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정신지체가 있는 강직성 척추염 환자의 기도 관리 경험 - 증례 보고 -
성승혜 대한마취통증의학회 2008 Anesthesia and pain medicine Vol.3 No.1
Almost all anesthesiologists are encounter a difficult airway occasionally, which is probably the most important cause of anesthesia related morbidity and mortality. The Intubating Laryngeal Mask Airway (ILMA) is a modified laryngeal mask airway with the capability for guided tracheal intubation while maintaining ventilation. We report the successful use of this device in patient with ankylosing spondylitis, mental retardation and hearing disturbance. This case suggests that ILMA is a safe and useful method for airway management in anesthetic care of uncooperative patients.
방광암 환자에서 안장차단법에 의한 지주막하 페놀주입의 증례보고
조선준,신진우,성승혜,민홍기,송준걸,임정길,이청 대한마취통증의학회 2006 Korean Journal of Anesthesiology Vol.50 No.3
We encountered two bladder cancer patients who suffered from perineal pain that was intractable despite the use of adjuvant medication. A phenol intrathecal (saddle) block was performed without any specific complications. The results were excellent and allowed the systemic opiate dose to be reduced by more than 80%. We report our clinical experience, including a brief review of the relevant literature. (Korean J Anesthesiol 2006; 50: 351~4)
증례보고 : 중뇌동맥 경색증 환자의 마취유도 직후 경식도 심초음파에 의해 진단된 좌심방 혈전 -증례보고-
송준걸 ( Jun Gol Song ),황규삼 ( Gyu Sam Hwang ),김영국 ( Young Kug Kim ),성승혜 ( Seung Hye Sung ),최인철 ( In Cheol Choi ),황재현 ( Jai Hyun Hwang ),조성강 ( Sung Kang Cho ),한성민 ( Sung Min Han ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.6
Stroke is one of the most common causes of death; in particular, cardiac source of embolism may be responsible for 15-20% of ischemic strokes. Here we report a case of left atrial thrombus diagnosed by transesophageal echocardiography (TEE) immediately after induction of general anesthesia in a patient with infarction of the middle cerebral artery. In this case, an emergent craniectomy was cancelled and medical treatment was performed. This case report shows that TEE taken in the operating room may play an important role in the change of treatment plan in a patient displaying acute mental change. (Korean J Anesthesiol 2007; 52: 702~6)