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Accidental Subdural Block during Epidural Anesthesia: A case report

Oh SC, Lee SM, Yoon KJ, Yu SJ

Despite the high incidence of subdural block (SDB) during epidural anesthesia, the condition is unfamiliar to anesthesiologist. We experienced a case of SDB: severe hypotension, transient hemiplegia, wide extent of...
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Anesthetic Management during Aortic Arch Surgery Using Anterograde Selective Cerebral Perfusion

Han SH, Ham BM, Oh YS, Kim WS, Park YO, Lee GH

Cerebral protection during aortic arch surgery is an anesthetic challenge, since the surgical procedures for aortic arch aneurysm involve an interruption of cerebral blood flow. We report a successfully managed...
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The Study upon Non-invasive and Non-pharmacological Treatments for the Prevention of Postoperative Nausea and Vomiting after Mastoidectomy with Tympanoplasty

Lee PB, Park JH, Seo MS, Kim YC, Lee SC

BACKGROUND: Postoperative nausea and vomiting is one of the main problems after mastoidectomy and tympanoplasty. There is a growing interest in the use of nonpharmacologic and nonintravenous approaches to the...
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Severe Hypercarbia by Subcutaneous Emphysema Occurring during Hand Assisted Laparoscopic Donor Nephrectomy: A case report

Yang KS, Kim ES, Kwon OK

Hand assisted laparoscopic donor nephrectomy (HALDN) has recently emerged as a very attractive modality in standard donor nephrectomy because of its many advantages. However, it also has disadvantages, which include...
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Thromboendarterectomy in a Patient with Unilateral Chronic Thromboembolic Pulmonary Hypertension

Suh JH, Park JH, Jeon YS, Kim JH, Ham BM, Kim YL

Chronic thromboembolic pulmonary hypertension (CTEPH) is considered to be an aberrant outcome of acute pulmonary thromboembolism, due to inadequate thrombus dissolution. However, the mechanism of thrombi dissolution failure remains unclear....
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Effects of Pinacidil, Tetrathylammonium and Glibenclamide on Hypoxic Vasoconstriction in Isolated Perfused Rabbit Lungs

Ro YJ, Yun WH, Kim CS, Min SW, Kim SD, Kim YL

BACKGROUND: This study investigated the effects of the K+ channel opener, pinacidil on hypoxic pulmonary vasoconstriction in isolated perfused rabbit lungs. In order to evaluate the vasodilatation mechanism of K+...
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The Comparative Effect of Fentanyl and Isoflurane on Splanchnic Perfusion during Cardiac Surgery

Hong SJ

BACKGROUND: Splanchnic perfusion derangement commonly occurs during cardiac surgery, while splanchnic ischemia is known to increase morbidity in surgical and critically ill patients. We hypothesized that anesthetic agents may have...
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Effect of Propofol on the Apoptosis of Lipopolysaccharide-Treated Mononuclear Cells and Lymphocytes

Song HK, Jeong DC

BACKGROUND: Sepsis, surgical stress, and anesthesia are often associated with postoperative immune suppression and an increased susceptibility to infection. Apoptosis is an important mechanism of cell death in sepsis and...
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Comparison of Sensory and Motor Nerve Block in Epidural Anesthesia Using a Different Concentrations of Ropivacaine for Cesarean Section

Choi JK, Sohn HJ, Kim ST

BACKGROUND: The aim of this study was to evaluate the sensory and motor nerve block achieved by epidural anesthesia using 0.475% ropivacaine and 0.75% ropivacaine. METHODS: Fifty-six patients undergoing cesarean section...
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Rocuronium Injection Pain is Attenuated by NaHCO3

Han DW, Koo BN, Hwang SI, Shin YS, Kim KJ

BACKGROUND: Rocuronium administration is associated with a severe burning pain during injection. However, the mechanistic cause of the pain has not been well established. The purpose of this study was...
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Early Effect of Endotoxin on Cerebral Autoregulation

Song HK, Kim YS, Song BH, Lee CW, Kim TK

BACKGROUND: Under normal conditions, cerebral blood flow is regulated as cerebral perfusion pressure changes (autoregulation). Inflammatory conditions like bacterial meiningitis result in a loss of cerebral autoregulation several hours after...
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The Incidence of Abnormal Electrocardiogram Findings in Preoperative Screening Tests

Shin CM, Byun TK, Lee JS, Lee KM, Cheong SH, Choe YK, Kim YJ, Park JY

BACKGROUD: To study the prevalence of abnormalities found in routine preoperative eletrocardiograms (ECGs) and to analyze abnormal ECG findings in different age groups. METHODS: 9,709 patients undergoing elective surgery requiring anesthesia...
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Effects of Epinephrine Added to Epidural Patient-controlled Analgesia Using Bupivacaine and Fentanyl in Gynecological Patients

Lee CJ, Kwon WK, Ro YJ, Do SH

BACKGROUND: In a previous report, epinephrine was found to markedly improve the analgesic effect of a thoracic epidural infusion of bupivacaine and fentanyl. In this study we evaluated the effects...
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The Mechanism of Antiallodynic Effect of Intrathecal Morphine in Neuropathic Pain Induced by Spinal Nerve Ligation: The Effect of Methysergide and Theophylline

Kim YK, Shin SH, Hwang JH

BACKGROUND: Although the efficacy of morphine in a neuropathic pain state is somewhat controversial, spinally administered morphine reversed the tactile allodynia in a previous animal study. Using a behaviorial test,...
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Effects of Fentanyl-Midazolam Anesthesia for Cardiac Anesthesia on Bispectral Index and Awareness

Lee GY, Han JI

Background: During cardiac surgery, patients are at risk of intraoperative awareness. We evaluated the Bispectral Index (BIS) to prevent awareness during fentanyl-midazolam anesthesia for cardiac surgery. In addition, the relationship...
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The Hemodynamic Effects of MgSO4 during Coronary Artery Bypass Surgery with Cardiopulmonary Bypass

Jeong SW, Kim SO, Kwak KH, Cheon YH, Baik WY

BACKGROUND: Reperfusion injury often develops after cardiopulmonary bypass (CPB) during coronary artery bypass grafting (CABG), and MgSO4 is known to be related to such injury. The goal of this study...
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Efficacy of the Laryngeal Tube in General Anesthesia

Lee KY, Chang CH, Nam SB, Shim YH, Lee CO, Lee JS

BACKGROUND: A prototype airway management device, a laryngeal tube, has been recently introduced in Korea. This study was designed to assess the efficacy of the laryngeal tube for airway management...
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The Hemodynamic Changes and Stress Hormone Responses to Mild Intraoperative Hypothermia during Intravenous Anesthesia (in Neurosurgical Patients)

Yi JW, Choi YK

BACKGROUND: It is not clear whether mild hypothermia (34 degrees C) enhances stress hormonal responses during surgery under general intravenous anesthesia. The purpose of this study was determine how mild...
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The Effect of Intravenous Clonidine Premedication on Pediatric Adenotonsillectomy

Yun MJ

BACKGROUND: Clonidine, a prototype alpha2-adrenoreceptor agonist, has been shown to be effective as a preanesthetic medication in adults. Many authors have reported the effects of intravenous clonidine pretreatment on the...
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Changes of Respiratory Mechanics in Pregnant Woman under General Anesthesia for Cesarean Section

Choi JY, Chung RK, Kim DY, Han JI, Kim CH, Lee GY, Baik HJ, Kim JH, Kim YJ

BACKGROUND: In pregnant woman, the respiratory system is influenced by the hormonal environment and an enlarged gravid uterus. After delivery of the fetus, and contraction of the uterus, changes in...
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