• Journal of Chest Surgery
• /
• 제25권11호
• /
• pp.1209-1217
• /
• 1992

Triiodothyronine[T3] is an important regulator of the tissue metabolism, and may have potential use as an inotropic agent. The change of serum T3 level was studied in the pediatric age patients after cardiopulmonary by pass. Thyroid function was tested pre-operatively in 33 patients and total triiodothyronine[TT3] levels were serially measured during and after cardiopulmonary bypass[CPB]. After correction of dilutional effect, effects of various factors on the TT3 levels were analyzed. Abrupt fall of TT3 level was demonstrated at 15 minutes after CPB[80.1$\pm$5.9ng/dL] from the initial level of 133.6$\pm$5.3ng/dL, with some recovery at 6 hours[115.4$\pm$6.7ng/dL]. After then, gradual decrease occured reaching to the level of 77.2$\pm$4.2ng /dL at 24 hours. These falls of the TT3 after CPB were statistically significant. [p<0.01 ANOVA] Statistically significant correlation were found between the degree of hemodilution and TT3 concentration at 15 and 30 minutes after CPB[p<0.05]. But, other factors were analyzed to have no effect on TT3 levels. As the degree of the hemodilution increases, TT3 decreased less. This observation probably supports the fact that decrease of TT3 during CPB may be a result of sequestration of T3 into peripheral tissue. Although it was not statistically significant[p=0.08], the fall of TT3 was greater in the group to which plasmanate was added, than those not added. This finding seemed to be due to the increase of albumin and other thyroid-hormone-binding-proteins in the serum. Increase of these binding proteins might potentiate the sequestration of T3 into the liver and the kidney from serum, and as a consequence, decrese the serum TT3 level further.

• 대한핵의학회지
• /
• 제19권1호
• /
• pp.67-72
• /
• 1985

The development of paradoxical interventricular septal motion is a common consequence of cardiopulmonary bypass operation. The reason for this postoperative abnormal septal motion is not clear. 41 patients were studied preoperatively and postoperatively with radionuclide blood pool scan to evaluate the frequency of development of paradoxical septal motion with right ventricular volume overload before surgery and the frequency of development of paradoxical septal motion after cardiac surgery with cardiopulmonary bypass, and to evaluate the change of EF related to the development of paradoxical septal motion after cardiac surgery. The results were as follows; 1) 7 of 41 patients with right ventricular volume overload(that is 17%) showed paradoxical septal motion before surgery. But 13 of 34 patients(that is 42%) had paradoxical septal motion after cardiac surgery with cardiopulmonary bypass. So open heart surgery with cardiopulmonary bypass related the development of paradoxical septal motion after surgery. 2) EF significantly decreased in patients who developed paradoxical septal motion after surgery, whereas the EF did not change in the patients who retained normal interventricular septal motion after surgery. So paradoxical septal motion usually reflected some diminution of left ventricular function, immediately after cardiac surgery.

• Journal of Chest Surgery
• /
• 제41권2호
• /
• pp.273-276
• /
• 2008

심장 정지에 있어서 체외 심폐 보조가 1983년도에 도입된 이래로 심장 정지의 치료에 응급 경피적 심폐 보조가 사용되어 왔다. 다량의 급성 폐동맥 색전증은 사망률이 높고, 특히 수술 중 발생한 경우는 외과의와 마취의에게 힘든 문제를 제기한다. 본 증례는 수술 도중에 발생한 다량의 폐동맥 색전증으로 인한 심장 정지에 대하여 효과적인 치료수단으로써 응급 체외 순환기를 사용한 56세의 여자 환자에 대하여 기술하였다. 환자는 와파린을 복용하면서 퇴원하였고, 패동맥 색전증의 재발없이 외래추적 중이다.

• 한국융합학회논문지
• /
• 제8권3호
• /
• pp.91-100
• /
• 2017

본 연구의 목적은 간호대학생의 영아심폐소생술에 대한 지식과 태도 및 수행자신감의 정도를 확인하고 그 관계를 분석하기 위한 융합연구이다. 연구대상은 3개 대학의 3학년 간호대학생 151명으로 하였으며, 자료 수집은 자가보고식 설문지 작성을 통해 이루어졌다 수집된 자료는 SPSS 21.0 Win을 이용하여 t-test, ANOVA, peason's correlation coefficients으로 분석하였다. 연구결과는 지식과 수행자신감(r=0.45, p=<.001), 태도와 수행자신감(r=0.35, p=<.001)의 관계가 긍정적 상관관계가 있는 것으로 나타났다. 따라서 간호대학생이 심폐소생술이 필요한 기도폐쇄나 심정시 상황에서 정확하고 신속하게 심폐소생술을 수행 할 수 있도록 정확한 지식, 긍정적인 태도, 수행자신감을 향상시킬 수 있는 반복적이고 체계적인 영아심폐소생술 교육과정 개발이 필요하다.

• 한국융합학회논문지
• /
• 제9권3호
• /
• pp.307-317
• /
• 2018

본 연구목적은 간호사를 위한 모바일 웹기반 심폐소생술(cardiopulmonary resuscitation:CPR) 융합교육의 효과를 확인하기 위함이다. 비동등성 대조군 시차설계에 따라 간호사 46명을 연구대상으로 실험군에게는 모바일 웹기반 온라인 CPR학습과 자기주도적 오프라인 CPR실습을 적용하고 대조군에게는 전통적 CPR강의교육과 CPR실습이 진행되었다. 설문지와 실기평가로 자료수집 후 SPSS 21.0 program을 이용하여 분석하였다. 연구결과 CPR지식과 CPR자기효능감은 실험군이 대조군 보다 더 증가하였으나 집단 간 유의한 차이는 없었다(p=.741; p=.162). CPR 수행능력은 실험군이 대조군보다 유의한 차이를 보이며 증가하였다(p=.001). 따라서 모바일 웹기반 심폐소생술 융합교육은 간호사의 CPR실무역량 강화에 효과적이며 향후 다양한 융합교육중재개발에 확대 적용 가능할 것이다.

• The Korean Journal of Physiology
• /
• 제20권1호
• /
• pp.79-88
• /
• 1986

줄넘기 운동의 신체 단련 효과를 측정하기 위하여 사병 9명에게 9주 동안 규칙적으로 줄넘기 운동을 시키면서 심폐기능의 변화를 관찰하여 다음과 같은 결과를 얻었다. 효과를 측정하기 위해 부하한 운동은 줄넘기, 40 cm 및 45 cm 높이의 계단운동이었다. 1) 심장박동수는 단련에 의해 안정시와 운동후 회복기 전 시간대를 통해 매우 유의하게 감소하였으며 효과는 단련 시작 1주후부터 나타났다. 2) 단편으로 수축기 동맥혈압은 안정시와 회복기 전 시간대에서 거의 유사하게 감소하였는데 이러한 효과는 단련 한달경부터 나타났다. 3) 회복기의 호흡회수는 단련에 의해 별 변화가 없었으나 단지 줄넘기 운동 회복 초기에만 유의하게 감소하였다. 4) 심폐기능 상의 단련 효과는 검사시 부하하는 운동량이 경할수록 더욱 뚜렷하였다. 이상의 결과로 보아 9주간의 줄넘기 운동으로 심폐기능 특히 심장순환계 기능에 뚜렷한 향상이 온다고 할 수 있겠다.

• Journal of Chest Surgery
• /
• 제29권11호
• /
• pp.1267-1269
• /
• 1996

관상동맥우회술은 인공심폐기 및 심근보호의 안정성으로 인공심폐기사용하에 시행하는 것이 보편화된방법이다. 그러나, 좌전행지 및 우관상동맥에 병소가 위치하는 경우는 인공심폐기의 사용없이 심장이 박동하는 상태에서 관상동맥우회술을 시행하는 방법도 일부에서 시행되어왔다 저자들은 좌전행지 및 대각지에 협착을보인 환자에서 인공심폐기를 사용하지 않고 성공적으로 관상동맥우회술을 시행하였기에 보고하는 바이다.

• Journal of Preventive Medicine and Public Health
• /
• 제34권4호
• /
• pp.316-322
• /
• 2001

Objectives : To explore the possible effect of an interaction between summertime heat waves and ozone on cardiopulmonary mortality during the 1994 heat wave in Korea. Methods : The unusually hot summer of 1994 in Korea was defined as the heat wave in this study. We examined the associations of air pollutants with daily cardiopulmonary deaths between 1991-1995, considering the product term of the heat wave and each pollutant, weather and time trends. Results : During the heat wave, while temperatures were uniformly higher than those of other summers, the within-heat-wave difference in mortality paralleled that in the regional ozone levels. In terms of the influence of the heat wave, the results of ozone were different to those of total suspended particles (TSP) and sulfur dioxide $(SO_2)$. The ozone association (relative risk (RR) : 1.036; 95% confidence interval (CI) = 1.018-1.054) was observed only under heat wave conditions, while the TSP (RR : 1.006, 95% CI = 0.999-1.012) and the $SO_2$ (RR = 1.018, 95% CI : 1.011-1.024) associations were found under normal weather conditions (per interquartile increase of each pollutant; results of three pollutants model). The ozone association under heat wave was attributable to the statistical interaction between the heat wave and ozone. Conclusions : These results support the possibility of a biological synergy between the heat wave and ozone, one that is not evident between the heat wave and other major pollutants like particles or $SO_2$.

• 한국응급구조학회지
• /
• 제19권3호
• /
• pp.7-18
• /
• 2015

Purpose: The purpose of this study was to describe and compare the return of spontaneous circulation (ROSC) cases of out-of-hospital cardiac arrest on the basis of Heart Saver laureate. Methods: This study aimed to investigate the cardiopulmonary resuscitation (CPR) outcomes and the clinical characteristics of patients with out-of-hospital cardiac arrest by analyzing the data of two regions. The data were prehospital emergency reports of 473 patients who survived for > 72 hours after ROSC in two region from January 2012 to December 2013. Results: Among the ROSC patients, 86.8% (G), 77.9% (S) were men and 72.9% (G), 67.9% (S) were of age 41~70 years, 87.6% (G), 82.9% (S) had a witnessed cardiac arrest; and 66.7% (G), 70.6% (S) received cardiopulmonary resuscitation from bystander. Of those who performed the resuscitation, paramedics in 89.1% (G), 89.8% (S). Furthermore, 119 emergency medical technicians were involved in 69.0% of two-rescue teams in G and in 90.4% of three-rescue team in S. Conclusion: Most heart savers were qualified paramedics, and three-rescuer-teams resulted in better survival rate than two-rescuer-teams.

• 대한임상독성학회지
• /
• 제12권2호
• /
• pp.97-101
• /
• 2014

Aconitine, found in the Aconitum species, is highly extremely toxic, and has been known to cause fatal cardiac arrhythmias and cardiovascular collapse. Although several reports have described treatment of aconitine intoxication, management strategy for the patient in a hemodynamically compromised state who experienced cardiopulmonary collapse is unknown. We report here on a case of a successful cardiopulmonary resuscitation and therapeutic hypothermia in an aconitine-induced cardiovascular collapsed patient. A 73-year-old male who presented with nausea, vomiting, chest discomfort, and drowsy mental state after eating an herbal decoction made from aconite roots was admitted to the emergency department. He showed hemodynamic compromise with monomorphic ventricular tachycardia resistant to amiodarone and lidocaine. After 3 minutes on admission, he collapsed, and cardiopulmonary resuscitation was initiated. We treated him with repeated cardioversion/defibrillation of 51 times, 10,150 joules and cardiopulmonary resuscitation of 12 times, 69 minutes for 14 hours and therapeutic hypothermia for 36 hours. He recovered fully in 7 days.