1.Shearing of an intrathecal catheter during insertion for cerebrospinal fluid drainage.
Jae Jun LEE ; Gi Ho GIM ; Ji Su JANG ; Sung Mi HWANG
Korean Journal of Anesthesiology 2013;65(6 Suppl):S47-S48
No abstract available.
Catheters*
;
Cerebrospinal Fluid*
;
Drainage*
2.Patient Preference and Satisfaction with Their Involvement in the Selection of an Anesthetic Method for Surgery.
Sung Mi HWANG ; Jae Jun LEE ; Ji Su JANG ; Gi Ho GIM ; Min Chul KIM ; So Young LIM
Journal of Korean Medical Science 2014;29(2):287-291
This prospective study aimed to evaluate the satisfaction of patients who participated in the decision-making process for selecting an anesthesia method for surgery; the patients' preferred role (active, collaborative or passive) in the decision-making; and the patients' preferred choice of anesthetic method. The study included 257 patients scheduled for simple elective surgeries involving the upper or lower extremities. During the preanesthetic visit, patients were informed regarding two methods of anesthesia for their surgeries, and participated in selecting one option. Of the 257 patients, 69.6% preferred a collaborative role, 18.3% and 12.1% preferred an active and a passive role, respectively. Among patients requiring surgery on an upper extremity and on a lower extremity, 64.3% and 51.3% expressed a preference for general anesthesia over regional anesthesia, respectively. After surgery, the majority of our patients were satisfied (93.4%) and felt respected (97.7%). Furthermore, the patients expressed a change in preference for assuming an active role (49.4%) and a collaborative role (43.6%) in the decision-making process for their future anesthesia needs. This study may help to promote patient centered care in a department of anesthesiology.
Adult
;
Aged
;
*Anesthesia, General
;
Decision Making
;
Extremities/surgery
;
Female
;
Hospitals
;
Humans
;
Male
;
Middle Aged
;
Patient Care
;
*Patient Preference
;
*Patient Satisfaction
;
Physician-Patient Relations
;
Prospective Studies
3.Extracorporeal Membrane Oxygenation for Acute Life-Threatening Neurogenic Pulmonary Edema following Rupture of an Intracranial Aneurysm.
Gyo Jun HWANG ; Seung Hun SHEEN ; Hyoung Soo KIM ; Hee Sung LEE ; Tae Hun LEE ; Gi Ho GIM ; Sung Mi HWANG ; Jae Jun LEE
Journal of Korean Medical Science 2013;28(6):962-964
Neurogenic pulmonary edema (NPE) leading to cardiopulmonary dysfunction is a potentially life-threatening complication in patients with central nervous system lesions. This case report describes a 28-yr woman with life-threatening fulminant NPE, which was refractory to conventional respiratory treatment, following the rupture of an aneurysm. She was treated successfully with extracorporeal membrane oxygenation (ECMO), although ECMO therapy is generally contraindicated in neurological injuries such as brain trauma and diseases that are likely to require surgical intervention. The success of this treatment suggests that ECMO therapy should not be withheld from patients with life-threatening fulminant NPE after subarachnoid hemorrhage.
Adult
;
Brain/radiography
;
Decompressive Craniectomy
;
Extracorporeal Membrane Oxygenation
;
Female
;
Humans
;
Intracranial Aneurysm/complications/*diagnosis
;
Pulmonary Edema/*diagnosis/etiology/therapy
;
Subarachnoid Hemorrhage/etiology
;
Tomography, X-Ray Computed