• Journal of Korean Neurosurgical Society
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• 제29권12호
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• pp.1657-1663
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• 2000

The authors report a case of a 72-year-old woman who presented with intraventricular and subarachnoid hemorrhage of Hunt and Hess grade IV after the rupture of a giant aneurysm arising from the right internal carotid artery. The aneurysm was clipped successfully with the aid of cardiopulmonary bypass(closed chest method), deep hypothermic circulatory arrest, and cerebral protection with barbiturate resulting in moderate disability. We discuss the usefulness and problems related to technique of circulatory arrest and cardiopulmonary bypass using closed chest method, and suggest the possible benefits of open chest method in elderly people and the importance of preoperative plan to coordinate anesthesia and operation.

• The Journal of Korean Physical Therapy
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• 제27권4호
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• pp.275-280
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• 2015

Purpose: This study was conducted to investigate the effect of cigarette smoking on physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) and depression in patients with chronic low back pain. Methods: This study was a cross sectional study and subjects consisted of 60 young males with chronic low back pain. The subjects were allocated to two groups following a self-report survey: cigarette smoking group (n=25) or non-smoking group (n=35). Physical fitness (dominant hand grip power, dominant isokinetic leg muscle strength, abdominal muscle endurance, flexibility, cardiopulmonary endurance) were measured using objective methods and depression in patients with chronic low back pain was measured using the Korean version of center for epidemiologic studies depression (CES-D) scale. Results: The results of this study were as follows: In physical fitness, the cigarette smoking group showed a significant decrease in abdominal muscle endurance, flexibility, and cardiopulmonary endurance compared with the non-smoking group. Depression index (CES-D scale score) was significantly higher in the cigarette smoking group than in the non-smoking group. Conclusion: These results suggest that cigarette smoking had a negative effect on abdominal muscle endurance, flexibility, and cardiopulmonary endurance in patients with chronic low back pain. In addition, depression of patients with chronic low back pain was affected by cigarette smoking. Thus, we suggested that cigarette smoking may play a significant role in the deterioration of physical fitness and depression of chronic low back pain patients.

• Journal of Chest Surgery
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• 제39권1호
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• pp.60-63
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• 2006

혈관 확장성 쇼크는 심장 수술 후 발생할 수 있는 치명적인 합병증이다. 이러한 혈관 확장성 쇼크는 체외 순환 후 바소프레신의 결핍으로 발생하며, 수액 공급이나 심근 수축제에 잘 반응하지 않는 경우가 많다. 저자들은 체외 순환 중지 후 혈관 확장성 쇼크가 발생한 환자들에서 바소프레신을 사용하여 성공적으로 치료하였기에 문헌 고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제16권2호
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• pp.175-183
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• 1983

Ventricular aneurysm which was first described by John Hunter on 18th century, has been experienced by many surgeons after successful using of cardiopulmonary bypass by Cooley on 1958. According to Gorlin, the definition of ventricular aneyrysm is portion of the ventricle which is not motile at systole (akinesis) or which has paradoxical dilatation at systole(dyskinesis). The ventricular aneurysm is classified to anatomical and functional. The anatomical ventricular aneurysm is devided into true or false again. Average age incidence is ranged from 49 to 60 and male predominance is reported. The cause is ischemic coronary artery disease in almost cases but hypertropoc cardiomyopathy, congenital abscence of myocardium, complication after mitral valvular replacement and trauma may also cause the ventricular aneurysm. Angina pectoris and congestive heart failure are most common clinical manifestations Ventricular tachycardia and systemic embolization are also complained. Using cardiopulmonary bypass, aneurysmectomy alone or combination with coronary artery revasculization are currently done for surgical treatment with steady improvenment of mortality. The first patient was 33 years old man who had true type of ventricular aneurysm on inferior wall the left ventricle near apex with protruded huge organized thrombus. The thromboembolic phenomenon was noted on both lower extremities. Under cardiopulmonary bypass, aneurysmectomy and thrombectomy were done. The aneurysmal orifice was repaired with Teflon buttless suture. The second patient was 30 years old female who had large true type of ventricular aneurysm on inferior wall of the left ventricle. Under cardiopulmonary bypass, aneurysmectomy with repair of aneurysmmal orifice defect by means of double layered Dacron patch was done with reinforce by outer silastic sheet covering. She was discharged from hospoital at post op. 15th day uneventfully.

• 한국응급구조학회지
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• 제16권3호
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• pp.103-115
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• 2012

Purpose : Inadequate chest compression during cardiopulmonary resuscitation(CPR) may result in the insufficient blood flow to preserve critical organ function. The study evaluated changes of quality of cardiopulmonary resuscitation over time in 30:2 CPR by laypersons and analyzed rescuer factors affecting the quality of chest compressions over time. Methods : This study was designed to know quality of CPR changes during 5 minutes. 47 students completed CPR training courses. They were performed 30:2 CPR using a manikin with Skill-Reporter for 5 minutes continuously to get data of depth, rate of chest compression, volume and correct rate of ventilation. Results : Time dependent analysis showed significant ineffective compression depth in females and under weight rescuers. In case of female, we found effective compression depth has maintained up to 2 minutes, but it decreased significantly after 2 minutes. However, underweight rescuers maintained effective compression depth up to a minute but it decreased after 1 minute. Conclusion : Although compression rate maintained over time, chest compression quality declined significantly. It suggested switching compression at an interval of 2 minutes is reasonable for 30:2 CPR by layperson but underweight rescuers may provide effective chest compression by switching shift every one minute.

• 재활복지공학회논문지
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• 제4권1호
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• pp.23-28
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• 2010

심폐기능 허약자의 경우 다른 보행기능은 정상이지만 산소 공급에 문제가 발생된 경우로서, 에너지 소모를 최소한으로 줄여주는 보행보조 시스템이 필요하다. 심폐기능 허약자의 보행을 원활히 보조하기 위하여 본 연구에서는 고관절에 부착된 DC모터를 이용하여, 보행시 고관절 굴곡 및 신전을 제어하는 시스템을 고안하였다. 두 개의 모터를 좌우 고관절에 부착되어 정상 보행패턴을 기준으로 고관절의 굴곡과 신전의 설정각도를 정의하고 보행을 보조한다. 실험결과 보행보조에 의한 에너지 소모도 감소는 14.8%이었다.

• Journal of Korean Biological Nursing Science
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• 제17권1호
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• pp.19-27
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• 2015

Purpose: The aim of this study was to identify the effect of video programs of cardiopulmonary cerebral resuscitation (CPCR) education of cardiopulmonary cerebral resuscitation of nurses. Methods: The subjects of the study were 64 nurses working in a university hospital. Nurse's CPCR performance have been measured four times (pre-test, post-test at immediately, 3 months and 6 months after intervention). Data were collected from February to August 2013. Results: There were significant differences in knowledge, attitude, self-efficacy, and performance between groups by measure time. And there were significant interactions in knowledge, self-efficacy, and performance between groups, within groups, except for the attitude. The video programs of CPCR interventions appear to be effective in the improvement of knowledge, self-efficacy, and performance, as compared to the control group. Conclusion: The video programs of CPCR education was an effective intervention to improve and retain the level of knowledge, attitude, self-efficacy and performance. And the video program of CPCR education have an advantage of self-learning effect for nurses with shift work. Therefore video programs of CPCR education will be utilized for continuing nurse's education.

• 여성건강간호학회지
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• 제6권4호
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• pp.594-605
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• 2000

The purpose of this study is to collect fundamental data for adult female health improvement based on urban adult female obesity and cardiopulmonary function. Surveyed were 859 adult females who visited a health improvement center in D district in Seoul between April, 1999, and December, 1999, and the resulting data are as follows: 1. The adult female mean BMI was $23.97{\pm}3.11kgm^2$, which comes within the range of overweight. Among them, BMI of the females aged 41-60, and over 60, were significantly higher. Mean percentage of body fat was $32.07{\pm}4.63$, and it significantly increased in accordance with age, recording the highest among those aged over 60. 2. The systolic blood pressure significantly increased in accordance with age, recording highest among those aged over 60. Those aged 41-60 and over 60 showed significantly higher diastolic blood pressure than those in their 20s and 30s; however, they had a significantly lower heart rate. Vital capacity and maximum oxygen intake significantly decreased in accordance with age, and those aged over 60 were lowest. 3. As to health perception, 20.6% of the subjects perceived themselves as healthy, and those who perceived themselves as unhealthy showed significantly higher BMI than those who perceived themselves to be of moderate health. 4. There were no significant differences in blood pressure, heart rate and maximum oxygen intake in accordance with health perception, but those who perceived themselves as healthy showed significantly higher vital capacity than those who didn't. 5. As to cardiopulmonary function in accordance with obesity, the obese group showed significantly higher systolic blood pressure than those whose weight was normal to overweight. The diastolic blood pressure of the normal weight group was the lowest, while the obese group showed significantly lower vital capacity and maximum oxygen intake. These findings indicate that the womens' health promotion program must include an effective strategy for preventing obesity, and strengthening cardiopulmonary function.

• 한방비만학회지
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• 제4권1호
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• pp.95-123
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• 2004

Objects: This study was aimed to find out correlation between life style and cardiopulmonary function and body fat. Methods: We divided two groups by the score of behavior modification therapy questionnaire. Westudied tendency of change of cardiopulmonary function and body fat for medication of Mahuang capsule by ergogenic aids and placebo with circuit training. We got the results for Exercise stress test and Segmental Bioelectrical Impedence Analysis. Results: 1. High Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of Lean Body Mass, Body Fat, Waist Circumference and not significantly elevation of Body Weight, But Basal Metabolic Rate was declined. Low Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of Waist Circumference and not significantly elevation of Body Weight and Body Fat, Lean Body Mass but decline of Basal Metabolic Rate, Waist to Hip Ratio 2. High Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of $VO_{2max}$ and not significantly elevation of the rest. Low Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of rest Heart Rate, Diastolic Blood Pressure, and not significantly elevation of the rest except for METs Conclusion: High score group in Behavior Modification Therapy Questionnaire showed significantly elevation of body composition, but had no relationship with Cardiopulmonary function

• Journal of Chest Surgery
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• 제18권4호
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• pp.537-541
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• 1985

Recently, we met a 12 year old female patient who suffered from bacterial endocarditis and pericarditis which were complicated by patent ductus arteriosus. She was admitted to our hospital because of dyspnea, fever, headache, and generalized ache for 10 days. The initial diagnosis was bacterial endocarditis and pericarditis complicated by patent ductus arteriosus and congestive heart failure. At first, we tried to treat the patient medically with digitalis, diuretics, and massive antibiotics. On echocardiography large amount of pericardial fluid was accumulated mainly right anterior aspect and also noted a large vegetation at pulmonary valve area. With vigorous medical treatment including repeated pericardiocentesis, the patient showed no improvement. So we decided to perform pericardiectomy for elimination of the most probable septic focus. On operation, we encountered an unpredicted event, the pericardium was thickened, distended, and its surface showed pulsating which meant connecting to systemic circulation. We decided to close the operative wound and reoperate her under cardiopulmonary bypass later. On the next day, we operated her under cardiopulmonary bypass later. On the next day we operated her under cardiopulmonary bypass. The operative findings were ruptured main pulmonary artery about 1.5cm in diameter on its ventral portion, the blood from the ruptured main pulmonary artery was filled up the localized pericardial sac due to previous pericarditis. Through the ruptured main pulmonary artery, we also found 0.5cm diametered patent ductus arteriosus. With the aid of partial cardiopulmonary bypass and inserting 24F ballooned Foley catheter at aorta, pericardiectomy was performed first. After completion of the pericardiectomy, total cardiopulmonary bypass was established. With minimum pump flow [0.3L/min/m2] the PDA was closed with two Teflon-felted 4-0 Prolene interrupted sutures. The ruptured main pulmonary artery was also closed using thickened pericardium with three Teflon-felted 4-0 Prolene interrupted sutures. The operation was successful and postoperative course was uneventful. She was discharged on the 16th POD. We report this case as a very rare secondary complication of bacterial endocarditis complicated by patent ductus arteriosus.