주거복지동을 활용한 노후공공임대주택단지 재정비 추진방안 연구

남원석,임하나,김수경,이선화,송애정 한국주택학회 2017 한국주택학회 학술대회 발표논문집 Vol.2017 No.2

심폐소생술

이건화,송남원 釜山醫師會 1979 釜山醫師會誌 Vol.15 No.4

과거 10 년간 마취례의 분석

김명희,송남원,이건화,유재현 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.4

1970년부터 1979년까지 10년간 부산 메리놀병원 수술실에서 행하여진 18,413예의 마취예를 분석하여 다음과같은 결과를 요약한다. 1) 성별의 비율은 65.1% : 35.9%로 남자가 많았다. 2) 연령별 분포를 보면 20~29세군과 30~39세군이 각각 24.6%와 21.4%로 거의 과반수를 차지하였고 60세 이상의 노인마취예가 연도에 따라 증가하는 추세를 보였고 10세 미만군에서는 3~9세군이 60.9%로 가장 많았다. 3) 수술과별로 보면 일반외과가 5,573예(30.3%)로 가장 많았고 산부인과의 5,343예(19.2%)와 합계가 약 50%에 달하고 있다. 4) 주마취제는 ether가 7,045예(53.5%), halothane 3,266예(24.8%), methoxyflurane이 1,572예(11.9%)로 대부분을 차지하였다. 5) 총 18,413예의 마취예 중 전신마취가 12,054예(65.5%)로 가장 많았으며 전신마취방법 중 반개폐식 순환법이 10,945예(91.6%)이고, 비재호흡법은 998예(18.4%)로 소아마취의 증가와 함께 증가하는 경향을 나타내었다. 6) 근육 이완제는 1974년까지 succinylcholine이 많이 사용되었으나 1975년이후 pancuronium이 소개되면서 그 사용이 매년 증가하였다. A total of 18,413 cases had anethesia at Maryknoll Hospital in Busan from January 1970 to December 1979. These data were analyzed statistically and the following results were obtained. 1) The number of general anethesia cases steadily increased while those of local anethesia decreased. 2) Of all departments, general surgery had the largest number of cases. 3) Sex ratio was equal when the OB-GYN cases were included. 4) The 20-30yr age group numbered nearly the total number of cases. 5) Geriatric and pediatric cases increased progressively. 6) Among anesthetic agents used, ether was used mostly, but halothane was used with increasing frequency. 7) Of the anesthetic techniques used in general anesthesia, the circle system was mostly used and the non-rebreathing system was used for all pediatric cases, which also have increased in number. 8) For induction of anesthesia, thiopental sodium was mainly used. Since 1975, pancuronium was mainly used in addition to S.C.C. for muscle relaxation.

술중 발생한 긴장성기흉 감압후 발생된 양측성 재확장성 폐부종

조성두,송남원,최현길 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.2

Reexpansion pulmonary edema(RPE) is a complication of the treatment of lung collapse secondary to pneumothorax, pleural effusion or atelectasis, and generally believed to occur ipsilaterally when a chronically collapsed lung is rapidly reexpanded by evacuation of large amount of air or fluid. Clinical manifestations of RPE are dyspnea, tachypnea, cyanosis, frothy blood-tinged sputum, wet rale, and expiratory wheezing. Hypotension and decrease in organ perfusion can occur. We experienced intraoperative tension pneumothorax probably due to positive pressure ventilation or pleural injury during central venous catheterization through internal jugular vein. And bilateral RPE combined with acute renal failure occurs after spontaneous decompression of tension pneumothorax with chest tube insertion, even with brief duration of lung collapse. (Korean J Anesthesiol 1997; 32: 316∼319)

Pheochromocytoma 척출술 2 례의 마취관리 경험

김재철,송남원,이건화,유재현 대한마취과학회 1983 Korean Journal of Anesthesiology Vol.16 No.1

The following is a report of the anesthetic experience in the surgical management of two cases of surgery for pheochromocytoma performed at Maryknoll Hospital, Busan, between the dates of June and July, 1982, The report covers the pre-surgical tests and the laboratory results on the two cases, which was similar, and the anesthetic agents halothane and enflurane, was used on the cases, respectively. During surgery using the anesthetic agent halothane, which was chosen because of the high blood pressure of the patient, and our effect to control it, we encountered dangerous arrythmia. In the case where enflurane was the anesthetic agent uaed, it was found that while the blood pressure of the patient was more difficult to control, the incidence of arrythmias was much less frequent. In one of the cases, becsuse of hemorrhage from the operative site during the immediate surgical period, re-exploration was done with adequate replacement of whole blood and catecholamines administered as needed during the anesthetic management. In comparing the two cases, the one case in which α-sdrenergic blockers were not administered during the pre-surgical period, when compared with the case in which the the blockers were used, showed, after removal ef the tumor, a decrease in the need for α-adrenergic stimulators.

마취전투약제로 Combid Spansule 을 사용한 2,800 례의 임상경험

전재규,송남원,정정길 대한마취과학회 1976 Korean Journal of Anesthesiology Vol.9 No.2

Combid is a compound of Compaxine, which is a phenothiazine derivative, and Darbid that is a long acting anticholinergic synthetic. This medicant was originally intended for use in physical and emotional peptic ulcer cases. Because of it's pharmacological action, writers decided to consider the medicant as a preanesthetic medication. From a record of 2800 patients in the hospital for the year 1975 was administered as a premedicant at random, even though some contraindication did occur and is discussed later in this article, the following results were observed. 1. Because of the characteristics of:a long acting effect of Combid Spansule, it can be administered orally with sips of water, 2~3 hours prior to operation, eliminating needless preanesthetic shots, without affecting the N.P.O. rule. 2. Sedative and antisialogue effects of the drug have been also satisfactory, therefore it is recommended to use as a premedicant especiolly in Korea because ether is commonly used. 3. The drug has an additional antiemetic effect to prevent vomiting from ether anesthesia. 4. Some side effects were observed such as dry mouth, tachycardia, fever and extrapyramidal action that occur from overdosage. 5. The contraindications to be considered when using Combid Spansule as a premedicant include dehydration, fever, tachycardia and parkinsonism. 6. Please note the writers do not recommend this application for short procedure such as closed reduction of Colles fracture and simpIe spinal anesthesia due to the long lasting drying effect.

경모외강에(硬謨外腔)Xylocaine 주입이 뇌척추액압에 미치는 영향

전재규,송남원,정정길 대한마취과학회 1976 Korean Journal of Anesthesiology Vol.9 No.2

Many cases have been reported indicating that postspinal headache can be relieved immediately by an epiduralinjection of saline: also autologous blood has recently been used successfully instead of saline. C.S.F. changes in 20 cases were observed in the support of the concept; that a continuous leakage in association with hypovolemia and hypotension of C.S.F is the primary cause of postspinal headache. Subarachnoid pressure increased immediately with Xylocaine injection into lumbar epidural space. A spinal needle was inserted into the subarachnoid space at the level Ll-L2 and opening pressure of C.S.F. was read, epidural Tuohy needle was inserted at the 4~5. Twenty-five ml of Xylocaine was injected into epidural space and C.S.F. pressure changes were observed. This procedure was performed on 10 patients in lateral position and another 10 patients were tested in the sitting position. Sitting position: Condition Pressure rise Highest pressure change 350㎜ H₂O Lowest pressure change 60 ㎜ H₂O Average pressure change 191㎜ H₂O Average opening pressure 369㎜ H₂O Horizontal position: Highest pressure change 290㎜ H₂O Lowest pressure change 40㎜ H₂O Average pressure change 142㎜ H₂O Average opening pressure 165㎜ H₂O These pressure changes responded almost simultaneously as xylocaine was injected. The immediate relief of postspinal headache by injecting fluid into epidural space is simultaneous with the increase of C.S.F. pressure. In summary, the direct cause of postspinal headache is probably hypotension of C.S.F. pressure resulting from continuous leakage from spinal tap.

경막외 Steroid 주입에 의한 요배하부통 관리

김명희,송남원,이건화 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.4

윤상갑상막 및 윤상기관인대를 이용한 역행성 기관내 삽관

조성두,김영생,송남원,윤상민 대한마취과학회 1995 Korean Journal of Anesthesiology Vol.29 No.2

Numerous devices and techniques have been devised to facillitate the difficult endotracheal intubation. Percutaneous retrograde intubation was first described by Waters, who used a Tuohy needle to puncture the cricothyroid membrane and an epidural catheter as a guideline in 1963 and many variations on the technique have been described. Failure to intubate 2 male adult patients were planned retrograde tracheal intubation using the cricothyroid membrane. While the patients were awake, and after adequate local anesthesia was obtained, a 16G Medicut was punctured through cricothyroid membrane. After confirmation of the intratracheal position by aspiration of air into syringe, the opening of the Medicut was directed upward foward the larynx and the epidural catheter was inserted through it and advanced retrograde between the vocal cords and into mouth. The epidural catheter tip was passed through the Murphy's eye from outside to inside and out of the tracheal tube. By keeping the catheter taut and coincidently pulling back, the tube was advanced into trachea. Correct positioning of the tracheal tube inside the trachea was confirmed by end-tidal carbon dioxide monitoring and auscultation. Another 2 male adult patients were intubated by using cricotracheal retrograde approach method. We experienced successful retrograde tracheal intubation without significant complications using an epidural catheter through cricothyroid membrane and cricotracheal ligament in 4 male adult patients who were predicted impossibility of simple orotracheal intubation. (Korean J Anesthesiol 1995; 29: 304~309)

전신마취하 시행한 좌측개흉술후 우상엽 무기폐

김영생,조성두,송남원,이문옥,최현길 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.32 No.1

Pulmonary atelectasis is a common complication following surgery under general anesthesia. However, collapse during anesthesia and surgery is rare, and usually is not diagnosed until the surgical procedure is well under way. Total or segmental lung collapses are usually resulted from the obstruction of bronchial pathway by secretions such as mucus, blood and pus etc. We experienced acute lung collapse of right upper lobe during left thoracotomy. We assumed that the cause of the atelectasis was an obstruction of right superior lobar bronchus by mucus. The possible cause of lung collapse is described. (Korean J Anesthesiol 1997; 32: 135∼138)