• Title/Summary/Keyword: 전신마취

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Effect of Epidural Block under General Anesthesia on Pulse Transit Time (전신마취시 경막외 차단술 병용이 맥파전달시간에 미치는 영향)

  • Choi, Byeong-Cheol;Kim, Seong-Min;Jung, Dong-Keun;Kim, Gi-Ryon;Lee, He-Jeong;Jeon, Gey-Rock
    • Journal of the Korean Society for Nondestructive Testing
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    • v.25 no.4
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    • pp.262-267
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    • 2005
  • Epidural block under general anesthesia has been widely used to control postoperative pain. In this anesthetic state many hemodynamic parameters are changed. Moreover pulse transit time is influenced by this memodynamic change. m change in the finger and the toe due to relaxation of arterial wall muscle after general anesthesia and epidural block under general anesthesia. This study, in the both general anesthesia and epidural block under general anesthesia, ${\Delta}PTT$ of the toe and of the finger are measured. In addition, ${\Delta}PTT$(toe-finger) of the epidural block under general anesthesia and of the general anesthesia were compared.

A SURVEY OF GENERAL ANESTHESIA, SEVOFLURANE SEDATION AND INTRAVENOUS SEDATION IN CHUNGNAM DENTAL CLINIC FOR THE DISABLED (충남장애인구강진료센터에서 시행된 전신마취 및 진정법에 관한 실태조사)

  • Kim, Seung-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.1
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    • pp.28-39
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    • 2013
  • General anesthesia or sedation is an essential for a successful dental treatment for the disabled. The aim of this study is to assess the patients who had dental management under general anesthesia or sedation at Chungnam dental clinic for the disabled, who received dental treatment under general anesthesia, sevoflurane sedation and intravenous sedation from January, 2011 to September 2012. Of the 426 patients studied, 389 patients received dental care under general anesthesia, 20 patients received dental care under sevoflurane sedation and 17 patients received dental care under intravenous sedation. The Rate of general anesthesia was higher than that of sevoflurane sedation, intravenous sedation. Sevoflurane sedation is a useful method for short time treatment such as traumatic pediatric patients. Intravenous sedation is an option for patients who had anxiety and fear such as dentally disabled patients. Sevoflurane or intravenous sedation not only gradually reduces the use of general anesthesia but also useful methods themselves for the dentally disabled.

Trends of Dental Treatment under General Anesthesia and Patterns of Repeated General Anesthesia in Children and Adolescents with Severe Disabilities (소아청소년의 전신마취 하 치과 치료의 추세변화 및 치과 영역 중증 장애 유무에 따른 전신마취 재시행 양상에 대한 연구)

  • Ahreum Lee;Hyuntae Kim;Ji-Soo Song;Teo Jeon Shin;Hong-Keun Hyun;Jung-Wook Kim;Ki-Taeg Jang;Young-Jae Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.1
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    • pp.75-88
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    • 2023
  • The aim of this retrospective study was to evaluate the demographic characteristics of pediatric dental patients who underwent dental treatment under general anesthesia (DTGA) at the Seoul National University Dental Hospital from January 2011 through December 2020 and compare the patterns of repeated DTGA between dental patients with severe disabilities (DSD) and non-DSD (healthy or medically compromised patients without DSD). There were 1,857 DTGAs among 1,719 patients (mean age = 5.1 years; males = 59.3%; ASA 2 or above = 52.9%; DSD = 26.8%). Overall, 6.6% of patients underwent repeated DTGA, and the rate of repeated DTGA over a 10-year period was 7.4%. ASA 2 or above (p < 0.0001) and DSD (p < 0.0001) were more likely to undergo repeated DRGA compared to ASA 1 and non-DSD. At both GA1 and GA2, DSD received significantly more restorative treatment on permanent teeth than non-DSD (p = 0.002, p < 0.0001, respectively). There has been an increasing demand for DTGA in pediatric dentistry over the last 10 years. Regular check-ups and preventive oral health care are necessary for pediatric dental patients with severe disabilities to reduce the possibility of repeated DTGA.

A SURVEY OF GENERAL ANESTHESIA IN PEDIATRIC CLINIC AT SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (서울대학교병원 소아치과에서 시행한 전신마취에 대한 연구)

  • Kim, Kwang-Hyon;Kim, Chong-Chul;Hahn, Se-Hyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.1
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    • pp.154-158
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    • 2001
  • We tried to find out the information which can be drawn from the survey of general anesthesia in pediatric clinic at Seoul National University dental hospital from 1997 to 1999. The subjects were 37 patients Collected data were primary reasons for general anesthesia, preoperative physical status, age distribution, peformed dental treatment, complications, follow-up, and etc. Following were the results: (1) Most(97%) of patients treated under general anesthesia were handicapped and preoperative physical status was ASA Class I or Class II. (2) Majority(41%) of patients were between 11 and 15. (3) Average of 8.1teeth were restored and 3.3teeth were extracted. (4) In 32% of patients, there were mild complications. (5) 12(32%) of the patients responded to the six-month recall check.

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A CASE OF TRANSIENT RECURRENT LARYNGEAL NERVE PARALYSIS FOLLOWING ENDOTRACHEAL INTUBATION (기관내 삽관마취로 인한 일측반회 신경마비 1치험례)

  • 이강대;왕수건
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.16.2-16
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    • 1987
  • 최근 전신마취의 발달로 외과영역에서는 괄목할만한 수술적 진전을 보여 왔으나, 이에 못지 않게 전신마취에 의한 여러 가지 합병증의 보고가 늘고 있다. 특히 이비인후과영역에서는 술후 뚜렷한 원인없이 사성 및 호흡곤란 등을 호소하는 환자들을 종종 접하게 되며, 추정할 수 있는 유인으로는 대개 후두 및 기관점막의 염증, 후두결절, 후두육아종 등이 대부분이나 때로 매우 희귀하지만 원인 불명의 성대마비로 인한 경우도 있다. 저자는 최근 술전에 전혀 후두증상이 없었던 환자로서 기관내 삽관마취하 이하선 혼합종수술후에 속발한 일측성 반회신경마비례를 경험하였기에 문헌적 고찰과 함께 보고하고자 한다.

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A STUDY OF DENTAL TREATMENT AND THE RESPONSE OF THE PARENTS OF THE DENTALLY HANDICAPPED PATIENTS TREATED UNDER OUT-PATIENT GENERAL ANESTHESIA (외래 전신마취하 치과 장애인의 치과치료 및 보호자의 반응에 관한 조사 연구)

  • Park, Dong-Suk;Choi, Byung-Jai;Kang, Jeong-Wan;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.30 no.1
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    • pp.92-101
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    • 2003
  • Under this thesis, 235 patients with dental problems treated under general anesthesia at the Pediatric Dentistry Clinic of Yonsei Dental College were surveyed and their age distribution, reasons for taking general anesthesia, duration of anesthesia, duration of dental procedure, dental treatment peformed and complications were analyzed. A questionnaire survey was also conducted to analyze degrees of anxiety and satisfaction among their parents according to the parents' age, educational background and experience of general anesthesia, as well as the patients' age and past dental history. Following are the results. 1. When the patients were treated under general anesthesia, the degree of anxiety of their mothers was higher than that of their fathers. It appeared that the higher the parents' educational background was, the less their anxiety. 2. The higher the parents' educational level was, the higher the degree of satisfaction after treatment under general anesthesia. 95 cases (87.2%) responded that they would accept such treatment again, if needed. From the result, dental treatment under general anesthesia causes anxiety for parent but the parent's satisfaction level was high. And that was the way gives good quality of dental service to unmanagable patients.

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