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Kofranyi-Michaelis meter와 Douglas bag을 이용한 활동 대사의 비교 연구
오구미,이귀용,전진숙 이화여자대학교 의과대학 1975 梨花醫學誌 Vol.- No.7
This study was carried out to introduce the Kofranyi-Michaelis (KM) meter that had been taken into Korea recently, and to compare the different experimental results between KM meter and Douglas bag in measuring the energy expenditure. Usual activities of 9 college girls in daily life were examined by KM meter and Douglas-Scholander method. The results were summerized as follows; 1. Energy expenditures of 3 of the 10 activities measured by KM meter were lesser, and those of 7 were more than those by Douglas bag. Because t-value was 8.62 (P<0.01), the difference was very highly significant. 2. Because the error percentage of drymeter was 7% and that of KM meter was 0.35%, the results using KM meter were more acurate than those by Douglas bag.
기관내삽관시 Meperidine 과 Diazepam 의 전처치가 심혈관계 변화에 미치는 영향
이춘희,오구미 대한마취과학회 1983 Korean Journal of Anesthesiology Vol.16 No.2
Direct laryngoscopy and endotracheal intubation cause increased arterial blood pressure and heart rates. These cirulatory effects are due to mechanical stimulation of the laryngopharynx and traches via efferent cervical sympathetic fibers. And various cardiac arrhythmias, even cardiac arrest may occur by stimulation of the vaguns nerve during intubation. The present study observed the ECG and circulatory changes following i.v. injection of meperidine, 50 mg, and diazepam, 10 mg, as primary i.v. anesthetic agents, for the purpose of the prevention of circulatory stimulation before laryngoscopy and tracheal intubation. This study was undertaken on eighty-eight, ASA class I-II patients of either sex undergoing elective surgical procedures in the Dept. of Anesthesiology at Ewha Womans University Hospital. The results were as follows; 1) The increase of systolic blood pressure following intubation were markedly reduced in the pre-treated groups for both normotensive and hypertensive individuals. 2) Heart rates following intubation were markedly increased in all groups. 3) transient abnormal finding in the ECF appeared in sixty-nine cases (78.4%) following intubation and the majority showed sinus tachycardia. 4) pH, PaCO_2 and PaO_2 values were within normal range following intubation in all groups.
제왕절개술을 위한 척추마취 후 두통에 관한 임상적 고찰
이춘희,오구미 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.2
Spinal anesthesia is a type of regional anesthesia obtained by blocking the spinal nerves with the introduction of local anesthetic solutions into the subarachnoid space. Historically, in 1885 Corning accidentally introduced spinal anesthesia and in 1898 August Bier produced true spinal anesthesia in animal and man for the first time. Even though spinal anesthesia is widely used because of many advantages, headache, the most common untoward complication, has been said to be the greatest single deterrent to the patient who is considering this anesthetic technique. The obstetric patient is more likely to suffer from headache than the surgical patient after spinal anesthesia. Authors observed the incidence of post-spinal headache in 288 patients who received spinal anesthesia for cesarean section at department of anesthesiology in Ewha Womans University Hospital from March 1979 to February 1980. The patients were divided into 2 groups according to the needle size, used to perform spinal tap i.e. 22 and 25 gauge (G). The results obtained were as follows; 1) Among 288 cases, 63 cases underwent spinal anesthesia with 22 G and 225 cases with 25 G. 2) The indications for cesarean section were previous cesarean section(36. 8%), cephalopelvic disproportion(20.5%), malpresentation(10. 7%) and placenta previa(4. 2%) in order of frequency. 3) In the age distribution, the majority(72.6%) was in 20~29 years age group. 4) The incidence of heacdahe was higher in the group of 22 G(17.8%) than in 25 G group (9. 8%), but there was no statistical significance. 5) The onset of headache was within 2 or 3 days after spinal anesthesia in both groups. 6) In the severity of headache, the group of larger size needle showed headache worse than that of small size needle. 7) In the location of headache, generalized headache developed in 54. 5% of cases in the group of 22 G needle and frontal headache developed in 40. 9% in the group of 25 G needle. 8) Ocular complication associated with headache noted in 2 cases of the group of 25 G needle. There was no auditory complication.