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홍덕은,이애란 전북대학교 부설 휴양및경관계획연구소 2021 휴양및경관연구 (J East Asian Landscape Studies) Vol.15 No.4
생활밀착형 정원은 거주민들의 일상생활 및 정주환경과 밀접하게 관계가 있는 범주 내에 조성된 정원을 말한다. 본 연구는 주민참여형 계획기법을 활용하여 정원 조성의 기본 계획과 틀을 마련하였다. 또한 두 대상지는 주거단지의 물리적 형성구조가 혼재형과 블럭형 단독주택단지로 차별성을 갖는다. 본 연구를 통해 첫째, 녹지가 부족한 구도심에서는 개별적 녹지가 주민합의와 동의를 통해 공공적 녹지로 기능할 수 있었다. 둘째, 심미적 가치로 주민들이 밝아진 골목 환경을 인지하고, 꽃과 정원시설로 계절의 변화를 즐겼다. 셋째, 정원을 매개로 이웃과 소통이 일어났으며, 주민들이 계획단계부터 참여함으로써 자발적 관리로 이어졌다. 주민참여형 생활정원은 주민들의 실천적 태도라는 시대적 요구를 반영한 구도심 마을정원의 새로운 유형으로 의미가 있다. A life-friendly garden refers to a garden created within a category closely related to the daily life and settlement environment of residents. This study prepared a basic plan and framework for the creation of a garden using resident participatory planning techniques. In addition, the two target sites have different physical formation structures of residential complexes as mixed and block-type detached housing complexes. Through this study, first, individual green areas could function as public green areas through residents' agreement and consent in the old town where green areas were insufficient. Second, residents recognized the bright alley environment with aesthetic values and enjoyed the change of seasons with flowers and garden facilities. Third, communication with neighbors took place through the garden, and residents participated from the planning stage, leading to voluntary management. The resident-participating living garden is meaningful as a new type of the old town village garden that reflects the demands of the times, such as the practical attitude of the residents.
간이식 수혜자에서 오른쪽 내경정맥 도관술 후 발생한 동정맥루관
정철우,이정림,홍덕만 대한마취통증의학회 2007 Korean Journal of Anesthesiology Vol.52 No.4
Carotid artery puncture is the most common complication of internal jugular vein catheterization. However, arteriovenous fistula between carotid artery and internal jugular vein has been rarely reported. Here we report a patient who developed arteriovenous fistula following inadvertent carotid artery puncture, while undergoing liver transplantation.
조현욱,전윤석,홍덕만,김현주,민정진 대한마취통증의학회 2014 Korean Journal of Anesthesiology Vol.66 No.2
Antiphospholipid syndrome (APS) is a rare disease in which patients display prolonged coagulation test results in vitro, but usually develop thrombotic symptoms in vivo. Patients with APS are at increased risk of valvular heart disease or coronary vascular disease, conditions that often necessitate cardiac surgery via bypass. The management of anticoagulation during cardiopulmonary bypass (CPB) is particularly challenging in these patients because of the unique features of APS. Patients with APS are constantly at risk of arterial and venous thrombotic events. Therefore it is very important to maintain proper anticoagulation perioperatively, especially during CPB. In this paper, we present three successful cases of APS patients who underwent cardiac surgery with CPB.
심장수술 환자에서 아트라큐리움 투여 후 발생한 아나필락시스 —증례보고—
김재광,전윤석,홍덕만,임태완,박재현,안혁 대한마취통증의학회 2008 Korean Journal of Anesthesiology Vol.53 No.3
Effective treatment of hypotension during induction of general anesthesia depends onhow well the many causes of the hypotension are understood. However, differential diagnosis of hypotension is by no means easy, especially when the prevalenceof hypotension is low or when the patient is asymptomatic. A 75 year-old female, upon induction of general anesthesia for open thoracic surgery, became hypotensive and showed generalized erythematous papules, therefore having to postpone the surgery. Upon further evaluation through skin prick tests, the hypotensive event was concluded to be caused by anaphylactic side effects of atracurium. Hence, atracurium was avoided and the surgery was successfully performed.
Anaphylaxis following atropine administration during general anesthesia -a case report-
최재규,김현창,전윤석,홍덕만 대한마취통증의학회 2015 Korean Journal of Anesthesiology Vol.68 No.5
Anaphylaxis is an acute, potentially lethal, multisystem syndrome resulting from the sudden release of mast-cell- and basophile-derived mediators into the circulation. Common manifestations of anaphylactic reactions include urticaria, angioedema, nausea, vomiting, hypotension and cardiovascular collapse. Cardiovascular collapse is the first detected manifestation in up to 50% of cases in perioperative anaphylaxis, because patients are anesthetized and unable to report symptoms. A 25-year-old male presented with severe hypotension and erythema after intravenous atropine administration during general anesthesia. Postoperative laboratory findings demonstrated elevated serum tryptase and total immunoglobulin E. An intradermal test showed atropine sensitivity. Although atropine is used widely as a perioperative anticholinergic agent, it is a potential risk factor for a severe anaphylactic reaction. Therefore, prompt recognition and adequate therapeutic measures are necessary to avoid fatal consequences.
민정진,이정만,김준현,홍덕만,전윤석,박재현 대한마취통증의학회 2011 Korean Journal of Anesthesiology Vol.61 No.1
Mounier-Kuhn-syndrome patients have markedly dilated trachea and main bronchi due to an atrophy or absence of elastic fibers and thinning of smooth muscle layers in the tracheobronchial tree. Although this syndrome is rare,airway management is challenging and general anesthesia may produce fatal results. However, only a few cases have been reported and this condition is not widely known among anesthesiologists. We present the case of a tracheobronchomegaly patient undergoing an emergency off-pump coronary artery bypass. Although the trachea was markedly dilated with numerous tracheal diverticuli, there was an undilated 2 cm portion below the vocal cords found on the preoperative CT. Under a preparation of extracorporeal membrane oxygenation, we intubated and placed the balloon of an endotracheal tube (I.D. 9 mm) at this portion, and maintained ventilation during the operation. This case showed that a precise preoperative evaluation and anesthetic plan is essential for successful anesthetic management.
김현주,이정만,서정화,김준현,홍덕만,박재현,김기봉,전윤석 대한의학회 2011 Journal of Korean medical science Vol.26 No.8
We performed a prospective cohort trial on 220 patients undergoing elective off-pump coronary artery bypass surgery and taking aspirin to evaluate the effect of aspirin resistance on myocardial injury. The patients were divided into aspirin responders and aspirin nonresponders by the value of the aspirin reaction units obtained preoperatively using the VerifyNowTM Aspirin Assay. The serum levels of troponin I were measured before surgery and 1, 6, 24, 48 and 72 hr after surgery. In-hospital major adverse cardiac and cerebrovascular events, graft occlusion, the postoperative blood loss and reexploration for bleeding were recorded. Of the 220 patients, 181 aspirin responders (82.3%) and 39 aspirin non-responders (17.7%) were defined. There were no significant differences in troponin I levels (ng/mL) between aspirin responders and aspirin non-responders: preoperative (0.04 ±0.08 vs 0.03 ± 0.06; P = 0.56), postoperative 1 hr (0.72 ± 0.87 vs 0.86 ± 1.10; P = 0.54),6 hr (2.92 ± 8.76 vs 1.50 ± 2.40; P = 0.94), 24 hr (4.16 ± 13.44 vs 1.25 ± 1.95; P = 0.52),48 hr (2.15 ± 7.06 vs 0.65 ± 0.95; P = 0.64) and 72 hr (1.20 ± 4.63 vs 0.38 ± 0.56; P =0.47). Moreover, no significant differences were observed with regard to in-hospital outcomes. In conclusion, preoperative aspirin resistance does not increase myocardial injury in patients undergoing off-pump coronary artery bypass surgery. Postoperative dual antiplatelet therapy might have protected aspirin resistant patients.
작은 여성에서 단일관튜브와 기관지 차단기를 사용한 일측 폐환기 -증례 보고-
서소진,임태완,손일순,김준현,홍덕만,강매화,전윤석,박재현 대한마취통증의학회 2010 Anesthesia and pain medicine Vol.5 No.2
One-lung ventilation with a double-lumen endotracheal tube or a UniventⓇ tube may be difficult or dangerous in small patients, children, and patients with anatomic abnormalities of the airway. The use of a bronchial blocker through a single-lumen endotracheal tube has been used successfully in such situations.A 69-year-old woman was scheduled for Ivor-Lewis operation and right upper lobectomy.She could not be intubated with a internal diameter 6.0 mm UniventⓇ tube owing to narrow diameter of the vocal cord. We report a successful one-lung ventilation using a UniblockerⓇ through an adult-size single-lumen endotracheal tube in a small woman, who needed postoperative ventilator care.
박근석,김혜림,정유선,김현주,이정만,홍덕만,전윤석,박재현 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.64 No.1
Left ventricular outflow tract (LVOT) obstruction with systolic anterior motion (SAM) of mitral valve is not only limited to patients with hypertrophic cardiomyopathy. A diagnosis of LVOT obstruction with SAM is important because conventional inotropic support may potentially aggravate hemodynamic deterioration. We present a case of LVOT obstruction with SAM in a patient who underwent an emergent surgery for ascending aortic dissection with pericardial effusion. The patient showed refractory hypotension after standard pharmacologic interventions during induction of anesthesia. Transesophageal echocardiography (TEE) revealed LVOT obstruction with SAM and it was managed appropriately under the guidance of TEE. Intraoperative TEE can play an important role in diagnosis and management of LVOT obstruction with SAM caused by pericardial effusion.