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Propofol with and without Midazolam for Diagnostic Upper Gastrointestinal Endoscopies in Children

Akbulut UE, Kartal S, Dogan U, Akcali GE, Kalayci S, Kirci H

PURPOSE: Various publications on the use of sedation and anesthesia for diagnostic procedures in children have demonstrated that no ideal agent is available. Although propofol has been widely used for...
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The effect of endotracheal 1% lidocaine administration to reduce emergence phenomenon after general anesthesia

Hong SM, Ji SM, Lee JG, Kwon MA, Park JH, Kim S, Lee GW

BACKGROUND: Endotracheal intubation often causes sore throat and coughing. The aim of this study was to decrease the incidence and severity of cough, sore throat, and hemodynamic changes after extubation...
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Negative Pressure Pulmonary Hemorrhage after Laryngospasm during the Postoperative Period

Han IS, Han BM, Jung SY, Yoon JR, Chung EY

Negative pressure pulmonary hemorrhage (NPPH) is an uncommon complication of upper airway obstruction. Severe negative intrathoracic pressure after upper airway obstruction can increase pulmonary capillary mural pressure, which results in...
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Postoperative negative pressure pulmonary edema following repetitive laryngospasm even after reversal of neuromuscular blockade by sugammadex: a case report

Lee JH, Lee JH, Lee MH, Cho HO, Park SE

Laryngospasm, an occlusion of the glottis, can occur at any time during anesthesia, and is associated with serious perioperative complications such as hypoxia, hypercabia, aspiration, bronchospasm, arrhythmia, prolonged recovery, cardiac...
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Sleep-Related Laryngospasm Caused by Gastroesophageal Reflux

Jang CW, Kim ZY, Ji KH

Sleep-related laryngospasm is a rare cause of sleep-related breathing disturbance which produce stridor or interruption of airflow associated with a distinct polysomnography arousal pattern. We report a case of a...
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Laryngeal Spasm Mimicking Asthma and Vitamin D Deficiency

Masoero M, Bellocchia M, Ciuffreda , Ricciardolo FLM, Rolla G, Bucca C

We present a woman with heterozygous carnitine palmitoyl transferase 2 (CPT-2) deficiency who in the last 6 months suffered from episodic dyspnea and choking. Symptoms could not be attributed to...
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Perioperative respiratory adverse events in children with active upper respiratory tract infection who received general anesthesia through an orotracheal tube and inhalation agents

Kim SY, Kim JM, Lee JH, Kang YR, Jeong SH, Koo BN

BACKGROUND: Active upper respiratory tract infection (URI), orotracheal intubation and use of inhalation anesthetics are known risk factors for perioperative respiratory adverse events (RAE). This study investigated the risk factors...
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Sufentanil infusion before extubation suppresses coughing on emergence without delaying extubation time and reduces postoperative analgesic requirement without increasing nausea and vomiting after desflurane anesthesia

Lee JY, Lim BG, Park HY, Kim NS

BACKGROUND: Coughing, hypertension, tachycardia, and even laryngospasm can occur due to airway irritation during emergence from anesthesia. We investigated the effect of maintaining a sufentanil infusion during emergence from anesthesia...
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Risk factors for perioperative respiratory adverse events in pediatric anesthesia; multicenter study

Choi SR, Ko BJ, Chung CJ, Gwak M, Kim G, Kim HS, Park SS, An TH, Lee IO, Lee JH, Lee JY, Chang CH, Han JI

  • KMID: 2169155
  • Anesth Pain Med.
  • 2012 Jan;7(1):80-86.
BACKGROUND: Perioperative respiratory adverse events remain a major cause of postoperative morbidity and mortality during pediatric anesthesia. This multicenter study was designed to evaluate the incidence of perioperative respiratory adverse...
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Comparison of the trapezius squeezing test and jaw thrust as indicators for laryngeal mask airway insertion in adults

Chang CH, Kim SH, Shim YH, Kim JH, Shin YS

BACKGROUND: The purpose of this study was to compare the effectiveness of the trapezius squeezing test with that of the jaw thrust maneuver as clinical indicators of adequate conditions for...
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Obstructive Fibrinous Tracheal Pseudomenbrane Mimicking Tracheal Stents

Kim JS, Yu JH, Kim YS, Kim I, Ahn JH

  • KMID: 2319548
  • Tuberc Respir Dis.
  • 2011 Jul;71(1):59-61.
Obstructive Fibrinous Tracheal Pseudomenbrane (OFTP) is a rarely known but potentially fatal complication of endotracheal intubation. Sudden respiratory failure shortly after extubation is not infrequent in the ICU. However, these...
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The Effects of Desflurane on Anesthesia Induction

Kim CH

BACKGROUND: There is controversy regarding the relative perioperative benefits of desflurane when used for induction of anesthesia. Inhalation induction with desflurane alone causes adverse airway events, such as coughing, bronchospasm,...
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Aspirin-Exacerbated Respiratory Disease: Evaluation and Management

Lee RU, Stevenson

The clinical syndrome of aspirin-exacerbated respiratory disease (AERD) is a condition where inhibition of cyclooxygenase-1 (COX-1) induces attacks of upper and lower airway reactions, including rhinorrhea and varying degrees of...
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Effect of a small dose of propofol or ketamine to prevent coughing and laryngospasm in children awakening from general anesthesia

Pak HJ, Lee WH, Ji SM, Choi YH

BACKGROUND: Coughing during emergence from general anesthesia may be detrimental in children. We compared the effect of a small dose of propofol or ketamine administered at the end of sevoflurane...
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Volatile Induction and Maintenance of Anesthesia without Intravenous Access in Mild to Moderate Burn Injured Pediatric Patients

Jang YH, Kim SK, Park JM, Son YH

  • KMID: 2329073
  • J Korean Burn Soc.
  • 2010 Jun;13(1):16-20.
PURPOSE: Peripheral intravenous (I.V.) access is a common but stressful procedure in children, their parents and medical staffs. We evaluated the efficacy of volatile induction and maintenance of anesthesia (VIMA)...
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Negative Pressure Pulmonary Edema and Hemorrhage after Extubation: A Case Report

Ra YS, Kim CH, Han JI, Kim DY

Negative pressure pulmonary edema (NPPE) is a rare complication of acute airway obstruction which develops after endotracheal extubation. The proposed mechanism is generation of very low negative pressure during laryngospasm...
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Diagnosis of gastroesophageal reflux disease: Esophageal and extraesophageal manifestations

Lee BE, Kim GH

  • KMID: 2142929
  • Korean J Med.
  • 2010 Feb;78(2):145-154.
The manifestations of gastroesophageal reflux disease (GERD) have been classified into either esophageal or extraesophageal symptoms. Esophageal manifestations include classic symptoms of reflux, such as heartburn and regurgitation, and atypical...
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The effects of lidocaine and fentanyl on airway irritability during inhalation induction with desflurane

Choi IG, Choi YS, Min JH, Kim YH, Chae YK, Lee WK, Lee YK, Lee AR, Cho HR, Chae HS

BACKGROUND: Inhalation induction with desflurane can cause airway irritability and sympathetic stimulation. The aim of this study was to investigate whether lidocaine and fentanyl could reduce these unwanted reactions. METHODS:...
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Continuous positive airway pressure improves the immediate post-extubation airway patency

Cho JD, Park SS

BACKGROUND: Endotracheal tube extubation can cause laryngospasm, aspiration, upper airway obstruction and hypoxia. In addition, the risk of pulmonary complication increases during extubation for the patients with a difficult airway...
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Alternating Pseudohemoptysis and Hematemesis during Recovery after General Anesthesia: A case report

Choi YW, Lim YH, Park CM

A 22-year-old male patient was admitted for reconstructive surgery after primary orbital fracture operation.Following uneventful intraoperative procedure except postextubation laryngospasm, in PACU area, there were alternately frustrating and confusing events...
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