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민병우,고준석,백승기,반종석 대한마취과학회 1982 Korean Journal of Anesthesiology Vol.15 No.4
Malignant hyperthermia still carries a high mortality despite of the increased understanding of the problem involved. A 33 year old relatively healthy male patient was admitted to this hospital via emergency room because of panperitonitis due to peptic ulcer perforation. We experienced acase of malignant hyperthermia which developed 20 minutes after induction of general anesthesia with thiopental sodium, succinyl choline chlovide, halohane, N_2O and O_2. The body temperature (esophageal) rose altupthy up to 41.2℃ and continued as a high fever for about 3 hours. The blood pressure and heart rate also increased and ventricular dysrrhythmia appeared. The etiology, triggering factors, clinical features, diagnosis treatment and rafe anesthesia of malignant hyperthermia are discussed.
閔炳佑,趙誠璟,朴大源,李相華 대한마취과학회 1977 Korean Journal of Anesthesiology Vol.10 No.3
During any anesthesia, the patient's general condition must be observed continuously but even more so in patients with cardiac disease. Cardiac dysphthmias may he observed by continuous ECG monitoring in the operating theatre even in normal patients but the intractable ventricular dysrythmias are serious problems and a cause of great goncern. Any serious cardiac condition must be ascertained and treated at once with various antiarrhythmic agents or other techniques, such as D.C shock, carotid sinus pressure, eye-ball pressure, positive inotropics, or atropine, etc. With an anesthesia for an intractable ventricular dysthythmia, the authors found that this could mot be restored to a normal rhythm by means of various antiarrhythmic agents. Several months previously, the patient had been in another hospital in a state of septic shock which apparently affected the myocardium, resulting in ischemic cardiomyopathy. Immediately after the completion of the operation and anesthesia, the patient, with the aid of specific drugs and chest thumps, regained consciousness with relative normal cardiac rhythm. We would conclude that continuous ECG monitoring, close observation, as well as specific antiarrhythmic agents, are most essential during anesthesia of a patient with cardiac disease.
Nonsurgical Treatment Strategies after Osteoporotic Hip Fractures
민병우,송광순,배기철,조철현,손은석,이경재 대한고관절학회 2015 Hip and Pelvis Vol.27 No.1
Osteoporosis is a metabolic disease that is increasing in prevalence as people live longer. Because the orthopedic surgeon is frequently the first and often the only physician to manage patients with osteoporotic hip fractures, every effort should be made to prevent future fractures. A multidisciplinary approach is essential in treatment ofosteoporotic fractures. Basic treatment includes calcium and vitamin D supplementation, fall prevention, hip protection, and balance and exercise programs. Currently available pharmacologic agents are divided into antiresorptive and anabolic groups. Antiresorptive agents such as bisphosphonates limit bone resorption through inhibition of osteoclastic activity. Anabolic agents such as parathyroid hormone promote bone formation.