1.Comparison of the Analgesic Consumption in Patient-Controlled Analgesia (PCA) with and without a Basal Infusion after Caesarean Section.
Woo Sun KIM ; Yo Taek SHIM ; Hyeon Gyu CHOE
Korean Journal of Anesthesiology 1997;33(3):517-522
Bakground : Patient-Controlled Analgesia (PCA) has become popularized for postoperative pain control. Theoretically, addition of a basal infusion would ameliorate the pain control as related to less need for additional demands. Regardless of theoretical background, usefulness of a basal infusion in PCA is controversial. Therefore, in this study we compared the analgesic consumption between PCA only and PCA plus basal infusion and assessed if the use of a basal infusion improves the analgesic efficacy in intravenous PCA. METHODS: 40 patients undergoing caesarian section, were assigned randomly to PCA only group (group 1) and PCA plus basal infusion group (group 2). Group 1 was programmed to deliver 1.5 ml of bolus infusion with 10 minutes of lockout interval and four times per hour of the maximum usage of patient control module. In group 2, 0.5 ml of basal infusion was added to the same PCA. The analgesic solution contained 60 mg of morphine, 180 mg of ketorolac and 5 mg of droperidol in total volume of 60 ml. PCA was started at the time of the peritoneal closure with 2 ml of loading dose in all patients. Postoperative assessments were pain score, sedation score, side effect, total analgesic consumption and the degree of patients, satisfaction. RESULTS: Total analgesic consumption was significantly greater in group 2 than in group 1. Pain score, sedation score, complication and the degree of the satisfaction were almost the same at all time interval in each group. CONCLUSION: We concluded that there was no significant benefit of basal infusion in intravenous PCA after caesarean section.
Analgesia
;
Analgesia, Patient-Controlled*
;
Cesarean Section*
;
Droperidol
;
Female
;
Humans
;
Ketorolac
;
Morphine
;
Pain, Postoperative
;
Passive Cutaneous Anaphylaxis
;
Pregnancy
2.The Value of the Tip - Apex Distance in Predicting Failure of Fixation of Intertrochanteric Fractures of the Hip.
Young Sun SONG ; Ryuh Sub KIM ; Taek Kuen LEE
The Journal of the Korean Orthopaedic Association 1997;32(5):1239-1245
Failure of fixation of intertrochanteric fractures that have been treated with a fixed-angle sliding hip-screw device is frequently related to the position of the lag screw in the femoral head. The purpose of this study is to introduce the concept of the tip-apex distance and to demonstrate its clinical usefulness as a predictor of cutout of the screw used for fixation of the intertrochanteric fractures of the hip. The tip-apex distance is the sum of the distance from the tip of the lag screw to the apex of femoral head on an anteroposterior radiograph and this distance on a lateral radiograph after controlling for magnification. To determine the value of tip-apex distance in the prediction of cutout of the lag screw, 67 intertrochanteric fractures that have been treated with a fixed-angle sliding hip screw device were studied. The minimum duration of follow-up was three months during which period all of the fractures either healed or had failure of the fixation. The average tip-apex distance was 21mm (range,22.8-65.8mm) for the successfully treated fractures compared with 35mm (range,8.4-65.8mm) for those in which the screw cutout. There was strong statistical relationship between an increasing tip-apex distance and the rate of cutout. An unstable fracture, a poor reduction were also associated with a significantly increased risk of failure due to cutout.
Femur
;
Follow-Up Studies
;
Head
;
Hip Fractures*
;
Hip*
3.Current status of general thoracic surgery in Korea.
Young Jin JEON ; Kyung SUN ; Kwang Taek KIM ; In Sung LEE ; Hark Jei KIM ; Hyoung Mook KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(5):504-510
No abstract available.
Korea*
;
Thoracic Surgery*
4.Clinical analysis of bioprosthetic heart valves.
Taek Jin KIM ; Kyung SUN ; Kwang Taik KIM ; In Sung LEE ; Hyoung Mook KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1991;24(11):1074-1080
No abstract available.
Heart Valves*
;
Heart*
5.The result of revision tympanomastoid surgery.
Sun O CHANG ; Jong Woo CHUNG ; Chong Sun KIM ; Kwan Taek NOH
Korean Journal of Otolaryngology - Head and Neck Surgery 1992;35(6):879-884
No abstract available.
6.One-half sternal turnover.
Seung Yeol LEE ; Man Jong BAEK ; Kyung SUN ; Kwang Taek KIM ; In Sung LEE ; Hyoung Mook KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(12):969-971
No abstract available.
7.A clinical study of total hip arthroplasty in acetabular bone deficiency.
Young Kee KOH ; Suk Ha LEE ; Jong Oh KIM ; Taek Sun KIM ; Jae Ik SIM
The Journal of the Korean Orthopaedic Association 1993;28(7):2317-2326
No abstract available.
Acetabulum*
;
Arthroplasty, Replacement, Hip*
8.A clinical study of revision total hip arthroplasty.
Yong Chan LIM ; Suk Ha LEE ; Jong Oh KIM ; Taek Sun KIM ; Jae Ik SHIM
The Journal of the Korean Orthopaedic Association 1993;28(5):1505-1514
No abstract available.
Arthroplasty, Replacement, Hip*
9.Hyperbaric Oxygen Therapy in Systemic Scleroderma.
Wook Boo CHUN ; Sun Taek KIM ; Ho Suk SEONG ; Tae An CHONG
Korean Journal of Dermatology 1974;12(1):33-36
In one case of advanced systemic scleroderma hyperbaric oxygen therapy was performed. The treatrnent were given in an one-man pressure chamber (made in Korea) at a pressure of 2. 5 atmospheres absolute pressure (AT.A). The pressure was increased in 5-7 minutes, kept constant for 1.5 hours and lowered in 5--7 minutes. After 16 weeks of the treatment, regression of the skin contraction was achieved, together with improved mobility of the joints and healing of ulceration.
Atmosphere
;
Hyperbaric Oxygenation*
;
Joints
;
Scleroderma, Systemic*
;
Skin
;
Ulcer
10.Clinical Evaluation of the Urinary Tract Infection and Long-term Indwelling Catheter.
Sang Taek LEE ; Min Sun LEE ; Han Jin KIM
Korean Journal of Urology 1980;21(3):257-263
One hundred fifty bacteriae isolated in significant numbers from 96 specimens of urine of the 45 in-patients with long-term indwelling catheter were evaluated from January, 1978 to July. 1979 and the following results were obtained; 1. In 20 patients (44.4%), positive urine culture was obtained within 10 days after indwelled catheter in the urinary tract and 97.9% of the patients revealed the positive urine culture within 20 days after that. 2. Of 150 bacterial strains isolated by cultures of the urine, 96% was gram-negative bacteria and 4% was gram-positive. Isolated organisms included klebsiella(27.4%), E.coli(23.3%). proteus(14.7%), pseudomonas(12.0%). coliform bacilli(10.0%). other gram-negative organism (8.6%), staphylococcus(2.7%) and streptococcus (l.3%) in order of frequency. 3. In 4 patients(8.9%), bacteremia was developed. Isolated organism from blood culture and those from urine culture were same. The mortality rate was 50%.
Bacteremia
;
Bacteria
;
Catheters
;
Catheters, Indwelling*
;
Gram-Negative Bacteria
;
Humans
;
Mortality
;
Streptococcus
;
Urinary Tract Infections*
;
Urinary Tract*