http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Discharge Decision-Making by Intensivists on Readmission to the Intensive Care Unit
윤경봉,고신옥,한동우,강원철 연세대학교의과대학 2004 Yonsei medical journal Vol.45 No.2
Patients readmitted to the intensive care unit (ICU) have a significantly higher mortality rate. The role of intensivists in judging when to discharge patients from the ICU is very important. We undertook this study to evaluate the effect of the intensivists' discharge decision-making on readmission to ICU. The intensivists actively participated in the discharge decision-making, with the discharge guideline taken into consideration, in respect of group 1 patients, but not in respect of group 2. The readmission rate in group 1 was lower than that in group 2. The readmission in patients in each group was associated with higher mortality rates and longer lengths of stay at the ICU. Respiratory failure was the major cause of readmission. In the non-survivors out of the readmitted patients, the Acute Physiology and Chronic Health Evaluation (APACHE) Ⅲ scores on the initial discharge and readmission, the multiple organ dysfunction syndrome (MODS) scores on the initial admission, discharge and readmission were higher than the corresponding indices in the survivors. We conclude that the readmission rate was lower when intensivists participated in the discharge decision-making, and that APACHE Ⅲ and MODS scores on the first discharge and readmission were significant prognostic factors in respect of the readmitted patients.
윤경봉,안성완,고창만 대한약리학회 2004 The Korean Journal of Physiology & Pharmacology Vol.8 No.2
Voltage-sensitive release mechanism was pharmacologically dissected from the Ca2+-induced Ca2+ release in the SR Ca2+ release in the rat ventricular myocytes patch-clamped in a whole-cell mode. SR Ca2+ release process was monitored by using forward-mode Na+-Ca2+ exchange after restriction of the interactions between Ca2+ from SR and Na+-Ca2+ exchange within micro-domains with heavy cytosolic Ca2+ buffering with 10 mM BAPTA. During stimulation every 10 s with a pulse roughly mimicking action potential, the initial outward current gradually turned into a huge inward current of -12.9±0.5 pA/pF. From the inward current, two different inward INCXs were identified. One was 10 μM ryanodine-sensitive, constituting 14.2±2.3%. It was completely blocked by CdCl2 (0.1 mM and 0.5 mM) and by Na+-depletion. The other was identified by 5 mM NiCl2 after suppression of ICaL and ryanodine receptor, constituting 14.8±1.6%. This latter was blocked by either 10 mM caffeine-induced SR Ca2+-depletion or 1 mM tetracaine. IV-relationships illustrated that the latter was activated until the peak in 30~35 mV lower voltages than the former. Overall, it was concluded that the SR Ca2+ release process in the rat ventricular myocytes is mediated by the voltage-sensitive release mechanism in addition to the Ca2+-induced-Ca2+ release.
윤경봉,최병호,장혜숙,임현교 연세대학교의과대학 2004 Yonsei medical journal Vol.45 No.4
Submental endotracheal intubation for surgery was used as an alternative to nasotracheal intubation in patients with craniomaxillofacial injury. Generally extubation was performed in the operation room by pulling the tube through the submental incision site. When extubation is not indicated, intraoral indwelling is preferred to submental intubation. We report a case of a 35-year-old male patient with multiple facial bone fractures. At the end of the surgery, we noticed the oropharyngeal edema, and so the submental intubation was converted into a standard orotracheal intubation. During that procedure, the pilot balloon was accidentally detached from the endotracheal tube. The situation was managed by cutting a pilot tube from a new, unused endotracheal tube and connecting it to the intubated tube using a needle connector.
측두하악관절 강직증으로 인한 심한 입벌림장애 환자의 기도관리 -증례 보고-
윤경봉 대한마취통증의학회 2007 Anesthesia and pain medicine Vol.2 No.2
An ankylosis of temporomandibular joint (TMJ) can cause severe trismus, thus it may bring on many difficulties in airway management such as orotracheal intubation or laryngeal mask airway insertion. Such difficulties may cause serious complications related to airway management because the trismus due to ankylosis of TMJ can not be improved by administration of muscle relaxants or deep anesthesia in most cases. We report a case of nasotracheal intubation guided by a fiberoptic bronchoscope in a male patient with severe trismus due to TMJ ankylosis, who was scheduled for undergoing ophthalmic surgery.
윤경봉 대한통증학회 2004 The Korean Journal of Pain Vol.17 No.2
Radiofrequency thermocoagulation is used to create discrete thermal lesions in the neural pathway to interrupt the transmission of pain. It is not a panacea, but a valuable tool in the treatment of chronic spinal pain. With the development of alternative treatments, such as neuromodulation technologies, the number of patients considered for neuroablative therapy may decrease. Nevertheless, there is moderate evidence suggesting it has an important role in the management of some spinal pains, such as cervical and lumbar zygapophysial pain. A reliable preoperative diagnosis, knowledge of the nerve's anatomical course and precise electrode placement are required for successful outcomes.
윤경봉 대한통증학회 2004 The Korean Journal of Pain Vol.17 No.2
Any therapy for herpes zoster should accelerate healing and remove the pain, as well as reduce complications, such as postherpetic neuralgia. It is important to effectively treat herpetic pain to avoid the development of postherpetic neuralgia. Nerve block has been advocated as a therapeutic modality in the management of herpes zoster. By increasing the nerve blood flow, hence improving the nerve injury and reducing the pain impulse to the dorsal horn, nerve block reduces the acute zoster pain, which may reduce the incidence of postherpetic neuralgia development.