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RISS 인기검색어
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- 저자 : 김종균(Jong Gyoon Kim) (검색결과 2 건)
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Bovie R 를 이용한 Percutaneous Lumbar Medial Branch Neurotomy
신근만(Keun Man Shin),김종균(Jong Gyoon Kim),김수 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
The first lesion in neural tissue produced by electrical currents were made in the l9th century by workers using direct current. In 1953, Sweet and Mark clearly demonstrated that DC lesions have unpredictable and ragged borders and may vary in size. They, as well as Hunsperger and Wyss, sug- gested that the use of high frequency currents might provide improved results and were proved correct. However, Bovie electrosurgical unit may also be used in percuta- neous medial branch neurotomy if a lesion made at a point or the dorsal surface of the transverse process just caudal to the most medial end of the superior edge of the transverse process(Bogduks method). At this point the medial branch lies on the bone and its depth and medial displacement are defined by the bone which precludes the need for lateral radiographs to check placement. A lesion was made at same target point using the Bovie electrosurgical unit in a 41 year male patient who had received a Kaneda operation because of L2 compression fracture. The patient was relieved of pain without any adverse effects.
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임소영,홍순용,신근만,최영룡,김종균 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.4
A case report of a 19-year-old girl with the juvenile form of Pompes disease, who underwent thoracic epidural anesthesia, is presented. Pompe's disease, glycogen storage disease type II, is an autosomal recessive disorder characterized by the lysosomal accumulation of glycogen. Patients with the juvenile form are distinguished by involvement of limb-girdle, and respiratory muscles without cardiac or nervous system manifestations. She had been managed with nasal intermittent positive pressure ventilation (NIPPV) and nightly ventilatory support. She had scoliosis with vertebral rotation and showed respiratory muscular weakness. In order to prevent postoperative respiratory complication and to achieve cardio-pulmonary stability, we chose the thoracic epidural block to perform appendectomy. Epidural injection of 0.8% lidocaine gave good sensory block without motor block and maintained cooperative state throughout the operation. Postoperatively, she remained well, but with NIPPV.
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