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- 저자 : 유시현 ( Sie Hyun You ) (검색결과 16 건)
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기관내 삽관시 Isoflurane과 Albuterol의 동반투여가 폐 저항에 미치는 효과
최종호(Jong Ho Cho),유시현(Sie Hyun You) 대한마취과학회 1997 영문부록 Vol.- No.-
서 론: 기관내 삽관후 0.6 MAC 또는 1.1 MAC의 isoflurane을 투여받는 환자에서 albuterol의 추가 투여가 폐 저항에 미치는 효과를 보기 위하여 실험을 실시하였다. 방 법: 67명의 환자를 fentanyl(2 g/kg), thiopental(5 mg/kg),succinylcholine(1 mg/kg)을 투여후 기관내삽관을 실시하고 폐저항을 측정후 0.6또는 1.1MAC isoflurane과 O2:N20(40:60)로 마취유지 10분후 폐저항을 측정하고 이후 두군 각각 albuterol 또는 placebo를 2,5,10 puffs 씩 10분 간격으로 마취회로를 통하여 흡입시키고 폐저항을 측정하였다. 결 과: 1.1.MAC isoflurane은 기관내삽관후 23 5% 저항치 감소를 가져왔고 0.6 MAC isoflurane 투여군은 7 5% 저항 감소를 보였다(P<0.01). 2puffs의 albuterol은 12 3% 저항 감소를 보인반면 placebo 투여군은 2 4% 감소를 보였다(P<0.05). 5puffs 이상의 albuterol은 추가적인 폐저항 감소를 보이지 않았다. 결 론: Isoflurane은 기관내 삽관후 증가한 폐저항을 투여농도에 비례해서 낮추었으며 albuterol투여에 의한 폐저항 감소효과는 2 puffs 투여에서 최대의 이완효과를 나타냈다. (Korean J Anesthesiol 1997; 33: S14∼S19)
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복강경하 병기설정 수술을 시행한 난소의 Sertoli-Leydig Cell Tumor, 1예
서민정 ( Min Jung Suh ),유시현 ( Sie Hyun You ),최주혁 ( Joo Hyuk Choi ),오은경 ( Eun Kyeong Oh ),남궁정 ( Jeong NamKung ),박미선 ( Mi Sun Park ),지은영 ( Eun Young Ji ),강영화 ( Young Hwa Kang ),윤주희 ( Joo Hee Yoon ) 대한산부인과학회 2007 Obstetrics & Gynecology Science Vol.50 No.7
Sertoli-Leydig cell tumor는 난소 종양 중 0.5% 이하를 차지하는 드문 성색간질 종양이으로, 대부분 젊은 여성 (30-40세)이고, 1% 이하에서 양측성을 보이기 때문에 종양의 보존적 절제와 환측 난관의 절제가 치료이다. 최근 개인 산부인과 병원에서 Sertoli-Leydig cell tumor, pooly differentiated, Stage Ia, grade III로 진단되었으나, 불충분한 수술 후 본원에 전원되어 복강경하에 성공적으로 병기설정수술을 시행한 1예를 경험하여 문헌고찰과 함께 보고하는 바이다. Sertoli-Leydig cell tumors are rare sex cord-stromal tumors. These tumors account for less than 0.5% of all ovarian tumors. Because these tumors appear predominantly in young women (between the age of 30 and 40) and are bilateral in less than 1% of cases, conservative removal of the tumor and adjacent fallopian tube is justifiable. Recently, we experienced a case of successful laparoscopic surgical staging in patient of Sertoli-Leydig cell tumor which was previously incompletely evaluated in local OBGY clinic. There are no solid data to suggest that usefulness and risk of laparoscopic surgical staging and adjuvant therapy with stage I disease of these tumors until now. So we present it with a brief review of literature.
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증례보고 : Nuss 방법에 의한 오목가슴 술 후 발생한 수축성심막염 환자에서 금속막대 제거 및 심막절제술에 의한 심장천공과 혈흉
서은정 ( Eun Jung Seo ),안기량 ( Ki Ryang Ahn ),김천숙 ( Chun Sook Kim ),강규식 ( Kyu Sik Kang ),유시현 ( Sie Hyun You ),정진헌 ( Jin Hun Chung ),정지원 ( Ji Weon Chung ),이승진 ( Seung Jin Lee ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.4
Nuss procedure offers excellent outcome effect in the cosmetic point of view, but the complications such as cardiac perforation, pericardial effusion, constrictive pericarditis, hemothorax, pneumothorax and bar displacement sometimes occur. We experienced a 13-year-old-male, who showed the profound hypotension with bradycardia due to the cardiac perforation and the lung laceration during the pericardiectomy and the removal of pectus bar. Emergent partial cardiopulmonary bypass was initiated and then, ruptured right atrium and lung laceration were repaired without the remarkable complications. In anesthetic management of the pectus excavatum. This case reveals that special attention should be paid to those with cardiac perforation and lung laceration. (Korean J Anesthesiol 2007; 53: 539∼43)
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유시현,조성환,김천숙 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.1
Background: Cancellation of a planned surgery is a waste of time and money. Also cancelled patients experience significant psychologic and economic burdens. Object: The aim of this study is to analyze the reasons for cancellation of an elective operation and enhance the efficacy of managing the OR. Material and Method: We performed prospective study in patients who planned elective surgery under general or regional anesthesia from January 1, 2003 to March 31(the first period) and from August 1, 2003 to September 31, 2003(the second period) in the operating room of Soonchunhyang cheonan Hospital. Daily total number of planned elective surgeries, number of cancellation, and the most important reasons for cancellation were recorded. Comparison of the cancellation rate between the two period was performed. Result: The total number of planned elective surgery in first and second period was 1,655 patients and 1,186 patients respectly. The the total number of cancelled patients in first and second period was 57 patients and 42 patients respectly. Thus the mean rate of cancellation was 3.44% in the first period and 3.54% in the second period. The reasons for cancellation were as follows: refusal of operation(39%) was most common in the first period, the next were no admission(21%) and combined systemic disease(21%). But in the second period, no admission(45.3%) was most common, the next were combined systemic disease(21.4%). Conclusion: There are several ways to decrease the cancellation rate in operating room. Good rapport and sincere communication with patients is the most important ways to decrease cancellation rate in Soonchunhyang cheonan hospital.
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