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한국 영유아 및 소아의 요추부에서의 피부-경막외강 깊이
최종범 ( Jong Bum Choi ),홍정연 ( Jeong Yeon Hong ),김준식 ( Joon Sik Kim ),길혜금 ( Hae Keum Kil ) 대한마취과학회 2009 Korean Journal of Anesthesiology Vol.56 No.5
Background: Lumbar epidural block is now a popular technique for anesthesia and post operative analgesia. It may be helpful for prevention of complication during this procedure to know the depth from the skin to the lumbar epidural space before the procedure. This study was undertaken to evaluate the depth from the skin to the lumbar epidural space and to determine any potential relationship between a patient`s data (age, weight, and height) and the measured depth in Korean children. Methods: We investigated the electronic records of 662 Korean children who were received urologic surgeries with epidural catheterization for postoperative analgesia. The patients` gender, age, weight, height and epidural depth were recorded and analyzed with multiple linear regression test using SPSS 13.0 (SPSS Co., Ilinois, USA). Results: The patient`s age and weight were significantly correlated to the skin-epidural space depth in Korean children. Body weight was more significant variable than age on the epidural depth. The empirical formula derived from the results was as follow; epidural depth (mm)=9+0.5×body weight (kg)-0.2×age (months). Conclusions: We suggest that the depth of skin-lumbar epidural space can be estimated with the empirical formula based on body weight and age. (Korean J Anesthesiol 2009;56:531~4)
증례보고 : 과열된 혈액의 수혈로 인한 급성 용혈 -증례보고-
김미경 ( Mi Kyeong Kim ),구본녀 ( Bon Nyeo Koo ),길혜금 ( Hae Keum Kil ),김기범 ( Ki Beom Kim ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.4
The physiologic changes produced by hypothermia include impairments in the stress response and immune system, and drug clearance, exacerbation of lactic acidosis, cardiac arrhythmias, and coagulopathies. Transfusion with cold blood is known to produce profound changes in body temperature and other metabolic responses with significant morbidity especially in infants and children. Warming blood for transfusion has been a common practice to avoid the dangers of hypothermia following cold blood transfusion. However, overheating of packed red blood cells results in hemolysis and transfusion of hemolyzed blood may cause hypotension, shock, and renal dysfunction. This case report describes an acute hemolysis due to transfusion of overheated blood. (Korean J Anesthesiol 2006; 50: 463~5)
임상연구 : 외경정맥: 이면성 초음파를 이용한 우측 내경정맥 천자지표로서의 유용성
조장은 ( Jang Eun Cho ),김원옥 ( Won Oak Kim ),이민정 ( Min Jeong Lee ),길혜금 ( Hae Keum Kil ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.50 No.6
Background: Measuring the distance between internal jugular vein (IJV) and external jugular vein (EJV) on ultrasound image can give the information of the whereabouts of the IJV. We compared the success rate between carotid artery (CA)-guided and EJV-guided cannulation based on the information gathered from ultrasound. Methods: We studied 152 patients requiring central venous cannulation during anesthesia. Ultrasound images were obtained with 7.5 MHz probe on the right neck at 0°, 30°, and maximum rotation of the head in flat and 15° Trendelenberg (T) position. The horizontal diameter of the RIJV and % overlap of the CA with the RIJV at each position, and the horizontal distance of RIJV-REJV at 30° were measured on ultrasound images. In EJV group, the distance of RIJV-REJV was drawn along the cricoid level and the point of IJV was marked as the needle insertion site. Cannulation was performed with palpation of the CA in CA group and performed at the marked point in EJV group without palpation of CA. Results: Overall RIJV diameter was increased in T-position compared to flat position. Following head rotation, RIJV diameter was decreased and % overlap of CA was increased (P < 0.05). In 26.8% of patients at 30° in T position, CA overlapped 26-50% of RIJV. The success rate of cannulation at the first trial was 97.4% in CA group and 96.1% in REJV group. Conclusions: With the IJV identified on ultrasound image, the distance between the IJV and the EJV can be used as another landmark for RIJV cannulation provided the EJV is visualized with the naked eye. (Korean J Anesthesiol 2006; 50: 605~10)