• 제목/요약/키워드: Intramuscular Injection

검색결과 265건 처리시간 0.031초

증식 치료와 근육내 자극술시의 수면 마취 (The Sedation Anesthesia for Prolotherapy and Intramuscular Stimulation)

  • 조대현;김명희;홍지희
    • The Korean Journal of Pain
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    • 제19권1호
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    • pp.77-80
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    • 2006
  • Background: Painful experiences during procedures such as prolotherapy and intramuscular stimulation are stressful to patients and can affect the treatment outcome. We present a method for relieving pain and increasing the level of patient comfort during the procedure. Methods: Twenty six patients who requested sedation anesthesia during the procedure were examined. All patients were injected with 500 ml of 0.9% normal saline and were monitored by electrocardiography, blood pressure and pulse oximetry. The patients were supplied with oxygen (3 L/min) through a nasal cannula. Midazolam (0.02 mg/kg) and alfentanil ($8{\mu}g/kg$) was injected before the procedure and a bolus injection was administered during the procedure if patients felt any pain. The duration of the procedure, the total amount of drugs, the changes in the systolic blood pressure, heart rate, pulse oxygen saturation, sedation and pain level during procedure, satisfaction scale after the procedure, complications and the incidence of amnesia were evaluated. Results: Twenty one patients had a moderate level of sedation, 15 patients did not feel any pain during the procedure, 17 patients had high level of satisfaction (8-10). No patient experienced complications after the procedure, or unstable vital signs, and 6 patients could not remember the procedure. Conclusions: Sedation anesthesia is a safe method for relieving pain during the procedure, and most patients had a high level of satisfaction.

소아환자의 수술후 P.R.N. 근주와 PCA의 제통효과의 비교 (A Comparison of Patient Controlled Analgesia and P.R.N. Intramuscular Injection for Postoperative Pain Control in Children and Adolescents)

  • 이강창
    • The Korean Journal of Pain
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    • 제11권1호
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    • pp.69-73
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    • 1998
  • Background: The postoperative pain in children and adolescents is most commonly managed by intramuscular injections of NSAIDs or opioids. This approach may result in fluctuating plasma drug levels and cycles of pain, comfort, and sedation. Patient-controlled analgesia(PCA) is a method of analgesia administration that consists of a computer-driven pump with a button that the patient may press to administer a small dose of analgesic drug. Materials & Methods: Forty ASA physical status 1 or 2 children and adolescents were divided into two groups. In the PRN group, patients received intramuscularly diclofenac(Valentac$^{(R)}$) on a p.r.n. basis. The PCA group patients received a mixture of nalbuphine and ketorolac by WalkMed$^{(R)}$PCA infusor. Analgesic efficacy was evaluated with NRS(numerical rating scale) and Faces Pain Rating Scale. The side effects were evaluated. Results: The patients of PCA group had less pain than those of PRN group. Complications were similar in both group. Conclusions: PCA with nalbuphine and ketorolac is a safe and effective methods of pain relief in children and adolescents after surgery, and is better accepted than intramuscular injections.

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Effects of butaphosphan and cyanocobalamin mixture on immunity and stress in olive flounder, Paralichthys olivaceus

  • Kim, Seung Min;Kim, You Jeong;Lee, Da Won;Jun, Lyu Jin;Jeong, Joon Bum;Park, Hyun Kyung;Jeong, You Young;Lee, Sung Ho;Kwon, Mun-Gyeong;Lee, Soon Jeong
    • Fisheries and Aquatic Sciences
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    • 제23권9호
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    • pp.26.1-26.9
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    • 2020
  • Background: The study evaluated the effects of a butaphosphan and cyanocobalamin mixture on the immune system and stress in olive flounders, Paralichthys olivaceus. Methods: The mixture was intramuscularly injected into olive flounders at the current recommended dose. Furthermore, to determine the toxicity of overdose, a histological examination was performed after injection of 1-, 2-, and 4-fold higher than the recommended dose. Results: Immunity parameters were altered during the first 2 weeks after a single intramuscular injection of the mixture in olive flounders (average weight 20.5 ± 1.1 g). The levels of all tested items, except glutathione and antiprotease, were higher in the treated group than in the control group in the first week; the levels of all tested items were even higher in the second week in the treated group than in the control group. The level of nitro-blue tetrazolium, myeloperoxidase, and superoxide dismutase between the two groups differed significantly. Changes in the stress response to different seawater temperatures (increase or decrease in seawater temperature by 3-5 ℃ using 50 L heated or cooled seawater tanks) were studied by determining the changes in cortisol and glucose levels on days 1 and 7. Both cortisol and glucose levels were significantly lower in the treated group than in the control group. Histological analysis did not reveal any abnormalities after intramuscular injection of the mixture at doses that were 1-, 2-, and 4-fold higher than the recommended dose. Conclusions: Intramuscular injection of a butaphosphan and cyanocobalamin mixture is safe and effective in reducing stress and improving immunity in olive flounders.

The Effects of the Injection of Proteolytic Enzymes and Ginger Extract into M. pectoralis profundus of Beef on Intramuscular Connective Tissue and Myofibrillar Protein

  • Moon, Sung-Sil;Ko, Kyung-Hee;Mullen, Ann-Maria;Ward, Paddy;Park, Yong-Hyun;Park, Su-Min
    • 한국축산식품학회:학술대회논문집
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    • 한국축산식품학회 2006년도 정기총회 및 제37차 춘계 국제학술발표대회
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    • pp.94-97
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    • 2006
  • Proteolytic enzymes and ginger extract were effective on tenderising M. pectoralis profundus, resulting in higher collagen solubility, a decrease of melting denaturation temperature and WBSF compared with the control. Comparing all treatments, bromelain treatment showed to be higher for collagen solubility than other treatments, but no significant differences in onset and melting denaturation temperature of intramuscular connective tissue were found. These corresponded to WBSF results. The present study indicates that ginger extract might be effectively able to be utilised in pilot level as better alternatives to bromelain and papain for tenderisation of tough meat, such as cull cow and beef cuts with many collagen.

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새로운 과립구 콜로니 자극인자(rhG-CSF) DA-3030의 국소자극성에 관한 연구 (Studies on Local Irritation of DA-3030, a new granulocyte colony stimulating factor)

  • 김옥진;안병옥;이순복;김원배;양중익
    • Biomolecules & Therapeutics
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    • 제2권3호
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    • pp.247-255
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    • 1994
  • As a series of safety studies of DA-3030, a new rhO-CSF, its local irritancy was examined in the rabbits after the following treatment; application into the conjunctival sac of the eye(single), subcutaneous injection(single), intramuscular injection(single), and intravenous injection(8-day repeated). In addition, paravenous irritation of DA-3030 was investigated in mice. The results obtained were as follows. 1. In the result of ocular irritation test, 0.03% solution of DA-3030 could be considered as a non-irritating material. 2. The local irritation of DA-3030 by an injection of 0.5mι of its solution subcutaneously or intramuscularly was negligible and not so much different from that of saline. 3. In the vascular irritancy test, macro- and microscopic observations revealed that the irritating activity of DA-3030 in blood vessels was not different from that of saline when they were injected once a day into vein retroauricularis of rabbits for 8 days.4. The paravenous administration of DA-3030 did not induce any abnormal changes at injection sites except mild swelling in 1 mouse at 3 hours after injection which was thought to be due to slow absorption. The above-mentioned results suggest that DA-3030 has no irritating activity when injected through intravenous or subcutaneous route for clinical practice as 0.03% solution.

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근육 내 이물질 주사의 자기 공명 영상 소견: 증례 보고 (MRI Findings of Intramuscular Foreign Body Injection: A Case Report)

  • 소성용;김현주;최득린;홍성숙;장윤우;박성태
    • Investigative Magnetic Resonance Imaging
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    • 제17권1호
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    • pp.59-62
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    • 2013
  • 이물질에 의한 주변조직의 반응성 변화는 염증, 부종, 액체저류, 혈종, 감염, 농양, 육아종 등의 다양한 형태를 보이며, 이물질의 종류와 시간 경과에 따라 다양한 영상소견을 보이기 때문에 연부조직 종양 등과 쉽게 혼동 할 수 있다. 자기공명 영상은 이물질의 방사선 투과성이나 음향 임피던스와 관계없이 진단할 수 있으며, 특히 주변조직의 변화를 잘 보여준다. 이에 저자들은 알약 분쇄물을 식염수와 섞어 전완에 주사한 후 발생한 종창으로 내원한 26세 여자의 자기공명 영상에서 무수히 많은 미세한 신호 강도 소실 물질과 주변의 액체저류 및 T1 저신호, T2 고신호 강도의 비균질성 조영증강 병변을 확인하였다. 이는 수술을 시행하여 흡수되지 않은 알약 분쇄물 및 주변의 액체저류와 염증반응으로 확인되었기에 이를 자기공명 영상소견과 함께 보고하고자 한다.

항암제가 치아조직에 미치는 영향에 관한 실험적 연구 (EXPERIMENTAL STUDY ON THE EFFECTS OF THE ANTICANCER AGENT(ENDOXAN) TO THE RAT'S TEETH)

  • 양동규
    • 대한치과의사협회지
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    • 제15권9호
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    • pp.749-753
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    • 1977
  • The author studied the effects of anticancer Endoxan to the rat's teeth. Two hundred pregnant rats were used. The experimental rats were given an intramuscular injection of Endoxan as nitrogen mustard derivatives 10mg. per 40gm of body weight. In order to investigate effects of Endoxan to the teeth of rats the control and experimental rats group wee sacrificed on 1,3,5,7 and 14days, and made preparation for histopathologic findings. The rusults were as follows: 1. In several days (about 5days) after injection of Endoxan, tooth germs of cap stage, bell stage, and dental lamina were irregular arranged form as compared with in the control group teeth. 2. Irregular arranged cell were recovered from 14days after injection of Endoxan.

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피부주름두께 측정을 통한 성인의 둔부 근육주사 바늘의 최적 길이 예측 (Prediction of Optimal Gluteal Intramuscular Needle Length by Skinfold Thickness Measurements in Korean Adults)

  • 최동원;송경애;김범수
    • 대한간호학회지
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    • 제40권6호
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    • pp.844-851
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    • 2010
  • Purpose: This study was conducted to assess optimal needle length for gluteal intramuscular injections (IM) via simple skinfold thickness (SFT). Methods: For this study, 190 healthy adults were recruited and grouped into eight groups according to gender and body mass index (BMI) (kg/$m^2$). The Korean Society for the Study of Obesity criteria defines a BMI under 20 as underweight, 20.1-22.9 as normal, 23-24.9 as overweight and over 25 as obese. For each participant, the SFT of dorsoguteal (DG) and ventrogluteal (VG) sites were measured using a caliper. Subcutaneous tissue thickness was acquired through ultrasonic images. Results: For men in the overweight and obese groups at the DG site, for the obese group at the VG site, and for women in the normal weight, overweight and obese groups at both sites, the mean subcutaneous tissue thickness exceeded 1.84 cm, the minimal length for a 1 inch needle used for IM. At the DG site, optimal intramuscular needle length (OINL) was 1.4 times in women and 1.0 times in men compared to SFT. At the VG site, OINL was 1.3 times in women and 0.9 times in men compared to SFT. Conclusion: The results of this study suggest that SFT is a reliable index to determine optimal needle length with minimal effort prior to IM.

Taurine-FTM의 근육 주사가 넙치의 간 독성 완화와 선천성 면역에 미치는 효과 (Effects of intramuscular injection of Taurine-FTM on anti-hepatotoxicity and innate immunity in olive flounder, paralichthys olivaceus)

  • 최재혁;정상목;강인성;최상훈
    • 한국어병학회지
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    • 제33권1호
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    • pp.83-89
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    • 2020
  • In the study, we investigated the effect of Taurine-FTM, which is a commercially available fishery nutritional supplements complex, on anti-hepatotoxicity stressed with thioacetamide (TAA) and innate immune responses in olive flounder. To investigate the change in liver toxicity, firstly, TAA (30 ppm/100 g of fish) was intraperitoneally (i.p.) administered 12 hr after the intramuscular (i.m.) injection of Taurine-FTM (0.02 ml/100 g of fish)(Taurine/TAA). Secondly, Taurine-FTM was i.m. injected 24 hr after the administration of TAA (TAA/Taurine). Finally, TAA was administered simultaneously with Taurine-FTM (TAA+Taurine). All blood samples were collected 24 hr after injection. GOT level in group Taurine/TAA appeared similar to the control, whereas group TAA/Taurine and TAA+Taurine showed significantly increased (p<0.05) levels compared to the control. In GPT level, group Taurine/TAA and TAA/Taurine showed elevated levels compared to the control, whereas no significant difference was observed between group TAA+Taurine and the control. Serum ACH50 activity was significantly (p<0.05) augmented 24 hr after Taurine-FTM injection compared to the control group, whereas no significant increase was observed 48 hr after Taurine-FTM injection. On the other hand, serum lysozyme activity elevated in an acute stressed condition appeared significantly down-regulated 24 and 48 hr after Taurine-FTM injection compared to the control. In conclusion, i.m. injected Taurine-FTM augmented flounder serum complement activity and decreased a possible handling stress resulting in reducing a serum lysozyme activity and recovering hepatotoxicity. Thus, it is assumed that i.m. injection of Taurine-FTM mixed with antibiotics or available vaccines could be utilized as an anti-hepatotoxic recipe in fish culture industry.

신생아에서 근육 주사 및 발뒤꿈치 천자 시 냉각 분사의 통증감소효과: 냉각 분사와 30% 경구 포도당액의 비교 (Pain reducing effect of vapocoolant spray during injection and heelstick procedure in neonates)

  • 최은경;정지미;신종범
    • Clinical and Experimental Pediatrics
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    • 제51권5호
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    • pp.481-486
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    • 2008
  • 목 적 : 신생아에서 냉각 분사와 30% 포도당액의 경구투여의 통증 감소 효과를 비교하여, 신생아 집중치료실에서 행해지는 처치 중, 통증 감소를 위한 방법으로 냉각 분사의 유용성을 알아보고자 하였다. 방 법 : 2006년 6월부터 2006년 12월까지 인제대학교 부산백병원 신생아실에 입원한 60명의 신생아들을 대상으로 발뒤꿈치 천자와 근육 주사 시 다음 3가지 방법으로 통증 정도를 측정하였다. 제 1군(30명)은 발뒤꿈치천자군, 제 2군(30명)은 근육주사군이며, A군(10명)은 아무것도 처치하지 않은 군(대조군), B군(10명)은 30% 포도당액을 먹인 군, C군(10명)은 냉각스프레이를 분사한 군으로 나누어서 통증의 정도를 비교하였다. 통증의 평가 지표는 PIPP(Premature Infant Pain Profiles) 점수를 사용하였고, 심장 박동수와 산소포화도는 pulse oxymeter로 측정하였다. 결 과 : 발뒤꿈치천자군과 근육주사군에서 대조군의 PIPP 점수를 비교해보면 근육주사군에서 PIPP 점수가 높게 측정되었다(P=0.07). 그러나 통계적으로 유의하지 않았다. 평균 PIPP 점수를 보면 발뒤꿈치 천자시 대조군 $10.6{\pm}2.4$, 포도당군 $5.5{\pm}2.0$, 냉각 분사군 $5.2{\pm}1.8$로 대조군에 비해 냉각분사 및 포도당군들이 유의하게 낮았다(포도당군 P<0.001, 냉각 분사군 P<0.001). 근육 주사시 대조군 $12.5{\pm}1.4$, 포도당군 $7.0{\pm}1.7$, 냉각분사군 $6.4{\pm}1.6$으로 대조군에 비해 역시 실험군에서 유의하게 낮았다.(포도당군 P<0.001, 냉각 분사군 P<0.001). 통증을 느끼는 PIPP 6점 이상의 비율을 비교해보면 발뒤꿈치 천자시 대조군 100%, 포도당군 40%, 냉각분사군 40%, 근육주사시 대조군 100%, 포도당군 90%, 냉각분사군 60%으로 냉각분사군에서 낮았다. 심한 통증을 느끼는 PIPP 12점 이상의 비율을 비교해보면 발뒤꿈치천자시 대조군 60%, 포도당군 0%, 냉각분사군 0%, 근육주사시 대조군 70%, 포도당군 0%, 냉각분사군 0%로 대조군에 비해 포도당군과 냉각분사군에서 낮았다. 결 론 : 신생아에서 발뒤꿈치 천자나 근육 주사 시 냉각 분사는 경구 포도당액 만큼 통증감소에 효과가 있었다. 따라서 통증을 줄일 수 있는 새로운 방법으로 냉각 분사가 고려될 수 있다.