• Title/Summary/Keyword: Anesthesis

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Trifid mandibular canal in Cone-Beam CT : A case report (CBCT에서 관찰되는 trifid mandibular canal)

  • Han, Won-Jeong
    • The Journal of the Korean dental association
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    • v.56 no.2
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    • pp.113-119
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    • 2018
  • Trifid mandibular canal (TMC) is one of the anatomical variation of mandibular canal with clinical importance. An extra mandibular canal may explain inadequate anesthesis and be damaged causing paresthesia or bleeding during mandibular surgery. CBCT with high-level spatial resolution is an useful tool for the detection of mandibular canal and its variation. The aim of this report is to present a case of trifid mandibular canal with CBCT images and to give information on this anatomical variation of mandibular canal.

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A Study on Blood Coagulation and Bleeding Time under Electroacupuncture Anesthesia and Medicament Anesthesia in the Dog (개의 전침마취(電針麻醉)와 약물마취하(藥物麻醉下)에서 혈액응고(血液凝固) 및 출혈시간(出血時間)에 관한 비교실험(比較實驗))

  • Park, Hyung-seon;Suh, Doo-seok
    • Korean Journal of Veterinary Research
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    • v.28 no.1
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    • pp.193-198
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    • 1988
  • Blood coagulation time, bleeding time, clot retraction ability, thrombocytes counts and hematological values under electroacpuncture anesthesis and medicament anesthesia, using 10 mongrel dogs were compared. The results were summarized as follows: 1. Blood coagulation time under electroacupuncture anesthesia was shorter than that under medicament anesthesia (p<0.001). 2. Bleeding time under electroacupuncture anesthesia was shorter than that under medicament anesthesia (p<0.01). 3. Clot retraction ability under electroacupuncture anesthesia was better than that under medicament anesthesia (p<0.01). 4. Thrombocytes counts under electroacupuncture anesthesia was more increased than that under medicament anesthesia (p<0.05). 5. Erythrocytes counts, hematocrit values, hemnglobin contents and leukocytes counts were decreased (p<0.01) under medicament anesthesia in comparison with control group, but there was no significant difference under electroacupuncture anesthesia.

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Transmission of Meaning Using Synaestesia of Color (색채의 공감각 현상에 의한 의미 전달)

  • Shin, Seong-Yoon;Pyo, Sung-Bae;Shin, Kwang-Seong;Lee, Hyun-Chang;Rhee, Yang-Won
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2011.01a
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    • pp.277-278
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    • 2011
  • 공감각(共感覺, synesthesia)은 그리스어에서 유래된 syn + anesthesis 로서 union + no sensation 즉, 결합된 감각이라고 할 수 있다. 즉, 하나의 감각이 다른 영역의 감각을 불러일으키는, 또는 그렇게 일으켜진 감각이라고 정의 한다. 즉 색채의 공감각은 색채와 다름 감각간의 교류 현상이고, 영국의 유전학자인 프란시스 칼톤은 색채의 공감각은 유전이나 선천성에 의해 생겨난다고 하였다. 본 논문에서는 오감에 관련된 색채 공감각의 중요성을 인식하고자 하였고, 또한 오감에 따른 따른 색채를 제시하였다.

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THE CHANGE OF VITAL SIGNS IN STEPS WHEN IT IS EXTRACTED A THIRD MOLOR OF MANDIBLE (제3대구치 발치시 단계별 생체징후(vital sign)의 변화에 대한 연구)

  • Oh, Hae-Soo;Kang, Hee-In;Choi, Bin;Park, Jun-Woo;Sin, Sung-Soo;Choi, Je-Won;Lee, Sun-Keun;Kim, Mi-Ja
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.2
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    • pp.142-150
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    • 2006
  • PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

Results after Operative Treatment for Maisonneuve Fracture (Maisonneuve 골절에서 수술적 치료의 결과)

  • Lee, Jun-Young;Ha, Sang-Ho;Sohn, Hong-Moon;Lee, Kwang-Chul
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.72-78
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    • 2007
  • Purpose: This study is to analysis the outcome of patient with surgically treated Maisonneuve fracture and find out the factors that might influence the outcome. Material and methods: 20 patients who had surgical treatment due to Maisonneuve fracture between February, 2001 to March, 2005 were studied. The patients were followed for at least 1 year and average follow up period was 25 months. The average age was 41 years, 16 were male and 4 were female. Mechanism of injury according to Rouge-Hansen classification was supination-external rotation. In all cases, percutaneous screw fixation was applied proximal to tibiofibular syndesmosis. The screws were removed after 8 weeks under local anesthesis. Clinical, functional and radiographic results were evaluated. Results: 17 cases (85%) showed satisfying clinical and radiographic results. The mean functional score according to Ankle Scoring System was 91 (83 to 95). Complication occurred in 1 case with underlying systemic disease and 2 cases with initial ankle joint dislocation. Conclusion: Surgical treatment of Maisonneuve fracture showed relatively satisfying result. However, initial injury state and accompanying disease seem to have great effect on the result.

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Changing Temperature Affects Anesthetic Effects and Physiological Stress Responses in Marine Medaka, Oryzias dancena (해산송사리, Oryzias dancena의 수온 변화에 의한 마취 효과와 생리적 스트레스 반응)

  • Park, In-Seok;Kim, Young-Ju;Goo, In-Bon;Kong, Hee-Jung;Kim, Bong-Seok
    • Journal of Fisheries and Marine Sciences Education
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    • v.26 no.2
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    • pp.270-283
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    • 2014
  • 본 연구는 온도 변화에 따른 해산송사리, Oryzias dancena의 마취 효과 및 생리적 스트레스 반응을 평가하고, 고온 및 저온에서 최적의 마취 수온을 구명하였다. 해산송사리에서 고온 실험($36{\sim}42^{\circ}C$)과 저온 실험($4{\sim}10^{\circ}C$)을 통해 마취 효과를 조사하였으며, 각 마취수온에서 전어체의 cortisol과 glucose를 측정하였다. 각 수온 마취 실험 후, 전개체는 모두 생존하였으며, 해산송사리의 마취시간은 고온 실험에서 고온 일수록, 저온 실험에서는 저온 일수록 유의적으로 빨랐다(P<0.05). 회복 시간은 유의하게 고온 실험에서 수온이 감소할수록, 저온 실험에서는 수온이 증가할수록 유의적으로 느렸다(P<0.05). 아가미 운동수는, 고온 실험에서 수온이 증가함에 따라 빨랐으며, 저온 실험에서는 수온이 감소할때 빨랐다(P<0.05). 수온이 $38^{\circ}C$$8^{\circ}C$ 일때의 마취 조건에서 실험직후 전어체 cortisol이 최대치로, 실험후 6시간까지 점진적으로 감소한 반면, 전어체 glucose는 실험후 1시간에 최고치를 보이고 실험후 2시간까지는 감소하였다. 기존의 마취제를 쓰지 않은 본 연구로 인해, 해산송사리의 여타 연구에서 샘플 및 사용자가 보다 더 안전하고 용이한 샘플 취급이 가능할 것으로 사료된다.

EEG Signal Characteristic Analysis for Monitoring of Anesthesia Depth Using Bicoherence Analysis Method (바이코히어런스 분석 기법을 이용한 마취 단계별 뇌파의 특성 분석)

  • Park Jun-Mo;Park Jong-Duk;Jeon Gye-Rok;Huh Young
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.55 no.1
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    • pp.35-41
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    • 2006
  • Although reachers have studied for a long time, they don't make criteria for anesthesia depth. anesthetists can't make a prediction about patient's reaction. Therefor, patients have potential risk such as poisonous side effect late-awake, early-awake and strain reaction. EEG are received from twenty-five patients who agreed to investigate themselves during operation with Enflurane-anesthesis in progress of anesthesia. EEG are divided pre-anesthesia, before incision of skin, operation 1, operation 2, awaking, post-anesthesia by anesthesia progress step. EEG is applied pre-processing, base line correct, linear detrend to get more reliable data. EEG data are handled by electronic processing and the EEG data are calculated by bicoherence. During pre-anesthesia and post anesthesia, appearance rate of bicoherence value is observed strong appearance rate in high frequency range($15\~30Hz$). During the anesthesia of patient, a strong appearance rate is revealed the low frequency area(0~10Hz). After bicoherence is calculated by percentage of a appearance rate, that is, Bicpara$\#$1, Bicpara$\#$2, Bicpara$\#$3 and Bicpara$\#$4 parameter are extracted. In result of bicoherence analysis, Bicpara$\#$2 and Bicpara#4 are considered that the best parameter showed progress of anesthesia effectively. And each separated bicoherence are calculated by average bicoherence's numerical value, divide by 2 area, appear by each BicHz$\#$1, BicHz$\#$2, and observed BicHz$\#$1/BicHz$\#$2's change. In result of bicoherence analysis, BicHz$\#$1, BicHz$\#$2 and BicHz$\#$1/BicHz$\#$2 are considered that the best parameter showed progress of anesthesia effectively. In conclusion, I confirmed the anesthesia progress phase, concluded to usefulness of parameter on bispectrum and bicoherence analysis and evaluated the depth of anesthesia. In the future, it is going to use for doctor's diagnosis and apply to protect an medical accident owing to anesthesia.

OCCLUSAL FORCE AND EMG CHANGE OF MANDIBULAR FRACTURE (악골 골절에서 술 후 교합압 및 근전도 변화)

  • Choi, Yong-Kwan;Han, Se-Jin;Kim, Kyung-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.3
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    • pp.293-299
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    • 2008
  • Bite force is created by the force of adjacent teeth accompanied with tension of masticatory muscle. The bite force value is greater in male than in female and ha maximum value at first molar. Masseter muscle is associated with bite force and during muscle contraction the electric signal is expressed in EMG form. The aim of the study is to assess recovery time for masseter muscle activity and according to each part of bite force after open reduction with internal fixation when mandibular angle fracture and subcondyle fracture occurred. And to determine the appropriate period for mandibular fracture patients to have normal masticatory activity. 30 patients with normal bite condition was selected for control group and from April, 2007 to September, 2007, 20 patients who visited our department of oral and maxillofacial surgery of Dankook University, were selected for the study and were diagnosed as mandibular angle fracture and subcondyle fracture. For control group, the bite force for incisors, canine, premolars and molars and activity of the masseter muscle was measured and compared for 1, 2, 3, 4, 6 and 8 weeks. That was divided as fracture side and normal side. Mann-Whitney U test was performed for significant difference and the following result was obtained. 1. The maximum voluntary bite force for incisors, canine, premolars and molars portion were 0.113 kN, 0.182kN, 0.295kN and 0.486kN and the masseter muscle activity was 0.192 volts in the control group. 2. The maximum bite force at fracture side was recovered by 4th weeks for incisors, 6th weeks for canine and premolars and 8th weeks for molars and the masseter muscle activity was recovered by 6th weeks in the experimental group. 2. The maximum bite force at normal side was recovered by 4th weeks for incisors, 6th weeks for canine, premolars and molars and the masseter muscle activity was recovered by 3rd weeks in the experimental group. 3. The method for internal fixation by 2.0mm miniplates at both superior and inferior border had no complications according for twenty patients and had a satisfactory recovery. According to the result, patient with mandibular angle fracture and subcondyle fracture, 8 weeks was required for bite force recovery. Therefore, patients with open reduction and internal fixation under general anesthesis, it can be assumed that 8 weeks was needed after operation in order to have normal bite force and masseter muscle recovery.

Development of Descending Thoracic Aortomyoplasty for Cardiac Bioassist (심장보조를 위한 흉부대동맥 근성형술 개발(예비 동물실험))

  • 오중환;박승일;김은기;김영호;류기홍;이상헌;원주호;서재정
    • Journal of Chest Surgery
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    • v.33 no.6
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    • pp.469-475
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    • 2000
  • Background: Thoracic aortomyoplasty is one of the surgical treatment for heart failure and has advantages over artificial heart or intraaortic balloon pumps. It uses autogenous skeletal muscles and solves problems such as energy source. However its use in clinical settings has been limited. This preliminary study was designed to develop surgical technique and to determine the effect of acute descending thoracic aortomyoplsty. Material and Method: Thirteen adult Mongrel dogs were used. The left latissimus dorsi muscle was wrapped around the descending aorta under general anesthesis. Swan-Ganz and microtipped Millar catheter were used for the hemodynamics and endocaridial viability ratio. Data were collected with myostimulator on and off in normal hearts and the ischemic hearts. Result: In normal hearts, the mean aortic diastolic pressure increased from 72$\pm$15mmHg at baseline to 78$\pm$13mmHg with stimulator on. Coronary perfusion pressure increased from 61$\pm$11mmHg to 65$\pm$9mmHg. Diastolic time increased from 0.288$\pm$0.003 msec to 0.290$\pm$0.003msec. Systolic time decreased from 0.164$\pm$0.002msec to 0.160$\pm$0.002 msec. Endocardial viability ratio increased from 1.21$\pm$0.22 to 1.40$\pm$0.18. In ischemic hearts, mean aortic diastolic pressure incrased from 56$\pm$21mmHg at baseline to 61$\pm$15mmHg with stimulator on. Coronary perfusion pressure increased from 48$\pm$17mmHg to 52$\pm$15mmHg. Diastolic time increased from 0.290$\pm$0.003 msec to 0.313$\pm$0.004msec. Systolic time decreased from 0.180$\pm$0.002 msec to 0.177$\pm$0.003 msec. Endovascular viability ratio increased from 0.9$\pm$0.31 to 1.1$\pm$0.31. The limited number of cases ruled out the statistic significance. Conclusion: Descending thoracic aortomyoplasty is a simple operation designed to use patient's own skeletal muscles. It trends to increase diastolic augmentation and coronary perfusion pressure. Modification of surgical technique and stimulator protocol would maximize the effect to assist the heart.

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