심우석 교수

This prospective randomized study was conducted to evaluate the efficacy of two common analgesic techniques, thoracic epidural patient-controlled analgesia (Epidural PCA), and intravenous patient-controlled analgesia (IV PCA), in patients undergoing lobectomy by the video-assisted thoracic surgical (VATS) approach. Fifty-two patients scheduled for VATS lobectomy were randomly allocated into two groups: an Epidural PCA group receiving an epidural infusion of ropivacaine 0.2%+fentanyl 5 microg/mL

The aspiration test with or without spot radiography frequently missed the intravascular uptake of contrast during lumbar MBBs. We strongly advocate the use of real-time fluoroscopy during contrast injection to increase diagnostic and therapeutic value and to avoid possible complications.

This prospective randomized study was conducted to evaluate the efficacy of two common analgesic techniques, thoracic epidural patient-controlled analgesia (Epidural PCA), and intravenous patient-controlled analgesia (IV PCA), in patients undergoing lobectomy by the video-assisted thoracic surgical (VATS) approach. Fifty-two patients scheduled for VATS lobectomy were randomly allocated into two groups: an Epidural PCA group receiving an epidural infusion of ropivacaine 0.2%+fentanyl 5 ㎍/mL combi

OBJECTIVE: The incidence of arrhythmias related to an esophagectomy is high, and its clinical significance has been well accepted. Thoracic epidural anesthesia (TEA) can modulate the sympathetic tone and neuroendocrine responses associated with major operation. This study was aimed to evaluate the effects of TEA on the incidence of arrhythmias in transthoracic esophagectomy patients. METHODS: The records of 185 patients who underwent the Ivor-Lewis operation between 2001 and 2004 by the same ope

접수일:2008년 7월 26일, 승인일:2008년 7월 31일 책임저자:김용철, (110-460) 서울시 종로구 연건동 28 서울대학교병원 마취통증의학과 Tel: 02-2072-3289, Fax: 02-747-5639 E-mail: pain@snu.ac.kr 이 논문은 대한마취과학회 주관 하에 마련된 대상포진 및 대상포진후신 경통의 표준진료지침의 초안을 요약 정리한 것임. Received July 26, 2008, Accepted July 31, 2008 Correspondence to: Yong Chul Kim Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, 28, Yeongeon-dong, Jongno-gu, Seoul 110-460, Korea Tel: +82-2-2072-3289, Fax: +82-2-747-5639 E-mail: pain@snu.ac.kr

Numerous treatment modalities for acute or subacute herpes zoster and postherpetic neuralgia have been introduced. Therefore, we updated the treatment modalities by conducting a wide review of the medical literature and we created a new treatment algorithm for herpes zoster and postherpetic neuralgia. (Korean J Pain 2008; 21: 93-105)

Background: It is widely accepted that cervical interlaminar steroid injection (CIESI) is more effective in treating radicular pain than axial neck pain, but without direct comparison. And the differences of effect after CIESI according to MRI findings are inconsistent. In this retrospective study, we evaluated the therapeutic response of CIESI according to pain sites, durations, MRI findings, and other predictive factors altogether, unlike previous studies, which evaluated them separately. Meth

Compared with a colloid preload, which may be comparable to the no-preload condition, crystalloid preload prolonged the time to reach the peak sensory block level in isobaric spinal anesthesia, which might have been caused by a significant decrease in CSF pulsatile movement. This attenuated CSF pulsatile movement in the crystalloid preload group might have resulted from significant increases of CSF production.

Background: The facet joint is one structure that can cause lower back pain and radiofrequency (RF) denervation of the medial branch has been shown to be effective in treating this type of pain. However, the proper positioning of needle to the medial branch by sensory testing may be difficult when there are severe degenerative changes in the spine. In these cases, bipolar electrodes might be effective in making a wider strip lesion as in a sacroiliac joint. This study performed an RF facet dener

Zoster sine herpete (ZSH) is a varicella zoster virus (VZV) reactivation without a zoster that is difficult to diagnose early after onset. This study examined 12 patients who presented with intercostal neuralgia, had no history of trauma, cutaneous eruption and no scar of a herpes zoster on the lesion. Two patients had a vertebral compression fracture. Two patients had a history of a zoster in the other site. No other suspicious findings were observed. Ten of the twelve patients were checked for

(patient controlled analgesia, PCA) PCA . . 1) PCA (subarachnoid space) , ,

Botulinum toxin has been used for the treatment of many clinical disorders by producing temporary skeletal muscle relaxation. In pain management, botulinum toxin has demonstrated an analgesic effect by reducing muscular hyperactivity, but recent studies suggest this neurotoxin could have direct analgesic mechanisms different from its neuromuscular actions. At the moment, botulinum toxin is widely investigated and used in many painful diseases such as myofascial syndrome, headaches, arthritis, an

Many patients with intractable chest pain visit pain clinics, two of which, with rare cases of an intraspinal tumor and malignant mesothelioma were experiences at our clinic. A 37-year old female patient presented with exacerbating chest pain, but without neurological manifestations, of 15-months duration. Her laboratory findings, such as blood tests, chest X-ray, EKG, abdominal ultrasonography and chest CT, were normal. MRI revealed an intradural extramedullary schwannoma at the T 5 and 6 level

=Caudal Epidural Injection with a Guidewire-Reinforced Epidural Catheter inPatients with Herniated Nucleosus PulposeJustin Sangwook Ko, M.D., Seok Jin Lee, M.D., Hee Youn Hwang, M.D., Woo Seok Sim, M.D.,Soo Joo Choi, M.D., Jie Ae Kim, M.D., Chung Su Kim, M.D., Tae Soo Hahm, M.D.,Gaab Soo Kim, M.D., Hyun Sung Cho, M.D., and Tae Hyeong Kim, M.D.