• The Korean Journal of Pain
• /
• 제32권3호
• /
• pp.206-214
• /
• 2019

Background: Although case reports have suggested that the erector spinae plane block (ESPB) may help analgesia for patients after breast surgery, no study to date has assessed its effectiveness. This retrospective observational study analyzed the analgesic effects of the ESPB after total mastectomy. Methods: Forty-eight patients were divided into an ESPB group (n = 20) and a control group (n = 28). Twenty patients in the control group were selected by their propensity score matching the twenty patients in the ESPB group. Patients in the ESPB group were injected with 30 mL 0.375% ropivacaine, followed by catheter insertion for further injections of local anesthetics every 12 hours. Primarily, total fentanyl consumption was compared between the two groups during the first 24 hours postoperatively. Secondary outcomes included pain intensity levels (visual analogue scale) and incidence of postoperative nausea and vomiting (PONV). Results: Median cumulative fentanyl consumption during the first 24 hours was significantly lower in the ESPB ($33.0{\mu}g$; interquartile range [IQR], $27.0-69.5{\mu}g$) than in the control group ($92.8{\mu}g$; IQR, $40.0-155.0{\mu}g$) (P = 0.004). Pain level in the early postoperative stage (<3 hr) and incidence of PONV (0% vs. 55%) were also significantly lower in the ESPB group compared to the control (P = 0.001). Conclusions: Intermittent ESPB after total mastectomy reduces fentanyl consumption and early postoperative pain. ESPB is a good option for multimodal analgesia after breast surgery.

• 기술혁신학회지
• /
• 제10권1호
• /
• pp.22-46
• /
• 2007

본 논문은 SW인력수급의 질적, 양적 불일치를 해소하고 산학협력을 기반으로 하는 인력양성을 위해 공급망관리(Supply Chain Management) 모델에 대한 개념을 SW인력정책에 적용하였다. 대학을 공급자로 기업을 수요자로 인식하고, 대학과 기업간의 산학협업을 통해 수요지향적 SW인력 양성 시스템을 구축하는 최적의 공급망 관리로 새롭게 접근하였다. 산업체 수요를 반영하기 위해 SW분야 산학연관 전문가로 구성된 인력양성정책협의회를 통해 인력수요계획을 수립하고, 이를 대학 내 수요 지향적 교과목개발 및 교과과정개편에 반영하여 전공역량이 강화되는 공학인증으로 유도하였다. 또한 산학협력 프로젝트 수행을 통해 취업으로 이루어져 산업체가 필요한 인력을 배출하는 수급매칭 프로세스인 인력양성 SCM모델의 가치사슬(Value Chain)을 제시하였다.