1.Spinal Myoclonus Developed during Cervical Epidural Drug Infusion in Postherpetic Neuralgia Patient.
Younghoon JEON ; Sung Uk BAEK ; Jin Seok YEO
The Korean Journal of Pain 2011;24(3):169-171
Postherpetic neuralgia is the most frequent complication of herpes zoster. Treatment of this neuropathic pain syndrome is difficult and often disappointing. Although postherpetic neuralgia is generally a self-limited condition, it can last indefinitely. Continuous epidural blockade for patients with acute zoster can shorten the duration of treatment. However, continuous epidural block has some complications such as infection, dural puncture, and total spinal and nerve damages. We report a case of myoclonus during continuous epidural block with ropivacaine, morphine, and ketamine in an acute zoster patient.
Amides
;
Analgesia
;
Herpes Zoster
;
Humans
;
Ketamine
;
Morphine
;
Myoclonus
;
Neuralgia
;
Neuralgia, Postherpetic
;
Punctures
2.Clinical review of surgical geratric patients over 65 years of age.
Jong Baek KIM ; Sung KIM ; Won Jin CHOI
Journal of the Korean Surgical Society 1992;42(4):537-546
No abstract available.
Humans
3.Intraoperative Coagulation Management by TEG in a Patient with Aplastic Anemia: A case report.
Jin Eui BAEK ; Sang Bum KIM ; Ho Sung KWAK
Korean Journal of Anesthesiology 1997;33(4):757-761
This case was an acquired aplastic anemia patient who required a major operation for excision of a mediastinal mass. The authors previewed that the coagulation abnormalities would be developed due to major operation. Thus we decided to monitoring the coagulation function using the thromboelastography during the perioperative period and checked the complete blood count, concommitantly. The total blood volume lost during operation was 1800 ml, so we gave him a transfusion of 10 U's of platelet concentrate, 10 U's of pheretic platelet rich plasma and 5 U's of whole blood. The thromboelastography was a good guide that helped us to avoid excessive treatment of the coagulation abnormalities. We concluded that the thromboelastograhy was a reliable and effective monitoring system at the intraoperative coagulation management.
Anemia, Aplastic*
;
Anesthesia, General
;
Blood Cell Count
;
Blood Platelets
;
Blood Volume
;
Humans
;
Perioperative Period
;
Platelet-Rich Plasma
;
Thrombelastography
4.Clinical experience on split thickness skin graft from the scalp.
Jin Hwan KIM ; Rong Min BAEK ; Kab Sung OH ; Jun CHOE ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1992;19(6):959-968
No abstract available.
Scalp*
;
Skin*
;
Transplants*
5.Refined correction method of unilateral cleft lip nasal deformity.
Yeon Chul JUNG ; jin Hwan KIM ; Rong Min BAEK ; Kab Sung OH ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):1006-1013
No abstract available.
Cleft Lip*
;
Congenital Abnormalities*
6.Forehead augmentation with hydroxyapatite.
Yeon Chul JUNG ; Jae Hyun PARK ; Jin Hwan KIM ; Rong Min BAEK ; Kap Sung OH ; Se Min BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1993;20(5):1039-1048
No abstract available.
Durapatite*
;
Forehead*
7.Enchondroma of the Calcaneus: A Case Report.
Hak Jin MIN ; Ui Seoung YOON ; Jae Sung SEO ; Jin Soo KIM ; Seung Yub BAEK
The Journal of the Korean Bone and Joint Tumor Society 2010;16(2):87-90
Enchondroma is a benign tumor mainly developed in the hand and uncommon in the foot. Even if it is in the foot, most are in the phalanges and distal metatarsals of the foot. Enchondroma in the calcaneus is very rare. A 44-year-old male suffered from left heel pain for several months, authors treated it with curettage and bone graft, it was histologically confirmed as an enchondroma in the calcaneus. The authors presented a rare case presentation of an enchondroma in the calcaneus with pain.
Adult
;
Calcaneus
;
Chondroma
;
Curettage
;
Foot
;
Hand
;
Heel
;
Humans
;
Male
;
Metatarsal Bones
;
Transplants
8.Levels od serum soluble interleukin-2 receptor in patients with burn.
Yu Jin LEE ; Jong Ryung LEE ; Jae Sung HA ; Koun Soo CHUN ; Hee Sung LEE ; Kwang Jin BAEK
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(2):222-230
No abstract available.
Burns*
;
Humans
;
Interleukin-2*
9.Tragus formation by chondrocutaneous flap in reconstruction of microtia.
Jang Deog KWON ; Jin O KIM ; Rong Min BAEK ; Kap Sung OH
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(6):1033-1038
Tanzer reported microtia reconstruction using autogenous costal cartilage, thereafter so many plastic surgeons have tried various modification to get further refinement of reconstructed auricle. But the multiple stages of ear reconstruction required prolonged hospitalization and cost. In order to decrease the number of surgical stages and for the maximal convolution, we have employed a surgical procedure with three layered costal cartilage graft for the high profile auricle, concha formation and lobule transposition at the same time. However, it has still been difficult to reconstruct the tragus in cases of microtia that lack such component. We reconstructed the tragus using part of the microtic ear in addition to our above procedure simultaneously. This procedure is started with transposition of the lower two-thirds of the microtic ear to make lobule and then the upper third of the microtic ear is elevated as a chondrocutanenous flap which is then transposed 120-180degree C downwards to reposition at the area anterior to the conchal cavity. Using this technique, we have reconstructed 28 microtic ears. Adequate positioning of the auricle and tragus have been achieved and a more natural auricle obtained.
Cartilage
;
Ear
;
Hospitalization
;
Transplants
10.Effect of Ischemic Preconditioning on the Functional Recovery of Myocardium: Isolated heart experimental study.
Young Jin CHEON ; Jun Sig KIM ; Seung Baik HAN ; Kwang Je BAEK ; In Sung LEE
Journal of the Korean Society of Emergency Medicine 1999;10(2):208-219
BACKGROUND: Brief episode of coronary artery occlusion (i.e., ischemic preconditioning) makes the heart more resistant to injury from a subsequent ischemic insult. Although a great deal of effort has been made in studying ischemic preconditioning, the underlying mechanism of ischemic preconditioning and its effect on hypothermic insult has not been elucidated. This study was performed to see whether ischemic preconditioning protects against the depression of cardiac contractility induced by hypothermic cardioplegic arrest/reperfusion. And recently, adenosine was known to have some correlation with the mechanism of preconditioning. If so, does this effect remain after the blockade of adenosine receptor by 8-phenyl theophylline? METHOD: Twenty-four Sprague-Dawley rat weighed 250-350g were used and divided into three groups. Rat hearts were removed rapidly, and each isolated heart paced with a rate of 180/min was perused by modified Krebs-Hensleit buffer(KHB) solution on a Langendorff apparatus far an hour. After obtaining baseline data including left ventricular pressure(LVP), dp/dt, and coronary flow, cardiac arrest was induced by perfusion of 0degrees C crystalloid cardioplegic(St Thomas) solution. After that, all hearts were stored in the same St Thomas solution at salute temperature far 2 hours. In group I (control group), the hear was reperfused by KHB solution. In group II(preconditioning group), the heart was subjected to two 2-minute episode of global ischemia followed by 5 minute reperfusion with KHB solution(preconditioning) before cardiac arrest. In group III(phenyl theophylline group), the heart was subjected to preconditioning procedure and 8-phenyl theophylline at 10muM in concentration was added to KHB solution at time of reperfusion. Observing parameter was obtained in each group at 10, 20, 40 and 60 minutes after starting reperfusion and compared statistically by use of one way ANOVA test(STASTICA, release 4.5). P-value less than 0.05 was considered significant. RESULTS: Although depressed LVP, dp/dt, and Coronary flow were seen in all groups during the reperfusion period, the preconditioned group showed more effective recovery of LVP than that of the control group, especially at 10, 20 and 40 minutes(p<.05). We failed to demonstrate the difference between the phenyl theophylline group and the control group(p=NS). CONCLUSION: These results suggest that ischemic preconditioning has protective effect on recovery state of hypothermic cardioplegic arrest/reperfusion. Its protective effect was limited during early reperfusion stage and was blocked by adenosine blocker.
Adenosine
;
Animals
;
Coronary Vessels
;
Depression
;
Heart Arrest
;
Heart*
;
Ischemia
;
Ischemic Preconditioning*
;
Myocardium*
;
Perfusion
;
Rats
;
Rats, Sprague-Dawley
;
Receptors, Purinergic P1
;
Reperfusion
;
Theophylline