• 대한약리학회지
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• 제24권1호
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• pp.43-52
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• 1988

국소마취제의 약리학적 작용기전을 탐구키 위하여 소의 신선한 대뇌피질로부터 synaptosomal plasma membrane vesicles(SPMV)를 분리한 후 그 소수성 중심부의 microviscosity에 미치는 국소마취제의 영향을 pyrene 형광 probe법으로 측정한 결과 lidocaine HCI과 procaine HCI이 microviscosity를 낮춘다는 것을 알았고 그 정도는 procaine HCI에 비하여 tidocaine.HCI이 더욱 컸다. 또 국소마취 제 가 dimyristoylphosphatidylcholine (DMPC) multilamellar liposomes의 상전 이온도를 낮추며 cooperative unit크기를 감소시킨다는 것도 시차 열량분석법으로 알게 되었다. 상전이온도와 cooperative unit 크기의 감소 정도는 dibucaine HCI>tetracaine HCI>lidocaine HCI > procaine HCI의 순이었다.

• 대한소아치과학회지
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• 제29권1호
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• pp.69-75
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• 2002

치과치료를 위하여 마취를 시행할 때 아동들의 주사기나 주사바늘에 대한 불편감을 감소시키기 위한 여러 방법들이 있다. 도포마취제의 사용이 한 가지 방법이다. 도포마취는 많은 임상과정, 즉 주사침 자입부위, 간단한 유치발치, 구토반응이 심한 환자에서 치과용 구내 방사선 촬영시, 인상채득 전 구토반응의 감소 목적 등으로 사용되어 왔다. 또한 소아에서 치면열구전색술과 예방심미수복술시 치아격리를 위한 러버댐 clamp의 장착은 불편감을 유발할 수 있는데, 도포마취는 이런 목적으로 러버댐 장착시 도움이 된다. 모든 구강내 도포마취제는 점막에 동등한 효과가 있다고 제안되었으나, 1980년대 개발되어 피부의 표면마취에 사용되는 EMLA(acronym for eutectic mixture of local anaesthetics)가 기존의 도포마취제보다 부착치은에 사용시 더 효과가 있다고 보고되고 있다. 본 증례에서는 침윤마취가 필요한 몇 증례에서 EMLA cream을 이용하여 국소마취를 하기 전단계, 유치 발거시, clamp 장착시, 기성관 수복 등에서 동통을 감소시킴으로써 환아의 치과 치료에 대한 불안감을 감소시키는데 매우 효과적이었기에 보고하는 바이다.

• 대한치과의사협회지
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• 제37권5호통권360호
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• pp.330-334
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• 1999

• The Korean Journal of Pain
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• 제31권4호
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• pp.233-234
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• 2018

• The Korean Journal of Pain
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• 제7권2호
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• pp.155-161
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• 1994

• The Korean Journal of Pain
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• 제32권3호
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• pp.231-232
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• 2019

• 대한치과의사협회지
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• 제56권1호
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• pp.49-57
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• 2018

The most widely used method of pain control in dental practice is to block the pathway of painful impulses by local anesthesia. For a maximum effect of pain control at outpatient minor operation, regional anesthesia including nerve block must be performed. This issue includes various dental local anesthetic techniques on mandible, maxilla and considerations for selection of dental local anesthetics according to patient's age, duration of operation. Additionally, current conscious sedation technique combined with local anesthesia will be introduced for control of patient's anxiousness. Based on patient's general condition, severity of operation, local anesthesia sometimes must be changed into general anesthesia to avoid failure of dental practice. The exact choice of anesthetic techniques for minor operations at dental outpatient clinic must not be underestimated for complete success of pain control.

• Journal of Chest Surgery
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• 제15권2호
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• pp.230-237
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• 1982

Malignant hyperthermia has been reported by many authors since Denborough [1960] first described concerning anesthetic death in a family. Malignant hyperthermia is characterized by a hypermetabolic state [tachycardia, tachypnea, hypercarbia, hypoxia, cyanosis, hypotension, high fever and muscle rigidity] and is related to a hereditary defect of skeletal muscle. In susceptible individuals, it is triggered by potent inhalational anesthetics, depolarizing muscle relaxant [Succinylcholine], amide type local anesthetics [prototype lidocaine] and occasionally by stress due to emotional and environmental factors. Unrecognized and untreated malignant hyperthermia is associated with a very high mortality rate. Recently authors have experienced malignant hyperthermia in 5 year old male child who was diagnosed to have patent ductus arteriosus and interatrial septal defect associated with congenital physical deformities such as short stature, hypotrophic muscles and genu valgus deformity of lower extremity, indirect inguinal hernia and Ramphant caries.

• 한국응용과학기술학회지
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• 제13권3호
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• pp.119-125
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• 1996

The excess volumes of mixing of benzyl alcohol, ethyl alcohol, halothane, and procaine in vesicle and suspensions of several lipids have been determined at $25^{\circ}C$ using a excess volume dilatometer. The potency of general anesthetics has long been known to be correlated with lipid solubility. Denaturations of the bacteriorhodopsin, which is a sole membrane protein in the purple membrane of Halobacteriun Halobium, were studied by UV/Vis absorption changes. The excess volumes of mixing of benzyl alcohol and procaine in egg lecithin were all found to be negative and this result was confirmed as Miller's supposition.

• 대한간호학회지
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• 제5권1호
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• pp.87-92
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• 1975

This study was performed from July to December 1974 to investigate the rates of contamination of distilled water for injection and local anesthetics. 222 vials were sampled from 7 different places of St. Mary's Hospital The samples were cultured for isolation of microorganisms. The results were as follows; 1. Of 222 vials, 11 were Contaminated by 6 types: Staphylococcus epidermis, Bacillus subtilis, Mima polymorph a, Alcaligenes faecalis, Herellea vaginicala and pepto- streptococcus. 2. 5(9.1 %) of 55 vials from surgical wards, 2 (4.2 %) of 48 vials from surgical OPD, and 4 (12,l %) of 33 vials from pediatric wards were contaminated 3. Between rates of contamination of distilled water for injection and local anesthetics and the number of punctures, there was no significant relationship. (CR=1.42 P〉0.1) 4. There was no significant relationship (CR=1.02 P〉0.1) between the rates of contamination of vials and the duration of the first and the last punctures. 5. The ratios of contamination between 75% alcohol and 2% phenol used for disinfection of rubber lids of vials did not show significant difference.