1.Clinical study of the myasthenia gravis.
Chunghyun CHI ; Weonkon KIM ; Gyuseok CHO ; Joochul PARK ; Saeyong YOO
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(11):1125-1132
No abstract available.
Myasthenia Gravis*
2.Reexpansion pulmonary edema.
Chunghyun CHI ; Weongon KIM ; Gyusuk CHO ; Joochul PARK ; Saeyoung YOO
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(8):797-801
No abstract available.
Pulmonary Edema*
3.Surgical study in treatment of the tracheal stenosis.
Chunghyun CHI ; Weonkon KIM ; Gyusuk CHO ; Joochul PARK ; Saeyoung YOO
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(8):765-772
No abstract available.
Tracheal Stenosis*
4.Anesthetic Consideration for Peroral Endoscopic Myotomy
Clinical Endoscopy 2019;52(6):549-555
A recent achalasia guideline suggests that peroral endoscopic myotomy (POEM) is a safe option for achalasia that is as effective as Heller myotomy. It is recommended that POEM should be performed under general anesthesia. The incidence of adverse events such as bleeding, perforation, and carbon dioxide insufflation-related complications was lower in POEM under endotracheal general anesthesia than in POEM under sedation. Subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, and accompanying hemodynamic instability can be caused by carbon dioxide insufflation. Treatment of possible physiological changes and adverse events during the POEM procedure from the point of view of anesthesiologists may give endoscopists a new perspective on improving patient safety. The territory of therapeutic endoscopy can be expanded through cooperation with other departments, including anesthesia services. Efforts to understand different perspectives will certainly help not only secure patient safety but also expand the area of treatment.
Anesthesia
;
Anesthesia, General
;
Carbon Dioxide
;
Endoscopy
;
Esophageal Achalasia
;
Hemodynamics
;
Hemorrhage
;
Incidence
;
Insufflation
;
Mediastinal Emphysema
;
Patient Safety
;
Pneumoperitoneum
;
Pneumothorax
;
Subcutaneous Emphysema
5.An anesthetic experience of hereditary angioedema type I patient undertook total laparoscopic hysterectomy - A case report -
Yun-Sic BANG ; Jaeho CHO ; Chunghyun PARK
Anesthesia and Pain Medicine 2022;17(2):235-238
Background:
Hereditary angioedema (HAE) is an autosomal dominant disorder. The characteristic of HAE is recurrent angioedema episodes due to low C1 esterase inhibitor (C1-INH) level. HAE symptoms, especially those affecting oropharynx or larynx may develop respiratory distress syndrome due to impaired airway, which can be potentially fatal. Case: We report a clinical case of a 57 year-old woman, with type I HAE, scheduled for total laparoscopic hysterectomy under general endotracheal anesthesia, which was done successfully without inducing airway edema. Danazol, which increases liver synthesis of C1-INH, was administered and fresh frozen plasma (FFP), which contained C1-INH, was transfused after induction.
Conclusions
For HAE patients, the greatest concern is that general anesthesia can induces upper airway edema by direct mucosal irritation by the endotracheal tube. The perioperative management should include both prophylactic increase of C1-INH production and on-demand administration of C1-INH or FFP.
6.Brugada Syndrome Patient Undertaken Brachial Plexus Block.
Yun Sic BANG ; Seon Yi LEE ; Daeun KO ; Junbeom PARK ; Sowoon AHN ; Chunghyun PARK
The Ewha Medical Journal 2017;40(4):164-167
Brugada syndrome is an arrhythmic syndrome characterized by right bundle branch block, ST segment elevation in the precordial lead (V1-V3), and sudden death caused by ventricular fibrillation, which is not effectively prevented by anti-arrhythmic drug therapy. We are reporting a 30-year-old male patient with Brugada syndrome who got an exploratory laparotomy and a tenorrhaphy due to stab wound which was managed with general anesthesia and brachial plexus block without any complications.
Adult
;
Anesthesia, General
;
Brachial Plexus Block*
;
Brachial Plexus*
;
Brugada Syndrome*
;
Bundle-Branch Block
;
Death, Sudden
;
Drug Therapy
;
Humans
;
Laparotomy
;
Male
;
Ventricular Fibrillation
;
Wounds, Stab
7.A case of Brugada syndrome patient undertaken total intravenous anesthesia with remifentanil.
Su Yeon LEE ; Chunghyun PARK ; Min Young KIM ; Seomin PARK ; Yun Sic BANG
Korean Journal of Anesthesiology 2013;65(6 Suppl):S65-S66
No abstract available.
Anesthesia, Intravenous*
;
Brugada Syndrome*
;
Humans
8.Monitored anesthesia care with remifentanil for femoro-femoral bypass graft patients.
Minsung KIM ; Jong Yeon LEE ; Yun Sic BANG ; Inho SHIN ; Chunghyun PARK
Korean Journal of Anesthesiology 2011;61(2):169-170
No abstract available.
Anesthesia
;
Humans
;
Piperidines
;
Transplants
9.Anesthesia for flap surgery in a patient with polymyositis.
Sowoon AHN ; Ju Ho LEE ; Eun Ah YANG ; Chunghyun PARK ; Dong Wook SHIN
Korean Journal of Anesthesiology 2014;67(Suppl):S79-S80
No abstract available.
Anesthesia*
;
Humans
;
Polymyositis*
10.Intrathecal meperidine reduces intraoperative shivering during transurethral prostatectomy in elderly patients.
Duk Hee CHUN ; Hae Keum KIL ; Hyun Joo KIM ; Chunghyun PARK ; Kum Hee CHUNG
Korean Journal of Anesthesiology 2010;59(6):389-393
BACKGROUND: Shivering is a frequent event during the perioperative period. We performed a prospective, randomized, double-blind study to determine whether intrathecal meperidine (0.2 mg/kg) decreases the incidence and intensity of shivering after spinal anesthesia for transurethral operations. METHODS: Fifty patients scheduled for elective transurethral resection operations under spinal anesthesia were randomly allocated to two groups. Spinal anesthesia consisted of 0.5% hyperbaric bupivacaine 8 mg and, mperidine (0.2 mg/kg) (meperidine group) or, normal saline (saline group). Data collection, including sensory block level (by pinprick), blood pressure, heart rate, sublingual temperature, incidence and intensity of shivering, pruritus, nausea, and vomiting was performed at 10 minute intervals. RESULTS: The incidence and intensity of shivering was significantly less in the meperidine group than saline group (P = 0.012 and P = 0.008, for incidence and intensity, respectively). However, pruritus was more common in the meperidine group compared with the saline group (16% vs. 0%, P < 0.05). CONCLUSIONS: The addition of meperidine 0.2 mg/kg to intrathecal bupivacaine lowers the incidence and severity of shivering during transurethral prostatectomy in elderly patients.
Aged
;
Anesthesia
;
Anesthesia, Spinal
;
Blood Pressure
;
Bupivacaine
;
Data Collection
;
Double-Blind Method
;
Heart Rate
;
Humans
;
Incidence
;
Meperidine
;
Nausea
;
Perioperative Period
;
Prospective Studies
;
Pruritus
;
Shivering
;
Transurethral Resection of Prostate
;
Vomiting