A Clinieal Study of the Effect of Steroid Administered in Epidural Space for Back Pain and Sciatica / 대한마취과학회지

The use of steroid preparations by the external route was first employed in 1953 by Lievre. Since then a number of similar series have been published which confirm the value of the method. The present study was carried out in Wonju Christian hospital over a 4 year period. Of a total of 141 patients complaining of back pain and sciatica were treated by epidural in-jection .of methyl-prednisolone acetate(Depo-Medrol). The results were encouraging and this treatment seems to be a valuable adjunct to the management of lumbosciatic syndrome.

Aneethetic Experienees with 12,608 Cases / 대한마취과학회지

To compare the first report of our anesthetic experiences with 16,457 Cases performed by the Department of Anerthesiology of Wonju Christian Hospital, Wonju Medical College, Yonsei University, from Nov. 1959 to Dec. 1977 which was published in 1980, the anesthetic experiences of 12,608 cases performed from Jan. 1978 to Dec. 1982 were analyzed, according to age, sex, department, physical status, emergency Procedureornotn, anesthetic agent, complication, and in addition, the ratio of medical insurance patients after enforcement of medical insurance patients. The results are as follows; 1) The number of cases receiving anesthesia tended, to increase year by year and the rate of increasi was remarkable for female patients. 2) Sexual distribution was 6049 males(48.0%), and 6559 females(52.0%). 3) 44.4% of patients were in the 2nd to 4th. decade of life and the patients over 60 years had increased markedly, 4) Among the departments General Surgery accounted for 30.7%, aner Obstetric sand Gynecology for 30.0%. 5) General anesthesia was use in 76.2% and regional anesthesia 23.8%. 6) The main anesthetic agent was halothane(47.9%). 7) Emergency operations were 37.6%, of the total. 8) Medical insurancs patients have increasied remarkably year by year. 9) Cardiac arrest in the operating room and the recovery room consisted of 4 cases. (0.032%).

Postoperative Pain Relief using Epidural Morphine / 대한마취과학회지

Postoperative pain relief and the side effects of epidurally injected morphine were investigated in 164 patients who received various types of operation including abdominal, genitourinary and lower extremities. Epidural morphine injection was given via an epidural catheter after operation. In 58% of total patients, pain relief was considered excellent, good in 30% and fair in 12%. The analgesia of each dose of epidural morphine lasted for 13 hours with everage. The side effects of epidural morphine were few and mild but urinary retention was in 9.8% of total patients, respiratory depression, pruritus, vomiting, catheter obstruction, catheter dislogement and bleeding through the catheter in one case respectively.