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만성 근 골격계 통증 질환에서 Prolotherapy 치료 경험 - 증례 보고 -
이철우(Chul Woo Lee),김의숙(Yee Suk Kim),안준규(June Kyu Ahn),송병훈(Byoung Hoon Song),정동석(Dong Suk Jung),황혁이(Hyuk E . Hwang) 대한통증학회 2001 The Korean Journal of Pain Vol.14 No.1
A significant injury of ligament or tendon that might result in hypermobility and/or instability has been termed connective tissue insufficiency (CTI). Load bearing on CTI can sometimes create a malfunction of the mechanoreceptor and this in turn can aggravate the problem thus creating a chronic condition. Prolotherapy means the injection of growth factors or growth factor stimulators into the fibroosseous junction of the disabled ligament, tendon or cartilages in order to strengthen and promote proliferation of the injured Connective tissue. In the case of frequent recurrence or unresponsiveness to conservative treatment including nerve blocks in the chronic musculoskeletal disorder. We obtained good results after the prolotherapy treatment. This study will report on 5 cases of prolotherapy treatment.
증례보고 : 급성 경막하 혈종으로 인한 전신마취 후 각성지연 -증례보고-
정은용 ( Eun Yong Chung ),한인수 ( In Soo Han ),김태관 ( Tae Kwan Kim ),김의숙 ( Yee Suk Kim ),이철우 ( Chul Woo Lee ),서경수 ( Kyung Soo Seo ) 대한마취과학회 2006 Korean Journal of Anesthesiology Vol.51 No.1
Emergence from anesthesia may be neurologically unsatisfactory. Delayed awakening after general anesthesia is most commonly caused by the effects of anesthetic drugs, but primary central neurologic events (hemorrhage, ischemia, and embolus, etc) that occur during surgery can cause failure to awaken. We experienced a patient whose emergence was delayed from general anesthesia for zygomatic bone savage. The patient had such unexpected focal neurologic abnormalities as left ankle clonus and anisocoria (right dilation). Brain CT revealed acute subdural hematoma as a cause of delayed emergence in the postanesthetic care unit. An emergency craniectomy was performed to evacuate the hematoma, but the patient failed to regain consciousness following surgery. The patient regained consciousness on the 28th postoperative day, and had left hemiparesis and right blindness. (Korean J Anesthesiol 2006; 51: 133~6)
어려운 기관내 삽관시도시 탐침에 의한 식도천공 후 발생한 기흉과 종격동 기종
한인수,김의숙,안준규 대한마취과학회 2001 Korean Journal of Anesthesiology Vol.40 No.4
Pneumothorax and pneumomediastinum can occur spontaneously, secondary to trauma, or from dissection of air from the neck or retroperitoneal space. The most common cause of traumatic pneumomediastinum is a rupture of the esophagus, which can occur during an episode of severe vomiting or, less frequently, following esophageal instrumention. We experienced a case of pneumothorax and pneumomediastinum, developed after esophageal perforatin by stylet during difficult endotracheal intubation even though an esophagogram did not reveal the perforation site.
술 후 정맥내 자가 통증조절시 Ketorolac 의 첨가가 위장관 운동의 회복에 미치는 영향
박승재,송호경,조은정,장연,김의숙,지승은,박수석 대한마취과학회 2000 Korean Journal of Anesthesiology Vol.38 No.3
Background : Postoperative ileus remains a common condition that prolongs hospitalization and increases the cost of surgical therapy. Ketorolac, a potent nonsteriodal antiinflammatory drug, has been known to prevent small bowel ileus in a rodent model. Therefore, we compared the effect of intravenous patient controlled analgesia (iv PCA) with or without ketorolac. Methods : Fifty-four patients undergoing gynecologic surgery were assigned in a double-blind manner into one of three groups (n 18#). Pain cantrol was achieved using meperidine 600 mg only (group M), meperidine 300 mg-ketorolac 150 mg (group MK) or butorphanol 10 mg-ketorolac 150 mg (group BK) during the 48 hours following surgery. It was designed as loading (30 mg), continuous infusion (9.6 mg/hr), PCA dose (9.6 mg) and lockout interval (15 min) for group M and as loading (30 mg of ketorolac), continuous infusion (2 ml/hr), PCA dose (2 ml), and lockout interval (15 min) for groups MK and BK. We measured the interval to the first flatus during the 72 hours following surgery and recorded the numerical rating score (NRS) of pain with side effects at 1, 6, 12, 24 and 48 hrs postoperatively. Results : Ketorolac expedited the return of bowel function significantly (P $lt; 0.05). Analgesic efficacy and side effect were not significantly different in all three groups. Conclusions : IV PCA with meperidine-ketorolac and butorphanol-ketorolac afforded equal analgesia compared to the meperidine only. It also allowed earlier recovery of bowel function in patients under-going gynecologic surgery, (Korean J Anesthesiol 2000; 38: 394 ~398)
권오경,최종호,심재용,박철주,문동언,김의숙,김성년,윤건희 대한마취과학회 1998 Korean Journal of Anesthesiology Vol.34 No.5
N/ABackground : Intraperitoneal hyperthermic perfusion (IPHP) has been introduced in clinical practice to improve the survival of cancer patients. But despite of this advantage, postoperative hepatic dysfunction may occur more severely after IPHP than general anesthesia. The protective mechanism of liver is destroyed by hyperthermia as the result. The purpose of this study is to evaluate the effect of intraperitoneal hyperthermic perfusion on the postoperative liver function in cancer patients. Methods : Sixty patients with ovarian cancer were divided into two groups; 30 patients undergone only radical hysterectomy(control group), and 30 patients undergone radical hysterectomy combined with IPHP(IPHP group). Anesthesia was performed with enflurane-N2O-O2 in both groups. Serum glutamic oxaloacetic transaminase(SGOT), serum glutamic pyruvic transaminase(SGPT) and albumin levels were evaluated before anesthesia, 1, 3, 5, 7, 10 and 14th days after surgery on both groups. Results : Postoperative SGOT levels were increased on 1, 3, 5, 7, 10 and 14th days in both groups, and on 1, 3 and 5 days postoperatively were increased more significantly in IPHP group than control group, but there were no significant difference between both groups after post-operative 7 days. SGPT levels were increased more significantly on 1, 3 and 5 days postoperatively in IPHP group than control group. Albumin levels were decreased more significantly on 1 and 3 days postoperatively in IPHP group than control group. Conclusion : We consider that postoperative liver function in cancer patients is influenced by the intraperitoneal hyperthermic perfusion. (Korean J Anesthesiol 1998; 34: 1014∼1020)