• Journal of Korean Dental Science
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• 제10권2호
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• pp.82-86
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• 2017

Oral and maxillofacial surgery (OMFS) trauma cases are commonly treated under general anesthesia. The purpose of this case report is to introduce an alternative method of anesthesia in patients who refuse general anesthesia. A combination of dexmedetomidine and ketamine for sedation anesthesia in 3 frequent fracture types in the field of OMFS-Le Fort I fracture, mandibular fracture, and alveolar bone fracture-was used. Dexmedetomidine as the single agent has not shown stable success rates for invasive procedures. To overcome some of the pitfalls with dexmedetomidine, combination sedation using ketamine was performed. Visual analogue scale scores were recorded postoperatively. Dexmedetomidine combined with ketamine administration provided safe and effective sedation and anxiolysis for surgical reduction and internal fixation of OMFS fractures. It showed advantages of decreased admission time, reduced expenses, minimal pain, and reduced anesthetic burden for the patient thus ultimately increasing overall satisfaction.

• Clinical and Experimental Reproductive Medicine
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• 제24권3호
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• pp.341-345
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• 1997

The management of varicoceles was performed on 24 patients with testicular dragging pain and/or left lower abdominal pain under local anesthesia. The surgery was completed within 20 to 45 minites, postoperative complications were severe cord edema 3 cases, wound infection 1 case, epididymitis 1 case, and postoperative anesthetic duration was 90 to 150 minites. Therefore, these procedures is cost effective and safe surgical method.

• The Korean Journal of Pain
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• 제6권1호
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• pp.105-108
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• 1993

A myofascial syndrome due to continuous muscle contraction with the trigger point at the upper lateral edge of the nuchal muscles where they attach to the occipital bone is frequently seen in daily pain clinic practice. The Tienchu syndrome is a myofascial condition of the posterior neck region with a trigger point at the Tienchu acupoint(B10). When advanced, occipital neuralgia and muscle contraction headache follow. Therefore, a Tienchu block and/or occipital nerve block with local anesthetic combined with a small dose of steroid is a most effective therapeutic method for many patients who complain of posterior headache or posterior neck pain.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권4호
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• pp.184-191
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• 2023

Germectomy is a surgical method most typically performed in young adults. The indications for treatment are controversial. The purpose of this review was to determine the correct indications for germectomy and to discuss the advantages and disadvantages of the procedure. We reviewed the surgical techniques (anesthetic methods, patient preparation, and flap designs) and complications. Germectomy for orthodontic purposes is a common indication for surgical removal of tooth germ among young patients. Several studies have supported removal at an earlier age to produce fewer surgical complications. Several surgical techniques have been described in the literature.

• 한국수산과학회지
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• 제27권1호
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• pp.41-46
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• 1994

넙치를 시료로 치사 방법(즉살, 고민사, 마취사 및 전기 자극사)을 달리하여 치사시킨 후에 저장하면서 치사 조건이 사후 조기의 어육의 사후 경직도와 파괴 강도의 변화에 미치는 영향을 검토한 결과를 요약하면 다음과 같다. 1. 사후 경직의 개시 시간은 전기 자극사와 고민사에서 현저히 단축되었고, 경직 개시 시간과 완전 경직 도달 시간은, 각각 전기 자극사일때 0시간과 9시간, 고민사일때 0시간과 13시간, 즉살일때 10시간과 36시간, 그리고 마취사일때 20시간과 56시간이었다. 2. 파괴 강도가 최대값에 도달하는 시간과 그 때의 값은 각각 전기 자극사일때 치사 직후에 $1,230.60{\pm}30.32g$, 고민사일때 2.5시간과 $1,235.83{\pm}35.37g$, 즉살일때 10시간과 $1,186.29{\pm}55.90g$, 그리고 마취사일때 15시간과 $1,189.67{\pm}50.32g$으로, 전기자극사와 고민사일때가 최대값이 높았고 그 저하 속도도 빨랐으며, 마취사일때는 파괴 강도가 최대로 되는 시간이 연장되었다. 3. 어체의 사후 경직도와 어육의 파괴 강도 사이에는 상관 관계가 없었으며, 사후 경직 개시기를 전후하여 파괴 강도가 가장 높았다. 이상의 결과로부터, 활어를 전기 자극사시킴으로서 치사 직후에 육질을 단단하게 만들 수 있을 뿐만 아니라, 또 마취사시키므로서 육질이 단단해지는 현상의 발생을 지연시킬 수 있으므로, 이런 방법들은 회맛의 향상 및 즉살 활어의 수송에 응용 가능할 것으로 사료된다.

• 한국임상수의학회지
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• 제9권1호
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• pp.301-309
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• 1992

The present study was carried out to compare xylazine(2.2mg/kg, IV), xylazine/acepromazine(1.1mg/kg. IV : 0.2mg/kg, IV) and xylazine/diazepam(1.1mg/kg, IV :1.0mg/kg, IV) anesthesia, to determine useful method out of three kinds of anesthesia and tr evaluate this selected method at hypovolemic state. In xylazine, kylazine/acepromazine and kylazine/diazepam anesthesia, the heart rate was increases after administration of atropine until 10minutes after administration of anesthetics and then decreased gradually in all types of anesthesia. The respiratory rate was decreased after administration of anesthetics in all types of anesthesia. The body temperature was rarely changed in xyiazine/acepromazine and xylazine/diazepam anesthesia, but decreased continuously in xylazine anesthesia. In xylazine and kylazine/acepromazine anesthesia the pedal and corneal reflex were not disappeared completely, but reactions to pin pricking were disappeared. In xylazine/diazepam anesthesia their reflex and reactions were disappeared together. The time from head-up to standing was shortest(32.00min) in kylazine/diazepam anesthesia in comparision with xylazine and kylazine/acepromazine anesthesia. In xylazine/diazepam anesthesia, the heart rates in hypovolemic dogs were decreased soon after administration of anesthetics but recovered immediately. The changes in systolic and diastolic blood pressure in hypovolemic dogs revealed similar trends to their changes in normal dogs after administration of anesthetics. It is considered that rylazine/diazepam anesthesia is one of the useful anesthetic methods in healthy dogs and also in hypovolemic dogs.

• 대한임상검사과학회지
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• 제46권1호
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• pp.38-45
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• 2014

Intraoperative Neurophysiological Monitoring (INM) inspection has a very important role. While preserving the patient's neurological function be sure to safe surgery, neurological examination should thank. Cerebello pontine angle tumor surgery, especially in the nervous system is more important to the meaning of INM. In cochlear nerve, facial nerve, trigeminal nerve, which are intricate brain surgery, doctors are only human eye and brain to the brain that it is virtually impossible to distinguish the nervous system. They receives a lot of help from INM. In this paper, we examined six kinds broadly. First, the methods of spontaneous EMG and Free-running EMG, which can instantly detect a damage inflicted on a nerve during surgery. Second, methods of triggered EMG and direct nerve electrical stimulation, which directly stimulate a nerve using electricity to distinguish between nerves and brain tumors. Third, the method of knowing a more accurate neurologic status by informing neurological surgeons about Free-running EMG wave forms that are segmetalized into four. Fourth, three ways of knowing when a patient will be awaken from intraoperative anesthesia, which happens due to a weak anesthetic. Fifth, a method of understanding the structures of a brain tumor and a facial nerve as five dividend segments. Sixth, comparisons between cases normal facial nerve recovery and occurrence of a facial nerve paralysis during the postoperative course.

• 대한치과마취과학회지
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• 제14권4호
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• pp.227-232
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• 2014

The indication for submandibular intubation is the requirement for intraoperative maxillomandibular fixation (MMF) in the presence of injuries that preclude nasotracheal intubation. Thus, We reported 2 cased of endotracheal intubations via submandibular approach that is applicable in patients with skull base fractures for a reliable general anesthesia. Endotracheal intubation via submandibular approach was applied during general anesthetic procedures for open reduction in three patients with Le Fort II, III or nasoorbitoethmoid (NOE) fractures. No complications due to submandibular intubation, such as infection, postoperative scarring, nerve injury, hematoma, bleeding, or orocutaneous fistula, were observed following submandibular intubation. Endotracheal intubation via submandibular approach is effective in patients with skull base fractures. In our method, the tube connector is removed in orotracheal intubation in order to avoiding the tube removal or displacement. The advantages of this method are very simple, safe, and to provide the good operation field.

• Macromolecular Research
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• 제10권5호
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• pp.246-252
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• 2002

In order to the development of the delivery device of long-acting local anesthetics for postoperative analgesia and control of chronic pain of cancer patient, fentnyl-loaded poly (L-lactide-co-glycolido) (PLGA, molecular weight, 5,000 g/mole; 50 : 50 mole ratio by lactide to glycolide) microspheres (FMS) were studied. FMS were prepared by an emulsion solvent-evaporation method. The influence of several preparation parameters such as initial drug loading, PLGA concentration, emulsifier concentration, oil phase volume, and fabrication temperature has been investigated on the fentanyl release profiles. Generally, the drug showed the biphasic release patterns, with an initial diffusion followed by a lag period before the onset of the degradation phase, but there was no lag time in our system. Fentanyl was slowly released from FMS over 10 days in vitro with a quasi-zero order property. The release rate increased with increasing drug loading as well as decreasing polymer concentration with relatively small initial burst effect. From the results, FMS may be a good formulation to deliver the anesthetic for the treatment of chronic pain.

• 융합신호처리학회논문지
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• 제21권1호
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• pp.7-12
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• 2020

수술 중 마취 깊이를 측정하는 방법으로 뇌파를 이용한 다양한 파라미터들이 사용되고 있으며, 실제 임상에서는 선형분석 기법 중 하나인 SEF가 널리 사용되고 있다. 그러나 최근 EEG를 포함한 생체학적 신호는 비선형 성질을 가지고 있다는 연구결과가 발표되면서, 이를 기반으로 한 파라미터 개발이 이뤄지고 있다. 본 연구에서는 보다 정확한 EEG 측정과 분석을 위해 비선형 분석 기법 기반의 파라미터를 개발과 이에 대한 정현파 분석을 통한 데이터와의 비교 분석을 통해 수술 중 전자장비와 EEG 계측 시 혼입될 수 있는 노이즈를 추출하고자 한다.