폐육종 소아의 마취 : 1 예 보고

김경배,최근춘 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.3

6,043 마취례의 통계적 고찰

김경배,최근춘,김명숙,윤식주 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.1

A total of 6043 surgical cases were performed at S.D.A. Hospital from 1973 to 1979. These were analyzed statistically according to yearly numbers and emergency states, age, sex, anesthetic methods, anesthetic technique, duration of anesthesia, anesthetic agents and mortality. These were all inpatients operated under general anesthesia, and the results are as follows. Results 1) Yearly numbers and emergency numbers were steadily increasing. 2) Sex ratio was 65%: 35% 2887 male cases(47.7%) and 3156 female cases(52.23%). 3) More than half of the age group was adult(21 to 60 years) 4) Halothane, nitrous oxide and neuromuscular blockers were used with increasing tendency. 5) The anesthetic technique was, in more than 90% of cases, was circle absorption system. 6) General surgery cases were 40% of the total of all departments. 7) In 66.95% of anesthesias the duration was 1 to 3 hours. 8) General anesthesia group was 98.63% 9) Death occurred in 6 cases out of a total of 6043 cases.

Acute Rental Failure로 Anuria가 온 환자를 대상으로 Mannitol, K-ion Exchange Resin Testosterone등의 약물과 Peritoneal Dialysis를 하고난후의 경과와 치료

安昌根,崔根春 中央醫學社 1971 中央醫學 Vol.20 No.2

These Three cases of Reports are Courses and Results of Acute Renal failure Treatment with Mannitol, K-ion Exchange Resin, Testosterone and Peritoneal Dialysis. The Result was very well, especially Peritoneal Dialysis except too Late of Care.

약물중독의 경과와 최신요법

서병태,안창근,최근춘,김문호 中央醫學社 1971 中央醫學 Vol.21 No.6

Drug intoxication with coma patients of I.C.U in N.M.C for 6 years from April, 1965 to Oct, 1971 were reviewed. It was seen that barbiturate poisoning ,was the most common one and the parathion intoxications were not a little. The other causes of acute poisoning was seen such as rodenticide, acid alkali, meprobamate, etcetra. Meticulous treatment with respirator and prognostic problems related to death rate were discussed.

High Epidural Block Anesthesia가 호흡기능에 미치는 영향

서병태,안창근,최근춘,김문호 中央醫學社 1971 中央醫學 Vol.21 No.6

Certain aspects of respiratory function and muscle power of hands were studied before and after the induction of high and broad epidural block anesthesia with 30m1. of 1% lidocaine in patients with normal respiratory systems. 1 The changes in vital capacity and maximum breathing capacity after the anesthesia were observed somewhat great, but there were no important changes in arterial blood PH, Pa C02 and standard bicarbonate. The muscle power of hands grasping after the anesthesia was observed and there was greater degree of weakness in hand grasping power after the anesthesia. It is concluded that no important degree of respiratory impairment during the resting state after the anesthesia. Rather important degree of muscle relaxation in the chest, diaphragm, abdomen and upper exrtemities resulted in after the high epidural block anesthesia, even with the use of lower concentration of lidocaine as 1% was discussed.

최신 흡입마취제 Ethrane에 대한 임상적 고찰

서병태,김문호,최근춘 中央醫學社 1972 中央醫學 Vol.23 No.5

Compound 347 (Ethrane), a new halogenated ether, nonexplosive liquid anesthetics was administered to 25 cases. It provide rapid, pleasant induction, adequate analgesia and muscle relaxation, but slight alteration in vital signs. Recovery from anaesthesia was smooth and quick with stable vital signs. Toxic effect of this drug to liver should be studied in the further clinical and laboratory studies. It is good drug with stable vital signs when we use this drug in low concentration with small amount of muscle relaxants as necessary.

삼차신경절 파괴술을 이용한 상악동암의 통증관리

장원영(Won Young Chang),최근춘(Kun Chun Choe) 대한통증학회 1993 The Korean Journal of Pain Vol.6 No.1

Malignant tumors of the paranasal sinuses are quite rare entity, with maxillary neoplasms accounting for less than 1 percent of all head and neck malignancies. When considering the paranasal sinuses alone, 77 percent of cancers arise in the maxillary sinuses. There is no situation more frustrating than the management of the patients with chronic fa-cial pain due to cancer. The initial step in managing patients .with cancer pain is the use of oncologic therapy in the form of radiotherapy, surgery, chemotherapy, alone or combined, either to effect a cure or de- crease the size of the tumor and thus decrease or eliminate the pain. When oncologic therapy is ineffective in providing relief, the pain must be treated by one or more of the followings; Systemic analgesics and adjuvant drugs, psychologic techniques of an- algesia, neurostimulating techniques, neuroablative surgical procedures, regional analgesia with local anesthetics or neurolytic blocks. An 82-year old patient had severe pain of the orbital and infraorbital region due to squamous cell carcinoma oE the maxillary sinus. We successfully treated this patient with the percutaneous retrogasserian ethanol gan- gliolysis by a Hartel approach, and the analgesia lasts until the death of the patient.

개심술 마취 40예 보고

윤소영,장원영,김경배,최근춘,오미경 대한마취과학회 1991 Korean Journal of Anesthesiology Vol.24 No.3

This report is concerned with our clinical experience of 40 cases of anesthesia for open heart surgery at the Department of Anesthesiology, Seoul Adventist hospital during the period between July, 1988 and May, 1990. The results were as follows: 1) Among the 40 cases, 16 cases were congenital heart disease and 24 cases were acguired heart disease. 13 cases were male and 27 were female, Age was varied from 4 years to 71 years and mean was 33.2 years. 2) Morphine and glycopyrrolate were used as premedicants. 3) Thiopental, morphine and fentanly were used as induction agents, were injected singly or in combination. 4) Morphine, fentanyl and N2O were used as anesthetic agents in conjunction with halothane or enflurane. 5) Succinylcholine, vecuronium and pancuronium were used for intubation and maintenance of muscle relaxation. 6) The duration of eardiopulmonary bypass, aortic cross clamp, surgery and anesthesia in acquired heart disease were longer than in congenital heart disease, 7) Overall the mortality rate was 5% and the cause of death were air embolism and respiratory failue.

만성폐색성 폐질환 환자에서의 내장신경차단중 발생한 급성호흡부전

장원영(Won Young Chang),최근춘(Kun Chun Choe) 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.2

Neurolytic splanchnic nerve block is a relatively safe and effective method for the relief of intractable pain caused by upper abdominal cancer. We have experienced a case of severe acute respiratory failure during splanchnic nerve block under control of X-ray fluoroscopy. We think that the most likely cause of the acute respiratory failure was an asthmatic attack due to anxiety and dyspnea from the injury or stimulation of the diaphragm and pleura in this

흰쥐에서 알코홀의 전투여시 Halothane 마취가 간기능에 미치는 영향

이혜원,신정순,장원영,장성호,최근춘 대한마취과학회 1992 Korean Journal of Anesthesiology Vol.25 No.3

The effects of halothane anesthesia on the liver function were investigated in 78 male Sprague-Dawley rats pretreated with ethyl alcohol. Blood sampling was done before intravenous administration of ethyl alcohol(400 mg/kg, 5 ml/kg, 9.99 vol %) or saline(5 ml/kg)through tail vein of the rat. Twentyfour hours later, all rats were randomly assigned to receive one of two anesthetic managements for two hours; 1) halothane -N₂O-O₂ 2)N₂O-O₂ Bood sample and hepatic tissue were obtained 24 or 96 hours after anestheia. Measurements of hepatic function(protein, albumin, cholesterol, bilirubin, blood urea nitro- gen, creatinine) were made and hepatic tissue was examined with light microscopy. The results are as follows; 1) There was no siginificant difference in the laboratory findings between the alcohol and saline groups. 2) There was no significant difference in the laboratory findings between the halothane and nitrous oxide anesthesia. 3) No difference in histologic injury was found between alcohol and saline groups. 4) No difference in histologic injury was found between halothane-nitrous oxide-oxygen and nitrous oxide-oxygen ansthesia groups.