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부신백질이영양증 환자의 치과치료를 위한 외래전신마취 -증례 보고-
서광석,박소연,신터전,김현정,Seo, Kwang-Suk,Bak, So-Yeon,Shin, Teo-Jeon,Kim, Hyun-Jeong 대한치과마취과학회 2010 Journal of Dental Anesthesia and Pain Medicine Vol.10 No.1
Adrenoleukodystrophy (ALD) is a rare X-linked genetic disorder associated with various central nervous system problems and adrenal insufficiency. It is common in childhood and symptoms include loss of previously acquired neurological abilities, seizures, ataxia, Addison's disease as well as degeneration of visual and auditory function. These children frequently require anesthesia during imagining procedure such as MRI or during some surgical procedures like gastrostomy. There is special need for careful management because of numerous anesthetic challenges like difficulty in cooperation, seizure disorders, life-threatening airway obstruction, copious oral secretion and possibility of aspiration. In addition, adrenal involvement and hypofunction must be considered for safe anesthesia management. We report a successful anesthetic management in a patient with ALD for dental procedures.
장애인 환자의 치과치료를 위한 전신마취 시 협조도와 마취 유도 방법에 대한 통계적 고찰
서광석,신터전,김현정,한희정,한진희,김혜정,장주혜,Seo, Kwang-Suk,Shin, Teo-Jeon,Kim, Hyun-Jeong,Han, Hee-Jeong,Han, Jin-Hee,Kim, Hye-Jung,Chang, Ju-Hea 대한치과마취과학회 2009 Journal of Dental Anesthesia and Pain Medicine Vol.9 No.1
Background: This study aimed to evaluate the cooperative levels of dental patients requiring general anesthesia during dental treatments. Anesthetic induction methods for patients were also recorded and analyzed using descriptive statistics. Methods: Total 566 patients who visited Seoul National University Dental Hospital Clinic for Persons with Disabilities were reviewed on pre-anesthetic review and anesthesia records. The cooperative levels of patients were graded by 4 levels and induction methods used for the patients during general anesthesia application were analyzed. Results: More than half of patients(55.8%) were willing to receive the anesthetic induction(cooperative level 1), 18.6% were minimally cooperative(level 2), 20.8% needed physical restraint prior to induction(level 3), and 4.8% was poorly cooperative and induction procedure was performed under an unconscious condition after ketamine intramuscular injection(level 4). There was no gender difference in cooperative levels(P=0.11). Patients over 30 years revealed better cooperation levels compared to other age groups(P<0.05). For patients of level 1, 53.5% were anesthetized in a way of intravenous induction, while 77.1% out of patients of level 3 were anesthetically induced through inhalation method. Conclusion: Many dental patients with special needs were not cooperative to receive anesthetic induction. Additional behavioral support may be applied to poorly cooperative patients for the safe and successful clinical outcome.
선천성 갑상선기능저하증과 가성부갑상선기능저하증을 동반한 환자의 전신마취 하 치과치료
서광석,신터전,김현정,장주혜,Seo, Kwang-Suk,Shin, Teo-Jeon,Kim, Hyun-Jeong,Chang, Juhea 대한치과마취과학회 2013 Journal of Dental Anesthesia and Pain Medicine Vol.13 No.3
The patient who has congenital hypothyroidism and pseudohypoparathyroidism could have mental retardation even though adequate hormone treatment and cannot endure conventional dental treatment. In this case, general anesthesia is selected to administer effective dental treatment. But, there could be symptoms such as anemia, neuropathy, associated pituitary or adrenal hypofunction, cardiac failure even in euthyroid state. And, bradycardia, mental dullness, hypothermia, slow reflexes can appear in case of inadequate thyroid hormone replacement. Especially, macroglosssia, slow drug metabolism, exaggerated responses to anesthetic agents and decreased ventilatory responses could be problem during general anesthesia. The presentation of hypoparathyroidism also varies depending on the chronicity of the result of hypocalcemia. Muscle spasms/tetany, paresthesias, and seizures may occur in an acute onset. Chronic hypocalcaemia causes fatigue, muscle cramps, lethargy, personality changes, and cerebration defects.
경비기관 내 삽관 시 좌 우측 비공 선택에서 비출혈 및 튜브 진입 실패 빈도에 관한 연구
서광석,주리아,고승지,김현정,염광원,Seo, Kwang-Suk,Joo, Li-Ah,Ko, Seung-Ji,Kim, Hyun-Jeong,Yum, Kwang-Won 대한치과마취과학회 2005 Journal of Dental Anesthesia and Pain Medicine Vol.5 No.2
Background: Nasotracheal intubation for general anesthesia is preferred for many oral and maxillofacial procedures because it ensures unhindered access to the operative site. Epistaxis and tube insertion failures are recognized complications of nasotracheal intubation. The aim of our study was to elucidate whether the nostril side used influenced epistaxis and insertion failure incidence. Methods: We studied 434 patients undergoing nasal intubation (July 2004- February 2005) with permission. Randomly, one side of nostril was selected with chart ID number. During nasotracheal intubation, epistaxis severity and tube insertion failure was observed by the anesthesiologist who inserted nasotracheal tube. Results: There was no significant difference between either nostril in epistaxis severity (chi-square test P = 0.860) and in the incidence of insertion failure (P = 0.867). Conclusions: In this study, both nostrils showed equal epistaxis and insertion failure incidence.
정신지체 환자에서 외래전신마취 하 치과치료 후 발생한 폐렴 -증례보고-
서광석,장주혜,신터전,이영은,김현정,Seo, Kwang-Suk,Chang, Ju-He,Shin, Teo-Jeon,Yi, Young-Eun,Kim, Hyun-Jeong 대한치과마취과학회 2008 Journal of Dental Anesthesia and Pain Medicine Vol.8 No.2
A 15-years-old female patient with seizure disorder and pervasive developmental disorder was scheduled for dental treatment under ambulatory general anesthesia. She had past history of pneumonia and herpes encephalitis when she was 3 year old. Because of sever mental retardation and behavior disorder, routine laboratory test was substituted with physical exam and medical records of department of pediatrics. A few days before general anesthesia, she showed slight common cold, but pediatric consult had reported that there was minimal risk in general anesthesia. After 4-hour general anesthesia, she became critically sick with high fever, cough and malaise. After 10-day hospitalization with pneumonia and sepsis, she could go home.
치은비대를 동반한 척수성 근위축증 환자의 마취관리 -증례보고-
서광석,박창주,김현정,염광원,Seo, Kwang-Suk,Park, Chang-Joo,Kim, Hyun-Jeong,Yum, Kwang-Won 대한치과마취과학회 2004 Journal of Dental Anesthesia and Pain Medicine Vol.4 No.2
Spinal muscular atrophies are inherited neurodegenerative disorders affecting anterior hem cells. There are various problems, especially weakness of respiratory muscle and abnormal reaction to muscle relaxants during the general anesthesia. And gingival hyperplasia can make the proper airway management difficult. Experience with anesthetic management in a patient with spinal muscular atrophy combined with gingival hyperplasia has been very rare. We report the anesthetic experience of a wheel-chair-bound child, who underwent gingivectomy under general anesthesia. The child was safely managed with fibroscopic nasotracheal intubation under sevoflurane without muscle relaxants. Also, there was no deterioration of her underlying neurologic conditions.
서광석,이주헌,이은태,Seo. Kwang-Suk,Lee. Joo-Heon,Lee. Eun-Tae 한국방재학회 2002 한국방재학회논문집 Vol.2 No.3
An analysis to allocate storage space for sediment accumulation during the economic life of the reservoir is required in the planning or design of a reservoir. This analysis has been the most difficult and tedious aspect to deal with reservoir sedimentation because of the interaction between the various parameters related to the hydraulics of flow, reservoir operating policy, inflowing sediment load. The approach to analyzing spatial distribution of deposits has relied on empirical methods, all of which required a great deal of simplification from the actual physical phenomena. For the purpose of this study, reservoir sedimentation rate computed by Empirical Area Reduction Method is compared with measuring rate along the Soyang-gang Dam. As a conclusion, reservoir sedimentation rate can be estimated exactly by Empirical Area Reduction Method. 저수지를 설계 및 계획함에 있어서 저수지의 설계수명 기간동안 예상되는 퇴사량을 위한 퇴사공간을 배분하는 것은 가장 중요한 절차중의 하나이다. 특히 퇴사공간의 배분과 관련된 해석 및 연구는 저수지 운영, 흐름의 수리학적 특성, 유입 유사량과 연관된 매우 다양한 변수들간의 상호작용으로 인하여 매우 복잡하고 쉽지 않은 문제이다. 퇴적물들의 공간적인 분포를 알아보기 위한 접근방법은 경험적인 방법에 의존하고 있으며 이와 같은 경험적인 방법의 적용은 대부분 실제의 퇴적현상을 엄청나게 단순화시켜야만 가능하다 본 연구에서는 소양강댐을 대상으로 하여 경험적면적감소법(Empirical Area Reduction Method)에 의해 저수지 퇴사량을 계산하고 계산된 결과를 실측자료와 비교하여 봄으로써 경험적면적감소법의 적용성을 알아보았으며 그 결과 매우 적용성이 우수한 것으로 나타났다.
전국 치과대학, 치의학대학원의 치과마취과학 교육의 현황
서광석,김현정,Seo, Kwang-Suk,Kim, Hyun-Jeong 대한치과마취과학회 2013 Journal of Dental Anesthesia and Pain Medicine Vol.13 No.3
Background: The purpose of this study was to evaluate the current state of dental anesthesiology education in Korea. Methods: We evaluated the curriculums of education, and class syllabus of subject which is related with dental anesthesiology education in 9 dental colleges and schools among total 11 in Korea. We investigated the subject name, numbers of teacher, lecture time, credit, and lecture content. Results: All the nine dental schools and colleges have dental anesthesiology in undergraduate education curriculum. The curriculum of dental anesthesiology was divided into two subjects (local anesthesia area and general anesthesia area) in 5 dental colleges and schools. The average credit was 1.78, and average lecture time was 30.5 hours/4 year (16-82 hours). Seven schools and colleges had lectures about dental sedation, and three had lectures about pain treatment in dental anesthesiology subject. But, there was only one school which had clinical practice curriculum in the Hospital. Conclusions: In Korean dental undergraduate education, dental anesthesiology was mostly conducted by lectures, and clinical teaching programs were not well organized.
치의학대학원생의 심폐소생술 지식 및 심폐소생술 수행능력에 대한 조사연구
서광석,이정만,조경아,김현정,신터전,현홍근,김영재,김정욱,장기택,이상훈,김종철,Seo, Kwang-Suk,Lee, Jung-Man,Cho, Kyoung Ah,Kim, Hyun-Jeong,Shin, Teo Jeon,Hyun, Hong-Keun,Kim, Young-Jae,Kim, Jung-Wook,Jang, Ki-Taeg,Lee, Sang-Hoon,Kim, C 대한치과마취과학회 2012 Journal of Dental Anesthesia and Pain Medicine Vol.12 No.4
Background: This study evaluates the existing cardiopulmonary resuscitation (CPR) knowledge and skills of 1 st year dental students and also compares their CPR performance skill with those of 4 th year students. Methods: Incoming 1 st year and 4 th year dental students were surveyed about the level of their CPR knowledge before conventional CPR instruction. After we trained them for CPR performance, we tested CPR performance skill to randomly selected 10 1st year and 4 th year dental students and compared their CPR performance. Results: Overall CPR knowledge was low for both 1 st and 4 th year dental students. Especially, only 1 among 89 fourth year dental students answered the right sequence of CPR revised in 2010. Overall CPR performance was relatively low for both 1 st and 4 th year dental students. Irrespective of previous experiences of CPR education, their CPR performance was not statistically different. Conclusions: Retraining of CPR is a necessity. Information about the existing CPR knowledge for dental students will aid in establishing the goal of future CPR training and improve the current deficiency.
서광석,Seo, Kwang-Suk 대한치과마취과학회 2013 Journal of Dental Anesthesia and Pain Medicine Vol.13 No.3
This article discusses the issues of benefit and possibility of application of patient-controlled sedation (PCS) for the dental treatment. The purpose of administering PCS for patients is to diminish anxiety and to provide cooperative and effective dental treatment. But there are a lot of barriers to application of PCS such as knowledge about pharmacokinetics of sedatives, expensive high speed and patient-controllable syringe pump, and well educated sedationist. And there could be risk of deep sedation, airway obstruction and hypoxic brain damages, etc. In order to decrease incidence of complication, appropriate drug selection, selection of right bolus dose, lock-out time is much important.