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Intermittent Pneumatic Compression Device 사용으로 인한 수술 후 총비골신경 마비
전혜림,고은효,서혜진,박선영,이세진,옥시영 순천향대학교 순천향의학연구소 2016 Journal of Soonchunhyang Medical Science Vol.19 No.1
Intermittent pneumatic compression device is a standard component for prevention of deep venous thrombosis in immobile patients. This method has been known to be safe with very low rate of complications compared to medical thromboprophylaxis. Therefore, this modality has been used widely in patients who underwent a general surgery. We report a patient who developed common peroneal nerve palsy during the use of intermittent pneumatic compression device after Hartmann’s operation.
Intermittent Pneumatic Compression Device 사용으로 인한 수술 후 총비골신경
전혜림,고은효,서혜진,박선영,이세진,옥시영 순천향대학교 순천향의학연구소 2013 Journal of Soonchunhyang Medical Science Vol.19 No.1
Intermittent pneumatic compression device is a standard component for prevention of deep venous thrombosis in immobile patients. This method has been known to be safe with very low rate of complications compared to medical thromboprophylaxis. Therefore, this modality has been used widely in patients who underwent a general surgery. We report a patient who developed common peroneal nerve palsy during the use of intermittent pneumatic compression device after Hartmann’s operation.
Comparison of eye protection methods for corneal abrasion during general anesthesia
이세진,김순임,정진권,고은효,조아나,조호범,한유미 대한마취통증의학회 2016 Anesthesia and pain medicine Vol.11 No.1
Background: Corneal abrasion is one of the most common ophthalmic complications that occurs after general anesthesia. Although they can occur by direct contact with surgical drapes or masks, most occur as a result of the drying of the cornea exposed during general anesthesia due to a reduced amount of tear secretions, the loss of light reflex, or the loss of recognition of pain during the procedure. Thus, to prevent corneal abrasions during general anesthesia, proper eye protection is required. Methods: Seventy-two patients (144 eyes) were divided into four groups as follows: 1) control group: careful manual eye closure; 2) adhesive tape group: a bandage attached over the eyelid; 3) ointment group: eye ointment placed into the eye followed by eye closure; and 4) ointment and tape group: eye ointment placed into the eye followed by a bandage attached over the eyelid, with the patient subjected to both methods for each eye. The National Eye Institute (NEI) scale, conjunctiva hyperemia scale, tear break-up time, and Schmer test were conducted before and after operation. Results: No statistically significant difference was noted between groups regarding the NEI scale, conjunctiva hyperemia scale, tear break-up time, or Schirmer test. Conclusions: To prevent corneal abrasions in normal patients undergoing general anesthesia, eye taping, eye ointment appli- cation, or taping after eye ointment application will not significantly reduce the degree of corneal epithelial damage compared to manual eye closure.
Is the Spinous Process of T7 Usually at the Same Level as the Inferior Tips of the Scapulae?
김문규,옥시영,김상호,이세진,박선영,고은효,배현용,허경을 순천향대학교 순천향의학연구소 2012 Journal of Soonchunhyang Medical Science Vol.18 No.1
Objective: Appropriate placement of thoracic epidural catheter provides an adequate postoperative analgesia in chest and upper abdominal surgery. Usually, when thoracic epidural puncture is performed, both scapular lower tips and the thoracic (T)7 spinous process is assumed to be at the same horizontal level. The aim of this study is to identify the thoracic epidural puncture in the sitting position, with the neck flexed and arms crossed, may change the relationship between the thoracic vertebrae and the scapular lower tips. Methods: One hundred patients with postoperative patient controlled epidural analgesia using thoracic epidural catheters were enrolled. It is presumed that the both scapular lower tips and T7 spinous process is at the equal level when performing thoracic epidural puncture. The actual insertion level of the Tuohy needle was examined by radiography when the patient was in the sitting position. Results: Out of 100 patients, there were 62% that were in the same level as the scapular lower tips and T7 spinous process. However,1% of the patients leveled at T4, 1% at T5, 25% at T6, 18% at T8, and 1% at T9. Conclusion: When performing the thoracic epidural puncture under the sitting position, the relationship of the T7 and the scapular lower tips may change. The change of position of scapular lower tips varied among T6.82±0.70. Therefore, to be precise, it is advised to utilize C-arm guide when epidural puncture is carried out.