대상포진후 신경통에 적용한 경막외 Phenol 주입법

문봉기,서영선,윤덕미,오흥근,이석균,Moon, Bong-Ki,Seo, Young-Sun,Yoon, Duck-Mi,Oh, Hung-Kun,Lee, Suk-Kun 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2

Postherpetic neuralgia is one of the most troublesome disease in pain clinic. Nine patients who suffered from postherpetic neuralgia for 1.5 to 8 month, has been treated with the epidural block for prognostic or therapeutic purpose. Epidural catheter was inserted as close to the involved neural roots as possible, and tip of epidural catheter was confirmed under fluroscopic guide. Epidural neurolysis was performed out intermittent injection of 1~3 ml of 6% phenol in saline and repeated 2~6 times over one or 7 days interval. Two patients reported satisfactory pain relief and 3 patients reported some pain relief. But 4 patients unchanged after phenol block. The overall duration of pain relief was not studied. Validity and safety of epidural phenol block was not confined. Further study will be necessary before application of epidural phenol block to postherpetic neuralgia.

특집 - 자재의 성능 표준화 ( Performance Standardization of Construction Materials )

문봉기 대한건축학회 1999 建築 Vol.43 No.7

혈관사이세포 단백합성기구의 미세구조에 미치는 Nocodazole의 영향

문봉기,박정현,이융창 대한해부학회 1995 Anatomy & Cell Biology Vol.28 No.3

쇄골하정맥로를 확보하기 위한 안전한 수기

문봉기 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

Infraclavicular percutaneous subclavian venipuncture for central vein access should be performed quickly without complication. Pneumothorax is one of leading complication, because the apical pleura is situated approximately 5 mm behind the posterior wall of the subclavian vein after it passes over the the first rib. Many technical guidelines for safe right subclavian venipuncture have been reported, although none of these mentioned the position of the performer's left thumb in right subclavian venipuncture and the precise skin puncture site. Before puncture, the skin should be pressed down firmly by the left thumb placed beneath the junction of the lateral one third and the medial two thirds of the right clavicle, and the left index finger was pointed toward the right posterior superior angle of the clavicle. With the skin pushing with left thumb, the needle is inserted at a point approximately 1.5 to 2 cm below the junction of the lateral third and the medial two-thirds of the clavicle, aiming for the poterior superior angle of clavicle. As far as the needle is advanced parallel to the plane of the patient's back and 1st rib, it always enters the subclavian vein straightly without pneumothorax. This allows a safe right subclavian venipuncture, and the frequency of accidental pneumothorax can be reduced significantly. Since the introduction of this technique in our department, the rate of successful subclavian venipuncture has increased significantly without pneumothorax.

외상성 뇌손상환자의 저체온 치료

문봉기 대한마취통증의학회 2007 Anesthesia and pain medicine Vol.2 No.3

No abstract available

마취영역에서의 아포토시즈(Apoptosis)

문봉기 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.42 No.5

척추마취에 적용한 0.2%와 0.5% Plain Bupivacaine의 비교

문봉기,이영석 아주대학교 의과학연구소 1996 아주의학 Vol.1 No.1

Background: The extent of sensory and motor block following subarachnoid injection of local anesthetic is thought to depend on several factors such as total dosage and volume of solution. This study was an evaluation of the effects of varying doses and concentrations of plain bupivacaine: 15㎎ given as 3㎖ of 0.5% or as 6㎖ of 0.25% solution. Methods: In a double-blind trial, 40 patients scheduled for lower extremity surgery were administered, spinal anesthesia using 15 mg bupivacaine, given either as 3.0 ㎖ of plaine 0.5% solution(group 1) or 6ml of 0.25% solution(group 2). The patients were in a lateral position during the injection and for 3 minutes after. Results: 1) No significant differences were found in onset time and uppermost dermatome level of sensory anesthesia between the two groups. 2) The onset time to complete motor block was 11.6±1.2(group 1), 11.0±1.4(group 2)([Mean±SE] minutes) in the nondependent leg and 19.0±l.l(group 1) 18.4±2.0(group 2)([Mean±SE] minutes) in the dependent leg. These differences between nondependent and dependent leg were statistically significant but there were no significant differences between the group 1 and group 2. 3) The systolic and diastolic arterial pressures and heart rate decreased only by about 10 to 15% in both groups; only 3 patients(two in group 1 and one in group 2)required a vasopressor because systolic arterial pressure had decreased by 30% from the preanesthetic value and symptoms resulting from the hypotension and bradycardia were evident. 4) Anesthesia was satisfactory in all patients. Conclusions: In terms of anaesthetic efficacy, there was no significant difference according to either volume or concentration of the plain bupivacaine solution. Either plain 0.25% or 0.5% bupivacaine solution were suitable for lower extremity surgery.

제왕절개술후 통증치료를 위해 경막외강에 투입된 Morphine과 Nalbuphine의 비교 연구

문봉기(Bong Kee Moon),이윤우(Youn Woo Lee),이자원( 대한통증학회 1993 The Korean Journal of Pain Vol.6 No.1

N/A The clinical effects of epidural nalbuphine were compared to those of epidural morphine in sixty Cesarean delivery. They were physical status l or 2 by ASA classification and randomly divided into three groups. They were administered nalbuphine 5 mg(Group N5), nalbuphine 10 mg(Group N10) or morphine 3 mg (Group M3) through an indwelling epidural catheter at the time of peritoneal closure. During the first postoperative 24 hours, their analgesic effects were evaluated by visual ana- logue scale(0-10), respiration rates and Trieger dot test. The severity of side effects(0-2) was also evaluated. The results were as follows; l) The number of patients who needed additional epidural analgesics was least in group M3 (p<0.05). There was no significant difference between group N5 and group Nl0. 2) The duration between the first and second epidural administration was; 19.2 hours in group M3, 8.6 hours in group N10 and 5.4 hours in group N5. There was a significant difference each group (p<0.05). 3) From the fourth post operative hour, both groups receiving nalbuphine showed a higher VAS score compared to group M3(p<0.05). 4) The incidence of pruritus, nausea, vomiting and voiding difficulty were more severe in group M3 compared with the other groups. However the severity did not increase with increas- ing nalbuphine dosage. 5) There were no patients showing objective sedation or low respiration rate(10 times/min- ute). We concluded that epidural administration of nalbuphine 5 mg or 10 mg is one way of post operative pain control. Its side effects were less than epidural morphine, but it is a less conve- nient in the method of analgesia.

대상포진후 신경토에 적용한 경막외 Phenol 주입법

문봉기(Bong Kee Moon),서영선(Young Sun Suh),윤덕미 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2

N/A Postherpetic neuralgia is one of the most troublesome disease in pain clinic. Nine patients who suffered from postherpetic neuralgia for 1.5 to 8 month, has been treated with the epidural block for prognostic or therapeutic purpose. Epidural catheter was inserted as close to the involved neural roots as possible, and tip of ep- idural catheter was confirmed under fluroscopic guide. Epidural neurolysis was performed out intermittent injection of 1-3 ml of 6% phenol in sa- line and repeated 2-6 times over one or 7 days interval. Two patients reported satisfactory pain relief and 3 patients reported some pain relief. But 4 patients unchanged after phenol block. The overall duration of pain relief was not studied. Validity and safety of epidural phenol block was not confined. Further study will be necessary before application of epidural phenol block to postherpetic neuralgia.

전신성 염증반응 증후군에서 중증도 및 전신대사 지수에 의한 예후 예측 비교

이영석,문봉기,왕희정,홍정숙,이영주,정성미 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.5

Background : Systemic inflammatory reaction syndrome (SIRS) describes the systemic inflammatory process and can be seen following a wide variety of insults. This is the leading cause of morbidity and mortality for patients admitted to the ICU. The arterial keton body ratio (AKBR), serum lactate level and the thyroid hormones, thyroid stimulation hormone (TSH), thyroxine (T4), free thyroxine (FT4) and triiodothyronine (T3) deteriorate in critically ill patients with a poor prognosis. The APACHE (Acute Physiology, and Chronic Health Evaluation) III and multiple organ failure (MOF) score have been known as good prognostic predictors in the ICU. The object of this study was to compare the AKBR, lactate and thyroid hormone levels, and the APACHE III and MOF score between the survivors (SV) and nonsurvivors (NSV) and the correlation among the above predictors. Methods : 35 patients with no known thyroid or liver disease who were admitted to the SICU with the criteria of SIRS were selected. Arterial blood was drawn for the AKBR, and the lactate and thyroid hormones studies. The APACHE III and MOF scorings were done in the first 24 hours of SICU admission. Results : There were no significant difference between SV and NSV except APACHE III (SV: 68.7 24.6, NSV; 92.9 27.6). There were significant correlations between the APACHE III and MOF score (R = 0.688, P< 0.01), APACHE III and lactate (R = 0.575, P< 0.01), and MOF score and lactate (R =0.483, P< 0.01). Thyroid hormones had positive correlations among themselves only. Conclusions : We conclude that APACHE III is the only good predictor of mortality. The APACHE III, MOF score, and lactate level show good correlations indicating the severity in condition of the ICU patients. (Korean J Anesthesiol 1999; 37: 799∼806)