2.Plasma volume expanders and intraoperative fluid therapy.
Korean Journal of Anesthesiology 2009;56(5):483-491
Adequate restoration of intravascular volume remains an important therapeutic maneuver in managing the surgical patient. Definition of the ideal volume replacement strategy still remains one of the burning problems. Firstly, the choice between colloid and crystalloid solutions continues to generate controversy. Secondly, the highly controversial crystalloid/colloid dispute has been enlarged to a colloid/colloid debate because of the increasing number of colloids that are available. And lastly, whether high or low volume replacement strategies are favorable for the surgical patient is an another issue for the anesthesiologists. Volume replacement has been hitherto often based on art, dogma and personal beliefs. It was the aim of this overview to present the different solutions and to facilitate the strategies for above three main issues in the field of intraoperative fluid therapy.
Burns
;
Colloids
;
Dissent and Disputes
;
Fluid Therapy
;
Humans
;
Isotonic Solutions
;
Plasma
;
Plasma Substitutes
;
Plasma Volume
3.Laryngoscope-Assisted Fiberoptic Intubation in General Anesthesia : A report of 2 cases.
Korean Journal of Anesthesiology 2007;52(4):454-456
Fiberoptic intubation is an important method of tracheal intubation, especially in patients with difficult airway. As fiberoptic bronchoscopy relies on clear airspace ahead of the fiberscope tip, increasing airway obstruction may cause increasing difficulty. A clear airway that allows the passage of the fiberscope is usually present in awake patients, whereas in anesthetized patients the airspace in the oropharynx is reduced; the soft palate, base of tongue and epiglottis may be applied to the posterior pharyngeal wall due to the reduction in muscle tone. Hence, fiberoptic intubation may be difficult in anesthetized patients, and maneuvers to open the airway may be required. We report a simple and useful two-person intubation technique that uses the fiberoptic bronchoscope and conventional laryngoscope, which facilitated tracheal intubation in patients who had unanticipated difficult intubation.
Airway Obstruction
;
Anesthesia, General*
;
Bronchoscopes
;
Bronchoscopy
;
Epiglottis
;
Humans
;
Intubation*
;
Laryngoscopes
;
Oropharynx
;
Palate, Soft
;
Tongue
4.Propofol Abuse in Professionals.
Journal of Korean Medical Science 2012;27(12):1451-1452
No abstract available.
Health Personnel/*ethics
;
Humans
;
Hypnotics and Sedatives/*adverse effects
;
Propofol/*adverse effects
;
Substance Abuse, Intravenous/*etiology
5.Procedural sedation.
Journal of the Korean Medical Association 2013;56(4):262-263
No abstract available.
6.Preanesthetic management for patients to have surgical procedures.
Journal of the Korean Medical Association 2014;57(10):816-818
No abstract available.
Humans
7.Non-operative spinal interventions for cervical and lumbar spinal pain.
Journal of the Korean Medical Association 2014;57(4):297-299
No abstract available.
8.Healthcare providers have to be careful with drug abuse in Korea.
Journal of the Korean Medical Association 2013;56(9):752-754
No abstract available.
Delivery of Health Care
;
Health Personnel
;
Humans
;
Korea
;
Substance-Related Disorders
9.Changes in Thromboelastographic Findings after Bleeding-Induced Hemodilution in Patients Undergoing Radical Hysterectomy.
Jaemin LEE ; Chul Soo PARK ; Yong Suk KIM
Korean Journal of Anesthesiology 2005;49(1):11-17
BACKGROUND: Recent studies have produced conflicting results on the influence of hemodilution on the coagulation system. Furthermore, only a few clinical studies have been conducted regarding actual blood loss and associated hemodilution. The purpose of this study was to investigate changes in thromboelastograph (TEG) findings after moderate bleeding-induced hemodilution in patients undergoing radical hysterectomy. METHODS: 23 patients scheduled for radical hysterectomy were included. No patient had a preoperative coagulation abnormality or was receiving anticoagulant or antiplatelet medication. TEG findings 15 min after induction of anesthesia and after an estimated blood loss equaling 15% of the estimated blood volume were compared. Only crystalloid solution was administered until the second blood sampling for TEG analysis in order to produce a hemodilution state. RESULTS: After hemodilution R time, K time and coagulation time (r + k) showed significant reductions, and alpha angle and TEG index showed significant increases (P < 0.01), and increased coagulability. MA increased after hemodilution, but this was not statistically significant. A60 and CL60 also increased, showing decreased fibrinolysis (P < 0.05). CONCLUSIONS: Moderate bleeding-induced hemodilution increased coagulability according to TEG compared to pre-hemodilution findings. We recommend that the decision to replace coagulation factors and/or platelets should not be based on empirically derived, arbitrary standards.
Anesthesia
;
Blood Coagulation Factors
;
Blood Volume
;
Fibrinolysis
;
Hemodilution*
;
Humans
;
Hysterectomy*
10.Would routine avoidance of veno-veno bypass be possible during liver transplantation?.
Korean Journal of Anesthesiology 2011;60(1):1-2
No abstract available.
Liver