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        기관내삽관후 발생한 기도폐쇄례

        최훈,기순종,정석구,이준예 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.4

        Endotracheal intubation has been a routine practice in general anesthesia and is accepted by anesthetiste and surgeons as an integral part of airway management during anesthesia and operation. Paradoxically however, there have been several cases of obstruction of the airway which occured due to endotracheal intubation. The authors experienced two cases of airway obstruction due tendotracheal and endobronchial techniques, using tubes with malfunctioning cuffs. The lumen of an endotracheal tube was collapsed by intracuff pressure, shortly after inflation of the cuff and resulted in extremely high airway resistance. In the other case, gradual leakage of air from the distal cuff of a Carlens tube led to collapse of the distal cuff. This promoted the movement of blood, secretions, and pus from the diseased right lung to the normal healthy left lung in association with the left lateral recumbent position, which in turn resulted in total airway obstruction.

      • 수술환자 마취에 관한 통계적 고찰

        송희선,기순종,김재원 전북대학교 의과학연구소 1979 全北醫大論文集 Vol.3 No.-

        Anesthesias during 3 years from April 1, 1975 to March 31, 1978 were reviewed statistically. The results were : 1. The number of anesthesia increased to 84% and 140% of anesthesias in 1975, in 1976 and in 1977 respectively. 2. The frequency of performing anesthesia was the greatest in the General Surgery patients. Next, OBGY, Orthopedic Surgery in order. 3. Major anesthetic technic was inhalational anesthesia. 4. Major inhalational anesthetic agent was changed from ether to halothane. 5. Ketamine was used to the patients under 12 years of age. 6. The absolute number of surgeons was deficit compared with increasing tendency of surgical patients.

      • SCOPUSKCI등재

        Magnesium Sulfate 투여 환자의 마취후 지속된 호흡정지

        송희선,한영진,기순종 대한마취과학회 1979 Korean Journal of Anesthesiology Vol.12 No.3

        Prolonged respiratory depression was noticed after termination of anesthesia. in a patient with severe.eclampsia who had been treated with magnesium sulfate. 1) Magnesium sulfate is an anticonvulsant the most widely used drug in patients with toxemia of pregnancy. 2) The site of action of magnesium sulfate is the neuromuscular junction of skeletal muscle rather than the central nervous system. 3) Magnesium sulfate should be used after careful evaluation of knee jerk, urinary output and respiratory rate. Serum magnesium levels should also be monitored. 4) The respiratory depression in this ease was considered to be the cumulative effect of magnesium sulfate due to oliguria.

      • SCOPUSKCI등재

        다량 수혈후 발생한 호흡억제증후군

        최훈,윤재승,송희선,기순종 대한마취과학회 1978 Korean Journal of Anesthesiology Vol.11 No.4

        Blood transfusion is a common clinical practice in the face of more complicated surgical procedures and in management of injured patients. Despite the apparent benefit that can be obtained from transfusions, several problems must be considered when we use massive cold banked blood. Before and during operation we performed massive transfusion to a patient with shock from hemorrhage due to uterine rupture. We observed a diffuse bleeding tendency and pulmonary changes which strongly suggested the acute respiratory distress syndrome with disseminated intravascular coagulation and that may be one of the most serious complications of massive transfusion.

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