https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44237 2026-04-04T14:12:58Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44501 Title: 만성 외측 팔꿈치 통증 환자에서 아주 가는 바늘과 낮은 농도의 포도당을 이용한 인대증식치료 Author(s): 이준석; 서요한; 조원영; 류태하; 이소영; 정진용 Abstract: Prolotherapy is a non-surgical injection treatment method that repeatedly injects small amounts of proliferators into damaged ligaments, tendon, joints and surrounding tissues. The most common proliferator is a high concentration of glucose solution. Glucose solutions with a concentration of 10-25% are commonly used. Prolotherapy using glucose solution has few serious adverse events, but common side effects include post injection pain, stiffness, edema, and mild bleeding. There are many cases of complaining of pain caused by injection during or after prolotherapy. Some patients give up treatment if the pain is severe. A 43-year-old male patient visited the hospital with both elbow pain and left wrist pain, and prolotherapy was performed. In order to minimize pain during procedure and post injection pain of the patient, 10% glucose solution with 0.5% lidocaine was injected using a very fine needle of 30 G. The total number of treatments was eight. The patient did not complain of pain caused by needle insertion during procedure and post-injection pain. Chronic pain that lasted for two years after treatment almost disappeared. The patient was very satisfied with this treatment method and result. 2021-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44499 Title: Erector Spinae Plane Block in Patients with Low Back Pain Author(s): 홍지희; 신승훈; 조은영 Abstract: The erector spinae plane (ESP) block is a novel interfascial block technique to relieve various postoperative pain. We described successful management of acute or subacute low back pain in 3 patients using ultrasound guided ESP blocks. Three patients of low back pain visited our pain clinic with variable duration of pain development with numerical rating scale 7. Before the visit of pain clinic, they were treated with physical therapy and acupuncture with minimal efficacy. For their pain relief, lumbar ESP block at L4 or L5 level using ultrasound guidance was performed. After lumbar ESP block, all 3 patients showed good treatment effect in relieving their low back pain (numerical rating scale 1-2). This effect was maintained even after 2 months after injection. Lumbar ESP block is a good treatment option for acute or subacute low back pain. Further studies are needed to clarify the clinical efficacy. 2021-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44500 Title: Ultrasound Guided Supraclavicular Brachial Plexus Block for Humerus Fracture in a Patient with Eisenmenger Syndrome Author(s): 김종해; 최은주; 임형섭; 이소영; 임정아 Abstract: Eisenmenger syndrome is a pulmonary vascular disease in which pulmonary-systemic circulation is connected due to bidirectional shunt caused by congenital heart disease, leading to increased pulmonary vascular resistance and right ventricular failure. Intraoperative management is a challenging task for anesthesiologists when patients with Eisenmenger syndrome undergo non-cardiac surgery, and maintaining both systemic vascular resistance and pulmonary vascular resistance during surgery is critical. In this case, we report that a patient with Eisenmenger syndrome with a humerus fracture successfully underwent open reduction with internal fixation by performing ultrasound guided supraclavicular brachial plexus block and was discharged without complications. When upper limb surgery is performed in patients with Eisenmenger syndrome, ultrasound guided supraclavicular brachial plexus block has fewer hemodynamic changes such as decreased systemic venous resistance and increased pulmonary vascular resistance compared to general anesthesia, and could be a safe anesthetic method in terms of postoperative pain control. 2021-12-31T15:00:00Z https://kumel.medlib.dsmc.or.kr/handle/2015.oak/44494 Title: 국내 의과대학의 해부 실습실 안전 및 관리 현황 Author(s): 박재희; 박광락; 배안나; 정한규; 이재호 Abstract: It is necessary to install ventilation facilities in the laboratory and to regularly monitor harmful gases including formalin for safe environment of the dissection laboratory. However, there are no indicators that can identify the current status of ventilation facilities, safety equipment, and protective equipment in the dissection laboratory. In this study, the status of safety management of anatomical lab at domestic medical, dental, and oriental medical universities are investigated through an online questionnaire. Of the total 32 universities, 7 universities (21.8%) regularly monitor harmful gases such as formalin in the dissection lab, 13 universities (40.6%) do it on an irregular basis, and 12 do not do it at all. Seven universities (21.8%) are using the exhaust-type dissection table, 24 universities (75%) are not using it. Regarding the need for standards for manpower and facilities in the management of the anatomy lab, 7 universities (21.8%) are mediocre, 21 universities are necessary (65.6%), and 4 universities (12.5%) are very necessary. The responsibility for anatomy lab is 27 universities (84.3%) of the schools that responded as head professors of the department of anatomy, 3 universities (9.3%) of technicians, and 2 universities (6.2%) of the dean of the medical school. Regarding the need for standards for the anatomical lab, 7 universities (21.8%) are very necessary, 21 universities (65.6%) are necessary, and 4 universities (12.5%) are mediocre. Based on this data, the standard for the quality improvement and safety of anatomical education should be prepared. 2021-12-31T15:00:00Z