1.Dispatcher-assisted telephone cardiopulmonary resuscitation.
Boo Soo LEE ; Sung Oh HWANG ; Young Sik KIM ; Moo Eob AHN ; Kyung Soo LIM
Journal of the Korean Society of Emergency Medicine 1992;3(2):75-85
No abstract available.
Cardiopulmonary Resuscitation*
;
Telephone*
2.The relationship between the prolaction levels of maternal and cord serum just after vaginal delivery, and the fetal heart rate patterns and meconium stain state during labor.
Young Boo KIM ; Soon Hong PARK ; Sung Han HWANG ; Sung Do KIM ; Jai Yeong AHN
Korean Journal of Obstetrics and Gynecology 1993;36(8):3281-3287
No abstract available.
Female
;
Fetal Heart*
;
Heart Rate, Fetal*
;
Meconium*
;
Pregnancy
3.'Do-no-resuscitate' dicisions in the emergency department.
Young Sik KIM ; Sung Oh HWANG ; Boo Soo LEE ; Moo Eob AHN ; Kyoung Soo LIM ; Sung Jun KANG
Journal of the Korean Society of Emergency Medicine 1993;4(2):108-115
No abstract available.
Emergencies*
;
Emergency Service, Hospital*
4.Survival and factors influencing on restoration of spontaneous circulation after cardiopulmonary resuscitation in emergency room.
Sung Oh HWANG ; Boo Soo LEE ; Young Sik KIM ; Moo Eob AHN ; Kyoung Soo LIM ; Seong Joon KANG
Journal of the Korean Society of Emergency Medicine 1993;4(1):15-25
No abstract available.
Cardiopulmonary Resuscitation*
;
Emergencies*
;
Emergency Service, Hospital*
5.Gender differences in paclitaxel-induced neuropathic pain behavior and analgesic response in rats.
Boo Young HWANG ; Eun Soo KIM ; Chul Hong KIM ; Jae Young KWON ; Hae Kyu KIM
Korean Journal of Anesthesiology 2012;62(1):66-72
BACKGROUND: Females show greater sensitivity than males to several modalities of experimental pain. However, the gender differences in paclitaxel-induced neuropathic pain have not been studied. The current study examined the gender differences in neuropathic pain behavior and the effect of analgesics in a paclitaxel-induced neuropathic pain model in rats. METHODS: Neuropathic pain was induced by intraperitoneal injection of paclitaxel (2 mg/kg) on 4 alternate days in Sprague-Dawley rats of both genders. Mechanical allodynia was measured using a von Frey filament. The gender differences in analgesic responses were determined after administration of morphine (2 or 5 mg/kg), ketamine (2 or 5 mg/kg), or combined morphine (2 mg/kg) and ketamine (2 mg/kg). RESULTS: Paclitaxel induced mechanical allodynia, which began to manifest on day 4, peaked within 10 days, and plateaued for at least 2 months after the first paclitaxel injection. No gender difference in the manifestation of mechanical allodynia was observed. A 2 mg/kg dose of ketamine increased the mechanical threshold only in males. The 5 mg/kg dose of ketamine significantly increased the mechanical threshold in both genders. Morphine (2 and 5 mg/kg) dose-dependently increased the mechanical thresholds in both genders. The 2 mg/kg dose of ketamine enhanced the antinociceptive effect of 2 mg/kg morphine only in females. CONCLUSIONS: No gender difference in paclitaxel-induced neuropathic pain or analgesic response to ketamine or morphine was observed in Sprague-Dawley rats. Low dose ketamine enhanced the analgesic effect of morphine on paclitaxel-induced mechanical allodynia but only in female rats.
Analgesics
;
Animals
;
Female
;
Humans
;
Hyperalgesia
;
Injections, Intraperitoneal
;
Ketamine
;
Male
;
Morphine
;
Neuralgia
;
Paclitaxel
;
Rats
;
Rats, Sprague-Dawley
;
Sex Characteristics
7.Cloudy urine developed during total intravenous anesthesia with 2% propofol in the patient taking hydroxyurea: A case report.
Boo young HWANG ; Jae young KWON ; Hae kyu KIM ; Eunsoo KIM ; Suyeon HONG ; Jung min HONG
Anesthesia and Pain Medicine 2017;12(3):230-232
We report a case that a 68-year-old man taking hydroxyurea for essential thrombocythemia produced milky urine during propofol infusion. Under microscopic analysis, the cloudy urine sample was revealed to comprise uric acid crystals. Postoperatively, kidney function such as urine output and blood urea nitrogen to creatinine ratio showed no abnormality. We suggest that the cloudy urine may be due to the increased excretion of uric acid after administration of propofol. Although this rare case of cloudy milky urine is resolved on its own, we need to consider the possibility of such urine color changes. It is particularly important to understand that medication, preoperative serum uric acid level, urine pH, and the hypothermal operating room can change the color of urine through the presence of uric acid crystals.
Aged
;
Anesthesia, Intravenous*
;
Blood Urea Nitrogen
;
Creatinine
;
Humans
;
Hydrogen-Ion Concentration
;
Hydroxyurea*
;
Kidney
;
Operating Rooms
;
Propofol*
;
Thrombocythemia, Essential
;
Uric Acid
8.Pharyngeal reperforation following incentive spirometry: A case report.
Soeun JEON ; Jeong Min HONG ; Jae Young KWON ; Boo Young HWANG ; Giyoung YUN
Anesthesia and Pain Medicine 2018;13(4):463-467
Despite its widespread use, complication of incentive spirometry has been rarely reported. We report a case of pharyngeal reperforation following incentive spirometry. A 75-year-old female, had a history of long-term steroid use, entered the intensive care unit for maintenance of mechanical ventilation following surgical repair of a pharyngeal perforation. After ventilator weaning, incentive spirometry was implemented on postoperative day 4. Immediately after incentive spirometry use, patient's neck began to swell, and subcutaneous emphysema was palpated. Pharyngeal reperforation was suspected on neck computed tomography, and emergency surgery was performed. Surgery revealed a 3-cm long rupture from the hypopharynx to the esophagus. The causes were thought to be delayed wound healing due to long-term steroid use and a sudden increase in pharyngeal pressure due to incentive spirometry. In conclusion, particular attention should be paid when using incentive spirometry after head and neck surgery in patients with a history of long-term steroid use.
Aged
;
Emergencies
;
Esophagus
;
Female
;
Head
;
Humans
;
Hypopharynx
;
Intensive Care Units
;
Motivation*
;
Neck
;
Respiration, Artificial
;
Rupture
;
Spirometry*
;
Steroids
;
Subcutaneous Emphysema
;
Ventilator Weaning
;
Wound Healing
9.General Anesthesia for a Patient with GNEMyopathy: a case report
Christine KANG ; Ji-hye AN ; Jae-Young KWON ; Boo-Young HWANG
Kosin Medical Journal 2020;35(1):64-68
GNE, or bifunctional UDP-N-acetylglucosamine 2-epimerase/N-acetylmannosamine kinase, myopathy presents with symptoms of foot drop, followed by lower and upper extremity muscle weaknesses and sparing of the quadriceps. Myopathies usually increase the risks of complications related to general anesthesia. The anesthetic management of patients with GNEmyopathy has not been previously reported. Herein, we report a case of GNEmyopathy in a 37-year-old woman and discuss anesthetic considerations for elective laparoscopic hysterectomy and bilateral salpingectomy, focusing on the postoperative airway management. We avoided administering neuromuscular-blocking agents and instead used a laryngeal mask airway. The anesthetic management combining the use of a laryngeal mask airway and desflurane without neuromuscular-blocking agents provided sufficient abdominal and diaphragmatic muscle relaxations for sustaining the pneumoperitoneum for laparoscopic surgery.
10.The EZ-Blocker® for one-lung ventilation in a patient with Kartagener syndrome and tracheal bronchus -a case report-
Boo-young HWANG ; Jae-young KWON ; Eunsoo KIM ; Jiseok BAIK ; Hyae Jin KIM ; Yun HEO ; Dowon LEE
Korean Journal of Anesthesiology 2023;76(1):67-71
Background:
The tracheal bronchus in Kartagener syndrome is a rare case that may cause difficulty in one-lung ventilation (OLV). Here we reported a case of successful OLV using bronchial blocker in a patient with tracheal bronchus and Kartagener syndrome (KS).Case: A 66-year-old female patient with Kartagener syndrome was admitted for left-side diaphragmatic plication. The patient’s preoperative computed tomography image showed a tracheal bronchus of the apical segment in the right upper lobe. The patient received epidural analgesia and general anesthesia through total intravenous anesthesia. An EZ-Blocker® (Teleflex Life Sciences Ltd., Ireland) was used to perform OLV.
Conclusions
OLV through an EZ-Blocker® can be successfully performed in tracheal bronchus patients with Kartagener syndrome without side effects.