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경막외 Morphine 부작용 치료를 위한 Nalbuphine의 적정 정주 용량
한찬수(Chan Soo Han),최일석(Il Suk Choi),김일호(Il 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.1
N/A Background: Epidural morphine provides excellent postoperative analgesia but is often associated with side effects such as nausea, vomiting and pruritus. It has been reported that mixed agonist-antagonist, nalbuphine can reverse side effects of epidural morphine without compromising analgesia. This study was designed to compare the efficacy of each intravenous dose of nalbuphine for treatment of side effects following epidural morphine. Methods: All patients received continuous infusion(2 ml/hr) of epidural morphine-local anesthetics mixture(morphine 4 mg, 1% mepivacaine 50 ml and 0.25% bupivacaine 50 ml) following a loading dose (morphine 2 mg with 1% mepivacaine 7 ml). Patients requesting treatment for nausea, vomiting and pruritus randomly received intravenous nalbuphine 0.05 mg/kg(Group 1; n=20), 0.1 mg/kg(Group 2; n=20) or 0.15 mg/kg(Group 3; n 20). The severity of nausea, vomiting, pruritus, degree of pain, sedation and vital sign were assessed prior to and 30 min after each dose. Results: The severity of nausea, vomiting and pruritus decreased significantly in all groups(p<0.01). Pain and sedation scores were unchanged in all groups. One patient received nalbuphine 0.15 mg/kg, complained of dizziness, agitation and palpitation. His blood pressure who had increased to 170/100 after first dose. Conclusions: This study suggests that intravenous nalbuphine is good for treatment of side effects following epidural morphine, and the dose of Group 1, 0.05 mg/kg, may be recommended as an optimal dose.
인천 장애인 아시안게임에 참가한 대한민국 국가대표선수들의 도핑의식에 대한 태도 및 성향
안영환 ( Young-hwan An ),이근호 ( Geun-ho Lee ),김영식 ( Young-sik Kim ),김길태 ( Kil-tae Kim ),이주영 ( Joo-young Lee ),백남희 ( Nam-hee Baek ),최일석 ( Il-suk Choi ),김상훈 ( Sang-hoon Kim ),배하석 ( Ha-suk Bae ) 대한스포츠의학회 2015 대한스포츠의학회지 Vol.33 No.2
The purpose of this study was to investigate the tendencies and awareness of the doping of the Korea national disabled athletes who participated in Incheon 2014 Asian Para Games. The subjects were composed of Korea national athletes (211 person, male 141 person, female 70 person) participated in 16 sports in Incheon 2014 Asian Para Games. Firstly, the data were collected by questionnaires measure including doping knowledge, behavior and attitude (performance enhancement attitude scale, PEAS) and analyzed using SPSS ver. 18.0 for window. The results indicate that female athletes tend to be more generous than men tendencies to for doping (p=0.027). Especially the aged groups showed significant differences in over fifty athletes (p=0.016). The PEAS score according to the sports type showed a generous doping tendency in speed/power type (p=0.01). Furthermore 43% of athletes acquire knowledge of the doping from Sports Association, directors, coaches, while Korea Anti-Doping Agency was lower by 23%. In conclusion, We need to provide education and information to improve awareness of doping for the national team players and coaches.
소아 미추마취시 첨가한 Morphine의 수술후 진통 효과
김일호,한찬수,최일석,김천숙,김유재,안기량 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.33 No.6
Background : The use of caudal morphine for postoperative analgesia has been increased in popularity since 1981. The purpose of this study was to compare the effect of analgesia and incidence of side effects of a mepivacaine-morphine mixture with mepivacaine alone. Methods : Forty patients were randomly divided into two groups. In group 1, caudal block was performed with 1% mepivacaine 1 ml/kg alone. In group 2, caudal block was performed with 1% mepivacaine 1ml/kg-morphine 0.03 mg/kg mixture. Postoperative five-point pain scores and side effects were measured. Results : There were no significant differences in sedation dose, incidence of side effects and supplemental analgesics. Pain scores were significantly lower at postoperative 2 and 3 hours in mepivacaine-morphine mixture group. Conclusions : Caudal epidural mepivacaine-morphine(0.03 mg/kg) mixture is effective in children for control of postoperative pain without significant side effects. (Korean J Anesthesiol 1997; 33: 1129∼1133)