1.Wakefulness during Cesarean Section after General Anesthetic Induction until Delivery Tested by Isolated Forearm Technique.
Gwan Woo LEE ; Seung Ok HWANG ; Sang Chul LEE
Korean Journal of Anesthesiology 1997;33(6):1084-1090
BACKGROUND: As undergoing general anesthesia for Cesarean Section, we usually maintain a light anesthesia until delivery. It provokes the high incidence of waketulness for the mothers. We surveyed the incidence of maternal wakefulness when thiopental was used as an induction agent. METHODS: Forty pregnant women (ASA class I or II) at term who underwent general anesthesia and cesarean section received thiopental, 4mg/kg. As the 'isolated forearm technique', a pressure cuff was inflated to isolate one arm from the the effects of succinylcholine so that wakefulness during anesthesia could be assessed by asking the patient to move her hand. To assess wakefulness,the patient was commanded to squeeze the investigator's hand a specified number of times. If the patient promptly squeezed the investigator's hand the appropriate number of times, the command was repeated but a different number of times specified. Only if the patient responded correctly both times, then we noted as a positive response. This test was repeated at 1 minute intervals beginning 1 minute after thiopental injection through the delivery. RESULTS: Five of the forty patients (12.5%) showed wakefulness. Twenty nine of the forty patients showed 'reaching movements'. One patient showed both wakefulness and 'reaching movements'. CONCLUSIONS: When we undergo general anesthesia for Cesarean Section, especially using thiopental as an induction agent, we should consider the maternal wakefulness seriously.
Anesthesia
;
Anesthesia, General
;
Anesthesia, Obstetrical
;
Arm
;
Cesarean Section*
;
Female
;
Forearm*
;
Hand
;
Humans
;
Incidence
;
Mothers
;
Pregnancy
;
Pregnant Women
;
Succinylcholine
;
Thiopental
;
Wakefulness*
2.Clinical observation in 72 Cases with Neonatal Sepsis.
Jae Seung YANG ; Ran NAMGUNG ; Chul LEE ; Dong Gwan HAN
Journal of the Korean Pediatric Society 1986;29(12):25-34
No abstract available.
Sepsis*
3.Spontaneous Lumbar Epidural Hematoma Mimicking Lumbar Disc Herniation.
Dong Hyun KYUNG ; Byung Gwan MOON ; Joo Seung KIM ; Hee In KANG ; Seung Jin LEE
Journal of Korean Neurosurgical Society 2000;29(5):623-627
No abstract available.
Hematoma*
4.Immunocytochemical and ultrastructural study of localization of the putrescine in rat medulla oblongata.
Jong Eun LEE ; Kyung Ah PARK ; Seung Gwan LEE ; Young Dong CHO
Korean Journal of Anatomy 1991;24(4):409-421
No abstract available.
Animals
;
Medulla Oblongata*
;
Putrescine*
;
Rats*
5.Ultrasonographic Diagnosis of Congenital Hypertrophic Pyloric Stenosis.
Shin Heh KANG ; Chul LEE ; Ran NAMGUNG ; Dong Gwan HAN ; Ki Keun OH ; Seung Hun CHOI
Journal of the Korean Pediatric Society 1989;32(6):756-764
No abstract available.
Diagnosis*
;
Pyloric Stenosis, Hypertrophic*
6.Unilateral Vocal Cord Palsy after Endotracheal Intubation: A case report.
Seung Ok HWANG ; Gwan Woo LEE ; Bong Jin KANG ; Seok Kon KIM ; Nam Hoon PARK
Korean Journal of Anesthesiology 1997;33(6):1212-1216
Voice changes developing after endotracheal intubation during right hemicolectomy with endotracheal intubation have been found to be due to a right recurrent laryngeal nerve palsy in 43-years-old male patient. It was likely that the inflated cuffed tube rode up to the level of the cricoid cartilage during the course of surgery as traction was placed on the endotracheal tube because the condenser humidifier and breathing circuit weighed heavy. Cuff overexpansion, in addition to muscle relaxation and decreased tracheal elasticity were considered as contributing factors of vocal cord palsy. We believe that tube traction and cuff overexpansion were the mechanism of vocal cord palsy in our patient. So we recommend the routine use of tube stand so that weigh of the breathing circuit does not transmit traction to the endotracheal tube. Concurrently, filling the cuff with a sample of the inspired mixture of gases, saline and 4% lidocaine in special cases or regular deflation of the cuff must be considered.
Cricoid Cartilage
;
Elasticity
;
Gases
;
Humans
;
Intubation, Intratracheal*
;
Lidocaine
;
Male
;
Muscle Relaxation
;
Respiration
;
Traction
;
Vocal Cord Paralysis*
;
Vocal Cords*
;
Voice
7.A Clinical Study of Wet Lung Disease.
Soon Wook LIM ; Jae Seung YANG ; Chul LEE ; Dong Gwan HAN ; Chin Suck SUH
Journal of the Korean Pediatric Society 1985;28(9):852-860
No abstract available.
Pulmonary Edema*
8.A case of congenital posterior choanal atresia.
Dae Shik KIM ; Ran NAMGUNG ; Chul LEE ; Dong Gwan HAN ; Seung Kyu CHUNG
Journal of the Korean Pediatric Society 1989;32(11):1546-1552
No abstract available.
Choanal Atresia*
9.Study on the blood estradiol level and follicle development in induced superovulation of insufficient menstrual cycles.
Seung Gwan CHOI ; Jae Myeoung KIM ; Chung Soon BAIK ; Gi Soon LEE ; Byung Hee SUH ; Jae Hyun LEE
Korean Journal of Obstetrics and Gynecology 1992;35(2):256-271
No abstract available.
Estradiol*
;
Female
;
Menstrual Cycle*
;
Superovulation*
10.Validity of Paramedian Tangential Approach to L5-S1 Far-Lateral Lesions.
Seung Jin BAEK ; Joo Seung KIM ; Byung Gwan MOON ; Seung Jin LEE ; Hee In KANG
Journal of Korean Neurosurgical Society 2006;39(5):366-369
OBJECTIVE: There are various surgical approaches to far-lateral lesions in the L5-S1 intervertebral space. Of these is the validity of a paramedian tangential approach is being investigated in this study. METHODS: A retrospective study was conducted on 25 patients who had been diagnosed as having a far-lateral L5-S1 disc herniations, osteophyte, costal process hypertrophy, and had undergone a paramedian tangential approach from November 1999 through December 2003. The degree of symptoms and improvement were compared via the visual analog pain scale, before and after surgery. RESULTS: This study included 4 males and 21 females with a mean age of 62+/-11.8 years old. The average follow-up period after surgery was 8.2+/-2.7 months. The visual analog pain scale taken before surgery was 6.7+/-1.1 points, while the post-surgical scale was 2.4+/-0.9 points showing a significant decrease (p<0.05). There were no complications that developed during surgery. CONCLUSION: A paramedian tangential approach is less invasive in the soft tissue than that of the median approach. This approach may effectively reduce nerve root compression and expand intervertebral foramens, and is devoid of the risk of spinal instability after surgery. The authors suppose that a paramedian tangential approach is quite an effective technique to relieve compression in the far-lateral L5-S1 intervertebral space.
Female
;
Follow-Up Studies
;
Humans
;
Hypertrophy
;
Male
;
Osteophyte
;
Pain Measurement
;
Radiculopathy
;
Retrospective Studies