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한석주,정은주,김세헌,윤춘식,심규대,남용택,김재억,황의호,Han, Seok-Joo,Jung, Eun-Joo,Kim, Se-Heon,Yoon, Choon-Sik,Shim, Kyu-Dae,Nam, Yong-Taek,Kim, Jai-Eok,Hwang, Eui-Ho 대한소아외과학회 2002 소아외과 Vol.8 No.2
This is a case of tracheomalacia associated with esophageal atresia. An 11-month-old- male boy presented with a life-threatening apneic spell after correction of esophageal atresia (Gross type C). After complete exclusion of the other possible causes of the apneic spell, the presumptive diagnosis of tracheomalacia was made with fluoroscopy and 3-dimensional chest CT. The final diagnosis was made with rigid bronchoscopy under spontaneous respiration. The aortopexy was performed with intraoperative bronchoscopic examination. The postoperative period was unremarkably uneventful. The patient was discharged 9 days after the aortopexy and has remained well to date (5 months after the aortopexy).
최성호(Seung Ho Choi),김기준(Ki Jun Kim),김원옥(Won Oak Kim),남용택(Yong Taek Nam) 대한마취과학회 1998 영문부록 Vol.- No.-
16세된 남자환자는 고환염전을 주소로 입원하여 고환적출술을 시행하고자 하였다. 과거력과 신체검사상에 별다른 이상이 없었다. 좌측와위로 제 3∼4요추사이를 천자하여 tetracaine 12 mg을 주입하여 제 4흉추부위까지 감각소실이 되도록 하였다. 약간의 혈압감소와 서맥이 있었으나 정상범위에 있어 혈압상승제를 사용하지는 않았다. 이때 환자가 천장이 빙글빙글 돌아간다고 호소하였는데 상하, 좌우안진이 관찰되었다. 안진은 점차 감소하였지만 1시간 후까지 지속되었다. 회복실에서 안진이 완전히 소실되었으며, 좌위를 하여도 안진은 촉발되지 않았다. 그후 별다른 이상없이 3일후 퇴원하고, 3개월 뒤에 다시 검진하였으나 안과 및 신경학적 증상은 없었다. (Korean J Anesthesiol 1998; 35: S 14∼S 16)
복강경 및 골반경 수술시 환자체위와 이산화탄소 주입이 정상인의 기도내압과 유순도에 미치는 영향
남용택,김지응,채용호 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.36 No.5
Background : Laparoscopic and pelviscopic techniques have rapidly increased in recent years. Laparoscopy or pelviscopy require carbon dioxide (CO2) insufflation and Trendelenburg or reverse-Trendelenburg position for operational convenience. Many studies were done about the effects of laparoscopic procedures. But simultaneous comparisons of end-tidal CO2 tension (PETCO2), peak airway pressure (Ppeak), plateau pressure (Pplat) and respiratory compliance (Cdyn), between Trendelenburg and reverse- Trendelenburg position are rare. We compared the airway pressure and compliance between the two positions during laparoscopic surgery. Method : Eighty patients were divided into 2 groups: for 10o reverse-Trendelenburg position (n=40, Group R) and 10o Trendelenburg position (n=40, Group T). Abdominal pressure was maintained at 10 mmHg by a CO2 insufflator, and minute ventilation was controlled with a constant tidal volume and fixed respiratory rate. We observed the change of PETCO2, Ppeak, Pplat, and Cdyn at 1 minutes before CO2 insufflation (control value), 2 min after position change, 5, 20, 30, 60 minutes after CO2 insufflation, 2 min after CO2 removal, and 2 min after operation. Result : PETCO2, Ppeak, and Pplat were increased and Cdyn was decreased significantly after pneumoperitoneum compared with the control in group R. PETCO2, Ppeak, and Pplat were increased significantly under the Trendelenburg compared with the reverse-Trendelenburg, and Cdyn was decreased significantly in Trendelenburg compared with reverse-Trendelenburg. Conclusion : PETCO2, Ppeak, Pplat, and Cdyn impedances increased more under the Trendelenburg after pneumoperitoneum compared with reverse-Trendelenburg. We should pay more attention to patient with pulmonary disease, obesity, and old age under the Trendelenburg than reverse-Trendelenburg position. (Korean J Anesthesiol 1999; 36: 802∼807)
남용택 대한마취과학회 1987 Korean Journal of Anesthesiology Vol.20 No.6
While in recent there has been a worldwide decrease in the incidence of convulsion Iron toxemic pregnancy due to improved in the quality and quantity of prenatal care, there has been a relative increase in the proportion of postpartum cases of eclampsia. Postpartum eclampsia accounts for 25% of total eclampsia and occurs most frequently during the first postpartum day. We experienced a case of postpartum eclampsia of immediate onset after cesarean section in a 29 year old primigravida patient with mild preeclampsia antenataly. She had two convulsive seigure, the first attacH occured juat before the end of anesthesia and the second attacik about 30 minutes after the cesarian section. At that time the patient was treated with thiopental and diazepam intravenously Under the impression of postpartum eclampsia she was given MgSO_4, for one day and experienced no other seizures after then. She awakened fully and exhibited no neurological sequeale from the eclampsia. She was discharged from the hospital on the sixth postoperative day with no other complications or sequoia.