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      • KCI등재

        Argininosuccinic Acidemia 환아의 생체 부분 간이식의 마취 경험

        남순호,반소영,구본녀,이종호 대한마취통증의학회 2005 Korean Journal of Anesthesiology Vol.49 No.4

        We describe our initial experience of the perioperative anesthetic care provided to 8 years old female child with argininosuccinic acidemia undergoing living-related liver transplantation because it is the only available therapy for end-stage liver disease. Induction and maintenance of anesthesia has been conventional method. Arterial catheterized at radial and femoral arteries for continuous blood pressure monitoring and sampling. 18 G central vein catheterization was placed in left subclavian vein for fluid, drug infusion and CVP monitoring. EKG, pulse oxymetry, end-tidal CO2, urine output and body temperature were monitored. CBC, PT, aPTT, serum electrolyte were checked at preanhepatic, anhepatic phase and just after hepatic artery anastomosis. ABGA was checked every 1 hour. The level of serum ammmonia returned to normal range without protein restriction. We describe this case and a brief review of the literature.

      • KCI등재

        임상연구 : 간엽 절제술 시 중심정맥압이 출혈량에 미치는 영향

        최승호 ( Seung Ho Choi ),반소영 ( So Young Ban ),전나형 ( Na Hyung Jun ),전동병 ( Dong Byeong Jun ),남순호 ( Soon Ho Nam ),길혜금 ( Hae Keum Kil ),김경식 ( Kyung Sik Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.6

        Background: Some studies reported that lowering central venous pressure (LCVP) during liver resection could significantly reduce the intra-operative blood loss, however it is still controversial concerning LCVP induced renal dysfunction, hypovolemia, hemodynamic instability. This study evaluated the association of low central venous pressure with blood loss during liver resection comparing the control group. Methods: A total 62 patients aged 20 to 70 underwent hepatectomy by the same group of surgeon were randomized into group L (CVP<10 mmHg, n = 30) and control group C (CVP>10 mmHg, n = 32) during dissection and lobectomy period. Data such as age, sex, concurrent disease, liver resection site (right or left), pre-, intra- and postoperative day 3 hemoglobin, blood urea nitrogen, creatinine, bleeding time, prothrombin time, activated partitial thromboplastin time, intraoperative blood loss, urine output, transfusion volume, length of hospital stay were collected and compared between the two groups and t-test was used for comparison of results. Results: The difference of total blood loss between two groups was 193.6 ± 432.2 ml (group L; 589.1 ± 380.8 ml, group C; 782.7 ± 316.7 ml), however statistically insignificant (P value = 0.1243). Additionally, there were no significant differences in other data including the length of hospital stay. Conclusions: Our results suggest maintaining CVP under 10 mmHg is not effective in reducing blood loss during liver resection. (Korean J Anesthesiol 2007; 52: 663~8)

      • KCI등재
      • KCI등재

        다문화가족 청소년의 학교생활적응을 위한 다문화가족지원조례 개정 방안: 경기도와 충청북도 및 안산시와 충주시 비교를 중심으로

        민기채 ( Min Kichae ),김혜원 ( Kim Hyewon ),반소영 ( Ban Soyoung ),사유림 ( Sa Yurim ),양유라 ( Yang Yura ),이호진 ( Lee Hojin ),조요셉 ( Jo Yosep ) 한국보건사회연구원 2021 保健社會硏究 Vol.41 No.1

        이 연구의 목적은 경기도와 충청북도 및 안산시와 충주시의 다문화가족지원조례 비교를 통해 충주시 다문화가족지원조례 개정 방안을 도출함으로써 다문화가족 청소년의 학교생활적응을 위한 법적 기초자료를 생산하는 것이다. 이를 위해 먼저 규범적 체계인조례의 목적, 자치단체장의 책무, 정책 대상을 비교하였다. 다음으로 실효성 체계인 지원범위(학교생활 적응을 위한 교육지원, 한국어 교육, 심리·정서 지원, 차별 개선, 학교밖 청소년의 사회적응 지원, 사회·문화 적응 지원)와 서비스 공급체계 기반 구축 관련 조례를 비교하였다. 분석결과, 지방자치단체들의 조례는 표준조례에 기초하고 있어 대동소이하나, 충청북도는 경기도에 비해, 충주시는 안산시에 비해 조례의 세부조항이 마련되어 있지 않아 다문화가족 청소년을 위한 조례 내용이 구체적이지 않았다. 향후 충주시 다문화가족지원조례 개정 방향으로 정책대상 및 지원범위 구체화, 자치단체장의 책무 확대, 서비스 공급체계 기반 구축을 제시하였다. 다문화가족지원조례가 구체적이고 명확하게 규정되어 있을수록 서비스 제공에 있어서 질적인 차이가 있다. 본 연구를 통해 다문화가족 청소년의 학교적응을 지원하기 위한 법적 토대가 마련되고, 지역 간조례 비교 연구가 확산되기를 기대한다. The purpose of this study is to produce legal basic data for school life adaptation of multicultural family adolescents to by deriving a plan for revising the multicultural family support ordinances in Chungju city through comparison of the ordinances in Gyeonggi-do and Chungcheongbuk-do, Ansan-si and Chungju-si. To this end, the purpose of the ordinance, the responsibilities of the local government heads, and the targets of policies, which is the normative system, were compared. Next, the scope of support (educational support for school life adaptation, Korean language education, psychological and emotional support, improvement of discrimination, support for social adaptation of out-of-school youth, support for social and cultural adaptation) and ordinances related to the establishment of a service supply system base, which is the effective system, were compared. As a result of the analysis, there are no big differences because the ordinances of local governments are based on standard ordinance. However, the ordinances for multicultural family adolescents are less detailed in Chungcheongbuk-do compared to Gyeonggi-do, and Chungju-si compared to Ansan-si. In the direction of the future revision of the Ordinance for Multicultural Family Support in Chungju, it suggested the specification of policy targets and scope of support, expansion of responsibilities of local government heads, and establishment of the service supply system. The more concretely and clearly stipulated in the Multicultural Family Support Ordinance, there is a qualitative difference in service provision. It is hoped that this study will be instrumental in providing a legal basis for school life adaptation of multicultural family adolescents and in spreading comparative studies of local ordinances.

      • SCOPUSKCI등재

        증례보고 : 내경정맥을 이용한 중심정맥 도관 삽입 후 발생한 종격동 수종

        곽현주 ( Hyun Joo Kwak ),임의성 ( Eui Sung Lim ),반소영 ( So Young Ban ),이지연 ( Ji Yeon Lee ),윤주선 ( Joo Sun Yoon ),길혜금 ( Hae Keum Kil ),김기준 ( Ki Jun Kim ) 대한마취과학회 2007 Korean Journal of Anesthesiology Vol.52 No.3

        We report a patient who developed a hydromediastinum associated with the insertion of a central venous catheter. A 32-year-old male, who presented for left nephroureterectomy, had a central venous catheter inserted after general anesthesia. The patient subsequently showed acute respiratory distress after extubation. His right neck was severely edematous and the chest radiograph revealed a widened mediastinal shadow. The exploratory neck incision showed fluid collection at the neck and mediastinum. (Korean J Anesthesiol 2007; 52: 335~8)

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