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개흉술 후 냉각요법과 경막외 Fentanyl 병용요법의 비교
신진우(Jin Woo Shin),최인철(In Cheol Choi),하승일(Seung Ill Ha),심지연(Ji Yeon Sim),이청(Cheong Lee),박승일(Seung Ill Park),윤창섭(Chang Seob Yun) 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1
N/A Background: Thoracotomy is the operation that produces the most postoperative pain, necessitating the highest requirements for postoperative analgesics. The common methods of treating postthoracotomy pain are the use of thoracic epidural analgesia, intemittent or continuous intercostal nerve blocks, intravenous narcotics and cryoanalgesia. We designed to assess the analgesic effect of epidural analgesia, cryoanalgesia and the combined analgesia in thoracic surgery. Methods: A prospective study was carried out in 59 patients undergoing elective thoracotomy for parenchymal disease. Patients were randomized into three groups: C (cryoanalgesia), CE (cryoanalgesia and thoracic epidural analgesia), E (epidural analgesia). All patients had standard anesthesia with endotracheal intubation using a double lumen endotracheal tube, and one-lung ventilation. Subjective pain relief was assessed on a visual analog scale. Analgesic requirements, complications and the degree of satisfaction were evaluated during the 7 days following surgery. Results: Subjective pain relief was significantly better in Group CE and Group E in comparison with Group C (P < 0.05). Cryoanalgesia provided a better pain score on the 6th and 7th POD than the early postoperative periods. Analgesic requirements were higher in Group C than in the Group CE and Group E during the first POD. The incidence of side effects was similar in Group CE and Group E. Conclusions: If we can reduce the concentration of fentanyl and local anesthetics in combined analgesia of epidural and cryoanalgesia, the disadvantages of each method would be overcome and would be a better method of postthoracotomy pain control.
모바일 수술 중 CT 의 구동 제어와 충돌방지를 위한 통합 임베디드 시스템 구현
신진우 ( Jin-woo Shin ),김세정 ( Sea-jung Kim ),노태성 ( Tae-seong Roh ),유종현 ( Jong-hyun Ryu ),전홍영 ( Hong Young Jun ),정길환 ( Kil-hwan Jeong ),윤권하 ( Kwon-ha Yoon ),김대원 ( Dae-won Kim ),김규겸 ( Kou-gyeom Kim ) 한국정보처리학회 2020 한국정보처리학회 학술대회논문집 Vol.27 No.2
최근 의료시장에 상용화된 모바일 수술 중 CT(intra-operative computed tomography, iCT)는 수술실 내 이동이 자유로울 뿐만 아니라 수술 후 즉각적인 환자 모니터링이 실시간으로 이루어져 수술 후 환자의 예후 향상과 재수술 확률을 낮출 수 있다. 이동성을 갖춘 iCT 는 편의성과 유용성이 검증되었지만, 이동시 발생될 수 있는 충돌사고의 단점이 존재한다. 따라서, iCT 의 이동시 발생할 수 있는 위험을 최소화 할 수 있는 안전장치가 요구된다. 본 연구에서는 모바일 iCT 의 구동 제어의 편의성과 안전성을 확보 할 수 있는 CT 촬영을 제어하기 위한 리모트 컨트롤러, 이동시 전방 시야를 확보하기 위한 전방 모니터링 카메라 출력, 충돌 위험을 알릴 수 있는 초음파 센서를 통합하는 임베디드 컨트롤러를 개발하고자 한다.
ToF 거리 센서의 데이터 융합을 통한 전동휠체어의 환경판단 기법에 관한 연구
신진우(Shin Jin-Woo),이원영(Lee Won-Young),엄수홍(Eom Su-Hong),김대위(Kim Dae-We),이응혁(Lee Eung-Hyuk) 대한전자공학회 2022 대한전자공학회 학술대회 Vol.2022 No.4
In this paper, an obstacle detection technique through the fusion of a 3D ToF optical sensor module and an ultrasonic sensor is presented to detect obstacles made of light reflectors and light transmitting materials. In addition, we proposed a cliff detection technique that can detect the cliff in front of the electric wheelchair using a 3D ToF optical sensor module. For the fusion of the two sensors, a multi-distance sensor module was manufactured, and the technique was verified using this. As a result of the experiment, obstacles of various materials and distances for each obstacle were detected, and the cliff in front of the electric wheelchair was detected.
자궁경부암의 방사선치료 후 발생한 자궁의 유두상 장액성 암종
신진우(Jin Woo Shin),이응석(Eung Seok Lee),김인선(In Sun Kim),강재성(Jae Seong Kang) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.6
Uterine papillary serous carcinoma is a morphologically distinct variant of endometrial carcinoma that is associated with an aggressive behavior with rapid progression and high recurrence, and poor response to salvage treatment. The most common type of malignancy developing in the uterus after radiation therapy is the malignant mixed mullerian tumor, however, the papillary serous carcinomas have rarely been reported.Here we report a case of uterine papillary serous carcinoma which had developed 7 years after radiation therapy for invasive cervical cancer.
초음파 센서 기반 분절형 캐터필러 계단 승강 로봇의 계단 치수 검출 기법에 관한 연구
신진우(Jin-woo Shin),염승호(Sung-ho Yum),이원영(Won-yung Lee),이응혁(Eung-hyuk Lee) 대한전기학회 2021 대한전기학회 학술대회 논문집 Vol.2021 No.10
In this paper, several ultrasonic sensor-based stair height and width detection techniques are proposed to generate the approach angle when the segmented caterpillar stair climbing robot enters the stairway. The location of the sensor to accurately analyze the height and width of the stairs was selected. Based on the distance data acquired through the sensor, an equation for detecting the dimension of the stairs was proposed. The performance test of the step dimension detection technique proposed in this paper was conducted. As a result of the experiment, it was confirmed that the accuracy of the step height and width detection technique was about 95.96% and 94.18%, respectively, with high performance.
증례보고 : 이중관기관튜브 삽관 후 발생한 완전 우측 무기폐
신진우 ( Jin Woo Shin ),강효석 ( Hyo Seok Kang ),이수경 ( Soo Kyung Lee ),김영미 ( Young Mi Kim ),문현수 ( Hyun Soo Moon ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.1
The intubation of a double lumen endotracheal tube (DLT) has become the technique of choice for most procedures requiring one lung ventilation (OLV). The potential complications of the use of DLT are airway ruptures and malpositions of the DLT which can induce an increase of airway pressure, hypercapnia, severe hypoxemia, and other effects during the induction of general anesthesia. The intractable hypoxia due to total lung atelectasis is one of the very rare complications during and after intubation of the DLT. We experienced a 16 year-old male patient with severe hypoxia scheduled for thoracoscopy after a position change from supine to lateral decubitus. The hypoxia was unable to be easily corrected by endobronchial suction, rechecking of DLT position with fiberoptic bronchoscope, and manual positive ventilation, even after a position change to supine. An emergent chest X-ray revealed total atelectasis of the right lung that was relieved gradually by general supportive care at the intensive care unit. (Korean J Anesthesiol 2007; 53: 127~31)