1.Inguinal herniorrrhaphy under the local anesthesia.
Journal of the Korean Surgical Society 1993;45(5):849-853
No abstract available.
Anesthesia, Local*
2.Stereotactic Management of Spontaneous Infratenorial Hemorrhage: Part II: Transtentorial Stereotactic Approach for Spontaneous Intracerebellar Hemorrhage.
Soo Ho CHO ; Dong Ro HAN ; Eun Sig DOH ; Oh Lyong KIM ; Yong Chul CHI ; Byung Yearn CHOI
Journal of Korean Neurosurgical Society 1988;17(3):447-454
The Brown-Robert-Wells(BRW) stereotactic system has many advantages in the supratentorial spontaneous intracerebral hemorrhage(ICH), but is has less accessibility to the spontaneous cerebellar hemorrhage by stereotactic suboccipital approach. To overcome this disadvantage, we have tried to treat stereotactically three patients of spontaneous intracerebellar hemorrhage through tentorium using BRW stereotaxis and gradual irrigation wth urokinase(UK). This new approach has been used successfully under the local anesthesia with satisfactory postoperative neurological results. We present a detailed technique of this approach.
Anesthesia, Local
;
Hemorrhage*
;
Humans
3.Percutaneous Gastrostomy Tube Reinsertion after Accidental Dislodgement Using Modified Seldinger's Technique.
Joo Hee KIM ; Seong Min KIM ; Jung Tak OH ; Seung Hoon CHOI ; Eu Ho HWANG ; Seok Joo HAN
Journal of the Korean Association of Pediatric Surgeons 2006;12(2):251-256
This case report describes a baby who received a laparoscopic gastrostomy tube insertion, which was dislodged accidentally at 16(th) postoperative day. After the dislodgement, cutaneous tract rapidly closed, and reinsertion seemed to be impossible. However, gastrostomy tube was reinserted safely with fluoroscopy-guided Seldinger's technique under local anesthesia with sedation. This is the unique method of modified Seldinger's technique for reinsertion of gastrostomy tube under local anesthesia and sedation for accidentally dislodged gastrostomy tube. This method was thought to be safe, easy and useful technique for gastrostomy reinsertion after dislodgement of gastrostomy tube.
Anesthesia, Local
;
Fluoroscopy
;
Gastrostomy*
4.Diagnostic and operative arthroscopy of the knee under local anesthesia.
Young LIM ; Eung Sun KIM ; Jae Yeol COI ; jung Kook SEO ; Han Suk KO ; Byung Jik KIM
The Journal of the Korean Orthopaedic Association 1993;28(1):82-85
No abstract available.
Anesthesia, Local*
;
Arthroscopy*
;
Knee*
5.Local anesthesia for arthroscopic surgery of the knee: advantage and disadvantage.
Young Bok JUNG ; Ki Seo KANG ; Nam Chul PAIK
Journal of the Korean Knee Society 1992;4(1):42-46
No abstract available.
Anesthesia, Local*
;
Arthroscopy*
;
Knee*
6.Efficacy of dental local anesthetics: A review
Journal of Dental Anesthesia and Pain Medicine 2018;18(6):319-332
The objective of this review was to investigate the efficacy of dental local anesthetics, as it is well known among clinicians that local anesthesia may be challenging in some circumstances. Therefore, the focus of this review was on the efficacy of the products used in dental local anesthesia. In a Pubmed database literature search conducted, a total of 8646 articles were found to be related to dental local anesthetics. After having applied the inclusion criteria (human research, performed in the last 10 years, written in English language, and focus on dental local anesthetics) and having assessed the quality of the papers, 30 were deemed eligible for inclusion in this review. The conclusion of this review is that none of the dental local anesthetic amides provide 100% anesthesia. The problem appears to be more pronounced when mandibular teeth are attempted to be anaesthetized and especially if there is irreversible pulpitis involved. The authors conclude that this finding suggest exploration of more efficient techniques to administer dental local anesthesia, especially in the mandible, to establish a 100% efficacy, is needed.
Amides
;
Anesthesia
;
Anesthesia, Local
;
Anesthetics, Local
;
Mandible
;
Pulpitis
;
Tooth
7.Bilateral Cingulotomy for the Intractable Cancer Pain: Case Report.
Man Su KIM ; Jae Gon MOON ; Chang Hyun KIM ; Ho Kook LEE
Journal of Korean Neurosurgical Society 2002;32(6):582-585
The authors report two cases of intractable cancer pain, which was managed by bilateral cingulotomy. The technique involved stereotaxis using magnetic resonance guidance and local anesthesia, with the introduction of a mechanical and chemical lesion(absolute alcohol). Postoperative pain relief was excellent that lasted relatively prolonged period of time until disease has far advanced. There were no complications related to procedure. Bilateral stereotactic cingulotomy is considered safe, feasible and most of all, effective in the severe, disabling pain from metastatic lesion. Also, a invasive surgery with general anesthesia can be avoided.
Anesthesia, General
;
Anesthesia, Local
;
Pain, Postoperative
8.The use of asymmetric spinal block to decrease the incidence of hypotension
Philippine Journal of Anesthesiology 2001;13(1):13-21
BACKGROUND: Arterial hypotension secondary to a sympathectomy from a spinal block remains to be a major concern among anesthesiologists. Preloading and use of vasoconstrictor agents have been used to prevent this. The modification of level of blockade through position change will be explored in this study
METHODS: A randomized double-blind study was done to evaluate the effects of prolonged lateral positioning on the spread of block and hemodynamic variables after spinal anesthesia with hyperbaric tetracaine. Two hundred twenty five (n=225) ASA PS I-III patients for unilateral lower limb surgery under spinal anesthesia were given tetracaine 0.6 percent heavy with volume adjusted to height. The patients were randomized into 3 groups: Group I (conventional, n=75)were placed supine immediately after spinal injection; Group 11 (n=75) were maintained for 10 minutes in the lateral position before being turned supine; and Group III (n=75) remained for 15 minutes then turned supine. Dermatomal sensory levels and degrees of motor block for both dependent and nondependent sides were recorded for all the groups as well as the incidence of hypotension and bradycardia
RESULTS: The study showed that although there were few patients with complete unilateral block in the 10-(n=4) and 15-minute (n=6) groups, the maximum height of sensory level attained as well as the maximum degree of motor block effected were significantly higher on the dependent side for both experimental groups than the nondependent side (P0.001). The conventional patients all showed equal bilateral distribution of spinal block. The time to onset, two-segment regression of sensory block, and one-degree regression of motor block were significantly faster in the conventional group than the experimental groups (P0.001). The incidence of hypotension in both 10-minute (13 percent) and 15-minute groups (5 percent) were significantly lower than in the conventional group (39 percent). The conventional group also had greater mean systolic and diastolic blood pressure changes from the baseline (P0.001). No significant difference was noted in the incidence of bradycardia among the groups (P0.05).
CONCLUSION: Prolonged lateral positioning with hyperbaric tetracaine produces asymmetric spinal blockade and effectively reduces the incidence of adverse hemodynamic effects such as hypotension in both the 10-minute and 15-minute groups. (Author)
Human
;
HYPOTENSION
;
ANESTHESIA
;
SPINAL, SURGERY
;
ANESTHESIA, LOCAL
9.Office-Based Laryngoesophageal Procedure.
Korean Journal of Otolaryngology - Head and Neck Surgery 2012;55(6):334-345
Office-based procedures of laryngoesophageal region have become significantly more common in recent years. The term "office-based" refers to an awake patient in an upright position, typically with no sedation and receiving local topical anesthesia alone. The goal of this article is to introduce various recent office-based laryngological procedures, including diagnosis and treatment and to review of literatures along with our experiences. The authors hope that this document will encourage otolaryngologists to expand the role of office-based diagnosis and treatment in laryngology for the best treatment of their patients' care.
Anesthesia
;
Anesthesia, Local
;
Esophagus
;
Humans
;
Larynx
;
Otolaryngology
10.Surgical Correction of Concealed Penis by Suprapublic Lipectomy and a Modification of Johnston's Principle Under Local Anesthesia.
Korean Journal of Urology 2000;41(8):1023-1032
No abstract available.
Anesthesia, Local*
;
Lipectomy*
;
Male
;
Penis*