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증례보고 : 난치성 대상포진 후 신경통 환자에서 Alcohol을 이용한 척수 신경파괴술
정석호 ( Seok Ho Jung ),전영훈 ( Young Hun Jeon ),홍정길 ( Jung Gil Hong ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.5
Postherpetic neuralgia (PHN) is a sequela of acute herpes zoster infection and is defined as pain persisting more than 1 month. The patients with PHN suffer from a persistent neuropathic pain. There are many treatments for PHN but some people occasionally do not respond to the conventional therapies. Neurodestruction using neurolytic agents are beneficial to patients with severe intractable pain because of it`s prolonged pain-relief and simplicity, inexpensiveness. We report a case that we managed successfully a patient with intractable thoracic PHN using intrathecal alcohol neurolysis. (Korean J Anesthesiol 2006; 51: 655~8)
김영수 ( Young Soo Kim ),곽경화 ( Kyung Hwa Kwak ),홍정길 ( Jung Gil Hong ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.57 No.2
We experienced an unusual complication of acute radial nerve palsy presenting as wrist drop after application of automated cycled blood pressure monitoring for 3 hours. A 19-year-old ASA physical status 1 female was scheduled to undergo nail removal, had been operated internal transport over the nail lengthening for fibular hemimelia. Blood pressure cuff was affixed to her right upper arm and worked automatically every 5 minute during surgery. One day after operation she complained of pain over the lower lateral aspect of the right upper arm and examination revealed zero power of the wrist and finger extensor muscles. Electromyelography (EMG) and nerve conduction velocity (NCV) revealed right radial neuropathy. She was discharged 20 days after operation with improvement of the right upper arm pain. After three months of physical therapy, the muscle power of wrist extensors reverted to completely normal and the muscle power of the finger extensors improved to fair. (Korean J Anesthesiol 2009;57:217∼20)
증례보고 : 르포트씨 1급 절골술 중 발생한 기관 튜브의 손상
방유진 ( Eu Gene Bang ),전영훈 ( Young Hoon Jeon ),홍정길 ( Jung Gil Hong ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.53 No.4
In maxillofacial surgery endotracheal tube provides patent airway and prevents patient from aspirating the blood. But serious complications such as tube obstruction or injury have been reported. In this case, endotracheal tube injury by surgical saw during Lefort I osteotomy occurred. We could not exchange the defective tube for a good one using laryngoscope or fiberoptic bronchoscope due to edema and blood in nostril and oral cavity. We didn`t have any tube exchanger available too. Therefore, to provide patent and safe airway, we packed gauze around the lacerated part of tube, provided positive end expiratory pressure ventilation and increased oxygen flow. After anesthesia, the damaged tube was safely removed and there were no respiratory complications. (Korean J Anesthesiol 2007; 53: 516~9)
증례보고 : 술 후 난치성 딸꾹질 환자에서의 일측 횡격막 신경차단 치료 -증례보고-
최광욱 ( Gwang Wook Choi ),곽경화 ( Kyung Hwa Kwak ),전영훈 ( Young Hoon Jeon ),홍정길 ( Jung Gil Hong ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.5
Hiccup is caused by synchronous contractions of the diaphragmatic and intercostal muscles followed by the closure of the glottis. Intractable hiccup is defined as hiccup bouts lasting more than 48 hours or recurring despite various treatments. Recently we have experienced a case of postoperative intractable hiccup. We failed to stop intractable hiccup by pharmacological treatment, but succeeded by unilateral phrenic nerve block. (Korean J Anesthesiol 2006; 50: 592~5)
부인과 수술 후 Ondansetron 과 병용한 Dexamethasone 의 오심 , 구토 예방과 제통 효과의 비교
이기흥(Kee Heung Lee),신효상(Hyo Sang Shin),전영훈(Young Hoon Jeon),김시오(Si Oh Kim),홍정길(Jung Gil Hong) 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1
N/A Background: Postoperative nausea and vomiting (PONV) are common after general anesthesia and patient controlled analgesia (PCA) using opioids. This study was designed to compare the effectiveness of ondansetron plus dexamethasone versus ondansetron alone in the prevention of PONV in a patient undergoing a PCA. Methods: We studied 166 ASA I, and II in-patients undergoing general anaesthesia for major gynecological surgery. After induction of anesthesia, Group 1 (n 64) received intravenous (IV) dexamethasone 10 mg and Group 2 (n 102) received IV saline 2 ml before the surgical incision. Each patient received IV meperidine 50 mg as a loading dose. Meperidine 5 mg/kg, ketorolac 3.6 mg/kg and ondansetron 8 mg diluted in 40 ml solutions were connected to PCA pump for postoperative pain control. Mean arterial blood pressure, heart rate, pain score and symptom-therapy score were checked at 1, 4, 8, 16, 24, and 36 hours after the PCA connection. Results: For Group 1 and Group 2, respectively, the overall incidence of PONV was 12.5% and 23.5%. The pain scores were lower in patients receiving a combination of ondansetron and dexamethasone than those on ondansetron alone at 4 hr (P < 0.05), 8 hr (P < 0.05) and 16 hr (P < 0.05). Conclusions: This study suggests that the combination of ondansetron and dexamethasone is not more effective than ondansetron alone in the prevention of postoperative nausea and vomiting in women having PCA following major gynecological surgery but is more effective for pain control.