• Journal of Chest Surgery
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• 제24권2호
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• pp.143-152
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• 1991

From 1983, until June, 1990, 10 patients with various type of truncus arteriosus underwent total surgical correction including Rastelli procedure at Seoul National University Hospital. The age at operation ranged from 1 month to 9 years [mean 2.1 years]. Six patients had truncus type I, 3 patients had truncus type II, and one patients had truncus type IIIc. Right ventricular pulmonary artery continuity was established with a porcine valved conduit in 6 patients, mechanical valved conduit in 1 patient, and bovine pericardial conduit in 3 patients. The postoperative right ventricular /left ventricular pressure ratio ranged from 0.4 to 0.71 [mean 0.51${\pm}$0.14]. The lung histology revealed grade II pulmonary obstructive disease even at 4 month of age. Five patients were dead in hospital [50%], and they were less than 2 year of age. One patient, who had severs congestive heart failure preoperatively, died of low output syndrome and the other died of low output syndrome with postoperative bleeding. There were three death, because of a pulmonary hypertensive crisis that might have been prevented. Two of the five survivors had conduit failure over a mean follow up of 42 months [range 1 to 78 months]. Obstructed conduit was removed and a new conduit constructed using the conduit bed as the posterior wall and the patch of bovine pericardium and Dacron as patch the roof of the conduit. One patient died of acute cardiac failure during the operation. Although results in infants less than 2 years old have not been good, current improvement of intra-and postoperative care suggested that prompt repair is indicated for infants with truncus arteriosus.

• The Korean Journal of Pain
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• 제12권2호
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• pp.263-267
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• 1999

We have observed retroperitoneal hematoma after trigger point injections of quadratus lumborum in a patient with chronic low back pain. Severe flank pain and dyspnea was observed three hours after injection of local anesthetic and steroid to the trigger point of quadratus lumborum muscle. There was fuge hematoma in abdominal CT image around the right kidney, which displaced and compressed the kidney anteriorly. Following infusion of contrast media, extravasation through renal vein and IVC was notified. Patient had a past history of having been treated with platelet aggregation inhibitor and lower dose aspirin treatment after cerebral ischemia for a year, but coagulative function was within normal range. Patient was admitted 12 days for bed rest, pain control and transfusion. We need to take greater care with a frequent aspiration and exact direction of needle, during trigger point injection of quadratus lumborum, particu right side, to avoid vascular injury.

• The Korean Journal of Pain
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• 제13권2호
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• pp.259-262
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• 2000

There are many difficulties in the management of terminal cancer pain. We often encounter difficulties when nerve blocks or epidural injection of drugs do not produce good results. Local anesthetics, opioids and adjunctives, were administered to two patients intrathecally. The results were very satisfactory. It has complications such as hypotension or infection due to intrathecal route. In the first case, the pancreatic cancer patient complicated with severe epigastic pain but unfortunately no management was effective in pain control. Intrathecal injection of bupivacaine and morphine mixture was successful even if syncope which was relieved by bed rest. In the second case, the patient complicated with lower abdominal pain due to ovarian cancer who very well controlled by epidural injection of morphine and clonidine mixture but morphine demand was greatly increased. Intrathecal injection of morphine and ketamine were tried. The patient had comportable analgesic effect. CSF leakage to subcutaneous occurred but resolved by change of the catheter position or retunnelling. There were no significant complications reported in two cases.

• The Korean Journal of Pain
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• 제11권1호
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• pp.119-123
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• 1998

It is well known that many patients with trigeminal neuralgia suffer from electric shock-like stabbing pains. The pain can be triggered by nonnoxious stimuli such as touching of the face, chewing, talking or swallowing. This 62 year old woman was urgently admitted to the internal medicine department due to abdominal distention and severe general weakness. She has suffered characteristic violent pain triggered by chewing and swallowing for little over 4 years. This resulted in poor oral feeding for prolonged period which left her severely debilitated. The large amount of ascites that developed 20 days before admission and extreme emaciation forced her to bed rest. She also suffered from Herpes Zoster. After medical treatment to improve liver function and severe pain was persisted, the patient was referred to our department for control of pain. We performed right mandibular block with 1% dibucaine 0.4 ml and the effect was excellent. After the pain had subsided, patient was able to take meals more comfortably and improved liver function returned.

• Journal of Korean Neurosurgical Society
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• 제45권3호
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• pp.192-195
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• 2009

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography scan showed a large acute psoas muscle hematoma at right L4-5 level. The patient was transfused with packed red blood cells and placed at absolute bed rest. After observing the patient in intensive care, the severe flank and leg pain subsided, but the mild back pain persisted. Although percutaneous endoscopic lumbar discectomy is an effective minimally invasive surgical technique for the treatment of lumbar disc herniation, this case highlights the inherent risks of acute lumbar segmental vessel injury.

• 전기학회논문지
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• 제56권2호
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• pp.436-441
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• 2007

Background: As patients are positioned at insulated bed and practitioner are positioned at insulated floor or shoes, it could be a cause of lessening effect in acupuncture practice. We investigated how Ground connection could influence on the electrical meridian potential between practitioner and patient during acupuncture practice. Method: We treated 30 normal healthy subjects with acupuncture and measured changes in the electrical potential between the stomach meridian points ST-39 and ST-37 in response to light touch after insertion of a needle at ST-36. At first, we stimulated needle and measured electrical potentials for non ground, patient ground only, practitioner ground only, all ground, respectively. Result: All ground subject elicited positive mean potential $44.6{\pm}19.2{\mu}V$ and showed $181.4{\pm}59.7{\mu}V$ peak to peak potential. practitioner ground only showed negative mean potential $-51.5{\pm}9.3{\mu}V\;and\;367.4{\pm}27.8{\mu}V$ of peak to peak potential. Patient ground only revealed no mean potential as $2.9{\pm}1.3{\mu}V,\;16.4{\pm}11.9{\mu}V$ of peak to peak potential. All ground showed no mean potential as $1.6{\pm}0.7{\mu}V,\;3.3{\pm}1.9{\mu}V$ of peak to peak potential. respectively.

• 디지털융복합연구
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• 제11권3호
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• pp.279-284
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• 2013

IT 기술에 의료기술이 접목되면서 유헬스케어 서비스에 적용한 체내삽입장치는 환자의 민감한 생체정보를 제3자에게 쉽게 유출되어 환자의 프라이버시 침해되지 않도록 무선 액세스 네트워크 구간에 높은 데이터율과 이동성을 지원하는 강한 보안이 필요하다. 본 논문에서는 이동성을 가지는 환자가 체내삽입장치내 환자의 생체정보를 무선 액세스 네트워크 구간에서 제3자에게 불법적으로 노출되지 않도록 무선 액세스 네트워크에 WiMAX 네트워크을 구축하여 이동 환자의 생체정보가 안전하게 송 수신될 수 있도록 테스트 베드를 구축하여 WiMAX 네트워크의 보안 성능 측정 및 평가를 수행한다. 특히, 본 논문에서는 WiMAX 보안 compliance, WiMAX MAC 상의 IPSec, MAC 계층에서 ECDH 수행 등에서 데이터 보안, MAC 제어 메시지 보안, 핸드오버 연결 지연, 프레임 손실 및 대역폭 등을 비교평가한다.

• The Korean Journal of Pain
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• 제8권2호
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• pp.390-393
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• 1995

Although spinal anesthesia has long been considered a safe technique, it is not without risk or side effect. Cauda equina syndrome is a rare but serious complication of spinal anesthesia. We have experience a case of cauda equina syndrome after spinal anesthesia. A twenty year old healthy male patient complained of pain, numbness, tingling sensation and motor weakness on his right lower extremity 8 hours after subarachnoid blockade. On the following day, the patient was noted to have a right L1 to S2 radiculopathy. Magnetic Resonance Imaging results were unremarkable. The patient sprained his ankle while trying to move down from the bed, so short leg splint was applied. Then he had additional right common peroneal nerve injury from the splint. His neurologic symptoms improved gradually thereafter, and three months postoperatively his electromyogram revealed improving stage from right common peroneal nerve palsy.

• 한국응급구조학회지
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• 제18권1호
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• pp.7-15
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• 2014

Purpose: The purpose of the study is to evaluate the distance and location of the rescuer to patient for the effective chest compressions qualities. Methods: The subjects were 42 students who earned the basic lifesaving technique and had informed consents to participate in the study from May 1 to 20 in 2013. The position of the rescuers included model-0(reference point), model-1(10 cm distance), model-2(20 cm distance), and model-kn(kneeling up). Results: The mean depth of compression was $50.6{\pm}6.6mm$ in Model-0, $48.7{\pm}8.2mm$ in Model-1, $44.2{\pm}10.4mm$ in Model-2, and $51.8{\pm}6.0mm$ in Model-kn. There were statistically significant differences between each Model(p<.001). Conclusion: The closer distance between rescuer and patient could provide more effective chest compressions. Kneeling on the bed stance provided the deeper chest compression consistently than the stool stance.

• 대한한방내과학회지
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• 제41권6호
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• pp.1282-1288
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• 2020

Objective: The case study assessed the possibility of improving symptoms by external treatment in a patient complaining of night sweats who could not take oral herbal medicine. Methods: Chinensis galla, Ostreae concha, and Cinnabaris were mixed in a 2:1:1 ratio and applied to CV8 before the patient went to bed. The treatment was removed upon waking and repeated every night. If itchiness and skin redness occurred, the position was changed to 2-3 cm up or down from the navel or application was changed to once every two days. Results: The external treatment eliminated the symptoms of sweating in the arms, legs, chest, and abdomen and reduced sweating in the occipital and neck areas. The sweating was improved to the extent that it no longer interfered with daily life. Conclusions: This case study shows the possibility of using external treatments rather than herbal medicine to treat night sweats.