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박대팔,김익수,최세진,Park, Dae Pal 충남대학교 의과대학 지역사회의학연구소 1976 충남의대잡지 Vol.3 No.1
Authors have experienced two cases of incompatible blood transfusion during general anesthesia, which was due to technical error and lack of attention.
황창재 ( Chang Jae Hwang ),김흥대 ( Heung Dae Kim ),박대팔 ( Dae Pal Park ),서일숙 ( Il Suk Seo ),송선옥 ( Sun Ok Song ),김세연 ( Sae Yeon Kim ),지대림 ( Dae Lim Jee ),이덕희 ( Deok Hee Lee ) 영남대학교 기초/임상의학연구소 2007 Yeungnam University Journal of Medicine Vol.24 No.2S
Atelectasis is a relatively common complication following surgery in anesthetized patient with respiratory symptoms, but rarely occur in normal healthy patient. Anesthesiologists must be wary to prevent atelectasis, because it may lead to hypoxia during and after the operation. This case reports a healthy patient without previous respiratory symptoms who developed left lower lobar atelectasis after general anesthesia. Vigorous chest physiotherapy including intended coughing, deep breathing, chest percussion and vibration under postural change was effective. Therefore, vigorous chest physiotherapy is essential part of early treatment modalities for atelectasis in postoperative recovery room.
Enflurane 마취시 혈압 및 맥박의 변화상에 대한 통계학적 관찰
박대팔,서일숙 영남대학교 의과대학 1986 Yeungnam University Journal of Medicine Vol.3 No.1
저자는 enflurane을 사용한 200예의 전신마위시술하에서 혈압 및 맥박의 변화상을 이론식을 도입하여 時系列型으로 표현하여 실현된 型의 類別과 분포상태를 분석하였던바 다음과 같은 결과를 얻었다. 1. 삽관시 혈압 및 맥박이 상승한다. 2. 삽관시 혈압 및 맥박이 상승하였다가 하강하여 20분 이내에 대체로 안정상태로 되었다. 3. 구조상으로 상승하강동치이행 (ADEE)형이 73-74%로 가장 많았고 다음은 상승동치이행(AEEE)형이 40∼44%였다 Observationn of changing pattern of blood pressure and pulse rate of enflurane anesthesia for 200 cases operations, performed during the past 4 years(1983-1986) in Yeungnam University Hospital have been evaluated clinically. In order to observe the influence of enflurane upon the blood pressure and pulse rate during general anesthesia, the authors prepared a formula, expressing changing of blood pressure and pulse rate by time series and analyzed the type and distribution pattern in the experiment. The results Obtained were as follows: 1. Blood pressure and pulse rate were increased at the time of intubation. 2. Generally, blood pressure and pulse rate were increased at the time of intubation and then stabilized withing 20 minutes. 3. Most common patterns were identified. ADEE type was 73∼74%. Which is not common type and AEEE type was about 40%.
박대팔 영남대학교 의과대학 1987 Yeungnam University Journal of Medicine Vol.4 No.2
기관 절개술 후에 발생한 기관협착증 환자에 기관 절제술을 하지 않고 전신마취 하에서 Trough method를 성공적으로 시행하였기에 이에 문헌적 고찰과 함께 보고하는 바이다. A 25years old male patient was experienced Trough method operation to correct of Tracheal stenosis following Tracheostomy. After admission, a No.3 Magill plastic portex tube had been placed in the previous tracheostomy opening. Stenotic narrowing portion was noted low trachea(about 3.5㎝ above carina) Despite of narrowing of the lesion, anesthetic course was uneventful with oxygen, halothane and non depolarized muscle relaxant by controlled respiration. Postoperative course were also favorable with adequate respiratory cares and blood gas analyzed.
朴大八 충남대학교 대학원 1975 論文集 Vol.4 No.-
In order to observe the influence of the Halothane upon the blood pressure during general anesthesia, author induced the logical formula, expressed change of blood pressure by type of times series and analized the types and distribution patterns in this experiment. The results obtained were as follows : 1) Blood pressure was high at the time of intubation. 2) In general blood pressure was once increased at the time of intubation but decreased with time. 3) [ijEE] type was most by 73-74% and (iEEE) type was 40-44%. 4) Blood pressure which increased at the time of intubation was stabilized generally within 20 minutes.
제왕절개환자에 있어서 Succinylcholine-Atracurium의 임상적 고찰
박대팔 영남대학교 의과대학 1986 Yeungnam University Journal of Medicine Vol.3 No.1
제왕절개술 환자 10인에게 Succinylcholine Chloride 및 atracurium을 준 결과 다음과 같은 결론을 얻었다. 1.Succinyline chloride 1㎎/㎏와 atracurium 0.4㎎/㎏를 주어 충분한 근육이완을 유지하였다. 2.혈압과 맥박은 atracurium주사 후 의의있는 변화는 없었다. 3.태아의 Apgar score는 1분과 5부때 8∼10점으로 모두 양호한 상태였다. Atracurium was used in 10 parturients undergoing eletive cesarian section under general Anes-thesia. An initial bolus of 0.4㎎/㎏ of the atracurium was injected after recovery from succinylcholine block. Complete neurmuscular block resulted in all cases. Muscular relaxation was maintained by incremental dose of 0.2㎎/㎏ of atracurium. Administration of atracurium did not cause significant change in blood pressure, pulse rate and infants apgar score. The residual neuromuscular block could be antagonized at the end of the procedure by mixture of 0.005㎎/㎏ glycopyrrolate and 0.03㎎/㎏ of neostigmine. In all parturients, antagonism was adequate as evidenced by repiratory response and head lift test. Atracurium may be advantageous in parturients undergoing ceasrian section under general anesthesia cause it maintained cardiovascular stability, is non-cumulative, is readily antagonized by neostigmine and has no deleterious effect on the newborn.
제왕절개술시 후두마스크 삽입이 심혈관계 반응에 미치는 영향
박대팔,하승호 대한마취과학회 1995 Korean Journal of Anesthesiology Vol.29 No.2
In 1983, Brain introduced laryngeal mask as a new airway. Laryngeal mask have many advantages of easy insertion without laryngoscope and muscle relaxants, minimal cardiovascular responses, decreasing damages of larynx and pharynx and also useful in difficult intubation or emergency airway care. We studied cardiovascular responses of parturients and Apgar score of neonates during tracheal intubation(Group I) and laryngeal mask insertion(Group II), After tracheal intubation or insertion of laryngeal mask, blood pressure(systolic, diastolic and mean) and heart rate were measured for 5 minutes at 1 minute interval. The results were as follows: 1) There were significant increase in systolic, diastolic, mean arterial pressure and heart rate in both groups, but degree of increase was less in laryngeal mask group. 2) The Apgar scores of the neonates did not differ significantly, 1 minute Apgar score was up 8 in both group. It is concluded that insertion of laryngeal mask is beneficial to parturients than use of laryngoscope and tracheal intubation to avoid harmful cardiovascular responses in the management of airway during cesarean section. (Korean J Anesthesiol 1995; 29: 213~217)