Higenamine is known to possess stimulatory activity on beta-receptor of the heart. Chronotropic actions of higenamic were studied in spontaneously beating right atrial muscle isolated from rabbits. The frequency of spontaneous beating and the relative threshold voltage of the right atrium were examined. The relative threshold voltage was defined as the minimal voltage of the given impulse above which the right atrium could be paced at the frequency of 20% of higenamine was also observed. Higenamine caused the postive chronotropic effect. This response became prominent as the ca2+ concentration in the bathing solution lowered. When tetrodotoxin was added to the bathing solution, the effect of higenemine altered and became similar to that of epinephrine. Higenamine reduced the relative threshold voltage of the right atrium in the bathing solution with [ca2+] of 0.5mM. Such effect was abolished by tetrodotoxin. The effects of verapamill on the spontaneous rate and the relativel threshold voltage were inhibited by higenemine. The above results suggest that, aithough the main action og higenamine is on the Ca channel, higenamine also have a minor effect of augmenting the Na channel.
Baths ; Epinephrine ; Heart ; Heart Atria* ; Heart Rate ; Rabbits ; Tetrodotoxin ; Verapamil

BACKGROUND: Using alfentanil followed by an anesthetic induction dose of propofol provides adequate conditions for tracheal intubation without neuromuscular blocking drugs in most patients. Providing an option for intense opioid effect without compromising recovery after short operations, remifentanil might offer benefits over alfentanil. In this study intubating conditions after remifentanil-propofol were evaluated. METHODS: Sixty healthy premedicated patients were divided randomly into 3 groups. Anesthesia was intravenously induced with propofol (4 microgram/ml) followed by remifentanil. Group R(2), R(3), R(4) received 2, 3, 4 microgram/kg remifentanil, respectively. Ninety seconds after the administration of remifentanil, laryngoscopy and intubation were attempted. Intubation conditions were assessed as excellent, good or poor. The hemodynamic changes were measured at preinduction (base), preintubation, postintubation (immediately, 3 minute, 5 minute after intubation). RESULTS: Clinically acceptable intubating conditions were observed in 65%, 95%, and 95% of patients in the R(2), R(3), and R(4) groups, respectively. Clinically acceptable intubating conditions were significantly (P < 0.05) less likely to occur in Group R(2). The mean arterial pressure decreased immediately after induction in all groups. There was no significant elevation in heart rate after tracheal intubation in all groups. There were no significant differences among groups. CONCLUSIONS: Healthy, premedicated patients with favorable airway anatomy can be reliably intubated with good or excellent conditions 90 seconds after the administrations of remifentanil 3-4 microgram/kg and propofol.
Alfentanil ; Anesthesia ; Arterial Pressure ; Heart Rate ; Hemodynamics ; Humans ; Intubation* ; Laryngoscopy ; Neuromuscular Blockade ; Propofol*

Drug-induced toxic epidermal necrolysis (TEN) is a bullous erythematous disease that is characterized by the appearance of scaled lesions and large sheets of pilling on the skin. A caseof TEN occured in a 10 month old female patient. The characteristic skin lesions of TEN developed after oral administration of carbamazepine for a partial seizure. Thig case consists of prodrome of malaise, fever, anorexia, and conjunctivity followed by erythema & flaccid bullae formation. Diagnosis was confirmed by histologic findings. This patient was treated with a massive systemic corticosteroid, antibiotics, fluid and electrolytes, and topical measures. Authors experienced an extremely rare case of TEN dur to carbamazepine, So report it with a brief review of literature.
Administration, Oral ; Anorexia ; Anti-Bacterial Agents ; Carbamazepine ; Diagnosis ; Electrolytes ; Erythema ; Female ; Fever ; Humans ; Infant ; Seizures ; Skin ; Stevens-Johnson Syndrome*

To evaluate the character, management and clinical results of the posterior capsular rupture during cataract surgery, we retrospectively studied the cataract surgeries that were performed between May 1989 and April 1998. We discovered 194 eyes in which the posterior capsule was torn. The overall incidence of this complication was 3.15%. Our chart review of these surgical procedure revealed that the tear occurred most frequently during the nucleus removal(63.9%), occurred more frequently at the periphery than the center and the extent was mostly below one-third of the whole posterior capsular surface(75.8%). We performed vitrectomy(58.8%) and peripheral iridectomy(8.8%). Posterior capsular lenses were implanted in 183 cases. The predicted power of lens calculated with SRK-II formula and manufacturer`s A-constant was approximately 0.46 diopter less than actual postoperative refraction. Final visual acuity of 20/40 or better was achieved in 76.8% of the 194 cases. Our results revealed that when properly managed, a torn posterior capsule is compatible with an excellent visual outcome.
Cataract* ; Incidence ; Retrospective Studies ; Rupture* ; Visual Acuity

No abstract available.
Polychondritis, Relapsing*

No abstract available.
Polychondritis, Relapsing*

No abstract available.
Lasers, Gas* ; Lasers, Solid-State*

A retrospective analysis of 33 cases with operated delayed intracranial lesion who were admitted to EU1 Ji General Hospital from January 1990 to December 1992 was made according to their age and sex, etiology, lesion site, time interval to finding delayed intracrainal lesion, brain CT findings, relationship of GCS in initial and delayed lesion, associated injuries, treatment and prognosis(GOS). The results were follows : 1) The young males on first to second decade were most frequently affected. 2) The most common caused was pedestrian accident by motor vehicle, followed by fall down. 3) The most common associated injury was skull fracture, followed by skeletal injury of extremity. 4) The most common delayed intracranial lesion was delayed epidural hematoma on youth. 5) The most frequent time interval when the delayed intracranial lesion may be occurred was from 12 hr to 24 hr after admission. 6) The most possible intial lesion which the delayed epidural hematoma may be occurred was scanty hematoma with pnumocephalus or CSF leakage. 7) The GOS(Glasgow Outcome Scale) of analysed 33cases were good in 60% and poor in 40%, i.e good recovery(42%), moderate disability(18%), severe disability(15 %), vegetative state(12%), death(12%).
Adolescent ; Brain ; Craniocerebral Trauma ; Extremities ; Hematoma ; Hospitals, General ; Humans ; Male ; Motor Vehicles ; Pneumocephalus ; Retrospective Studies ; Skull Fractures

No abstract available.
Stomach Neoplasms*

PURPOSE: The aim of this study was to compare postoperative pain between single-incision, gasless, endoscopic transaxillary thyroidectomy (SET), and conventional open thyroidectomy. METHODS: From March to December 2015, patients with thyroid disease underwent total thyroidectomy or lobectomy. Patient's clinical and pathological characteristics, postoperative pain score using visual analog scale (VAS) were compared between the 2 groups. The primary endpoint was postoperative pain evaluated by VAS score and postoperative analgesic use. Operation time and length of postoperative hospital stay were secondary outcome measures. RESULTS: Conventional, open cervical surgery was performed on 30 patients (group O) and SET was performed on 27 patients (group E). Pain scores in shoulder area, which is the ipsilateral side of the tumor location at 1 hour and 24 hours after surgery, were higher in group E patients (P < 0.05). Pain scores 7 days after surgery did not differ between the 2 groups according to the locations (P < 0.05). CONCLUSION: In conclusion, endocrine surgeons should be concerned about immediate higher postoperative pain scores in patients who undergo SET.
Humans ; Length of Stay ; Outcome Assessment (Health Care) ; Pain, Postoperative* ; Prospective Studies* ; Shoulder ; Surgeons ; Thyroid Diseases ; Thyroid Neoplasms ; Thyroidectomy* ; Visual Analog Scale