actual plasma propofol concentration. ΔLBM was not correlated with hemodynamic variables and BIS. Conclusions: TCI of propofol resulted in large variation in measured plasma concentration. We thought ΔLBM was one of interpatient variation factors of propofol plasma concentration during TCI. We found that TCI of propofol using Schnider model would result in higher blood concentration than target concentration in Korean women. (Korean J Anesthesiol 2008; 55: 666~9)
기관내 튜브 발관 시 발관 전 투여한 Lidocaine과 Remifentanil의 기침반사 억제에 대한 비교
강동화 ( Dong Hwa Kang ),김영환 ( Young Whan Kim ),최석환 ( Suk Whan Choi ),이상은 ( Sang Eun Lee ),임세훈 ( Se Hun Lim ),이정한 ( Jeong Han Lee ),이근무 ( Kun Moo Lee ),정순호 ( Soon Ho Cheong ),최영균 ( Young Kyun Choe ),김영재 대한마취과학회 2008 Korean Journal of Anesthesiology Vol.55 No.4
마그네슘과 레미펜타닐이 기관내 삽관시 혈역학적 반응을 완화시키는 효과 비교
임세훈 ( Se Hun Lim ),안도건 ( Do Gun An ),최석환 ( Suk Whan Choi ),이상은 ( Sang Eun Lee ),김영환 ( Young Hwan Kim ),이정한 ( Jeong Han Lee ),이근무 ( Kun Moo Lee ),정순호 ( Soon Ho Cheoug ),최영균 ( Young Kyun Choi ),김영재 ( Yo 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.5
췌장암 환자에서 알코올 내장신경 신경파괴블럭 후 발생한 간염
이상은,최석환,김영환,임세훈,이정한,이근무,정순호,최영균,김영재,신치만 인제대학교 2008 仁濟醫學 Vol.29 No.-
Splanchnic neurolytic block(SNB) with alcohol improves the management of pancreatic cancer pain. Adverse effects of alcohol SNB which include regional pain, hypotension, diarrhea, and acute alcohol intoxication are common, but acute hepatitis caused by alcohol neurolytic block is rare. A 63-year-old patient with pancreatic head cancer and liver metastasis had complete pain relief after both retrocrural tansdiscal SNB with 100% alcohol 10 ml. But, 1 day later, liver function test showed a high elevation in the aspartate aminotransferase (AST, 2182 IU/L) and alanine aminotransferase (ALT, 1807 IU/L). The patient had slight jaundice, general weakness, chilling, nausea and vomiting after SNB. Both AST and ALT decreased to 46 and 119 IU/L within 10 days with only supportive therapy. But, 19 days later, the patient died due to pneumonia. Our case illustrates the importance of clinical surveillance especially in patient with hepatic disease after alcohol SNB.
Brugada 증후군 심전도를 가진 환자의 전신마취 경험 2례
이정한,안성태,최석환,이상은,김영환,임세훈,이근무,정순호,최영균,김영재,신치만 인제대학교 2007 仁濟醫學 Vol.28 No.-
Brugada syndrome is an arrhythmic syndrome characterized by a right bundle branch block pattern and ST segment elevation in the right precordial leads of the electrocardiogram with no evidence of underlying structural heart disease. It is thought to be a major cause of sudden death, syncope and idiopathic ventricular tachyarrhythmia in young people with structurally normal hearts. The Brugada-type ECG can transiently normalize for a period of time to an under-diagnosis of disease. We experienced the balanced anesthetic management of two patients with the Brugada syndrome using remifentanil infusion and inhalation anesthetics.