• Title/Summary/Keyword: Complication.

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Intraspinal Neurolytic Block for the Treatment of Cancer Pain (암성통증에 대한 척추내 신경 파괴제요법)

  • Choe, Huhn;Choe, Hyun-Kyu;Kim, Dong-Chan;Han, Young-Jin
    • The Korean Journal of Pain
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    • v.4 no.1
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    • pp.31-36
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    • 1991
  • Intraspinal alcohol or phenol administration has been used for the treatment of intractable pain due to terminal cancer. It has been alleged to produce good pain relief with minimal complication if performed carefully. We analysed 35 patients who received epidural or subarachnoid neurolytic block out of 83 patients with malignancy who were referrecl to our pain clinic. Most of the patients needed additional treatment modalities including epidural catheterization or systemic narcotic administration. The incidence of complication was high, especially when the neurolytic agents were administered in the lumbar region. This suggest that intraspinal neurolytic block is unreliable and unsafe, although it may temporarily reduce the analgesic requirement.

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Brachial Plexus Injury as a Complication after Nerve Block or Vessel Puncture

  • Kim, Hyun Jung;Park, Sang Hyun;Shin, Hye Young;Choi, Yun Suk
    • The Korean Journal of Pain
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    • v.27 no.3
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    • pp.210-218
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    • 2014
  • Brachial plexus injury is a potential complication of a brachial plexus block or vessel puncture. It results from direct needle trauma, neurotoxicity of injection agents and hematoma formation. The neurological presentation may range from minor transient pain to severe sensory disturbance or motor loss with poor recovery. The management includes conservative treatment and surgical exploration. Especially if a hematoma forms, it should be removed promptly. Comprehensive knowledge of anatomy and adept skills are crucial to avoid nerve injuries. Whenever possible, the patient should not be heavily sedated and should be encouraged to immediately inform the doctor of any experience of numbness/paresthesia during the nerve block or vessel puncture.

The Effect of Cardiopulmonary Symptoms and Sleep on Fatigue in Pneumoconiosis Patients (진폐 환자의 심폐증상과 수면이 피로에 미치는 영향)

  • Lee, Young-Mee
    • Research in Community and Public Health Nursing
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    • v.22 no.4
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    • pp.458-464
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    • 2011
  • Purpose: The purpose of this study was to investigate the effect of cardiopulmonary symptoms and sleep on fatigue in pneumoconiosis patients. Methods: Self-administered questionnaires were given to 211 neumoconiosis patients during the period from May 12 to May 20, 2010. Results: The mean score of fatigue was as high as 6.7. The level of fatigue depended on the subjects' leisure activity and complication. Fatigue was significantly correlated with cardiopulmonary symptoms and sleep. The influential factors affecting fatigue were cardiopulmonary symptoms, complication, sleep and leisure activity, which explained about 46.5% of the variance. Conclusion: The results of this study indicate that nursing interventions are needed to reduce fatigue and to improve cardiopulmonary symptoms and insomnia in pneumoconiosis patients.

Treatment of Recurrent Hallux Valgus after Surgery (무지외반증의 수술 후 재발에 대한 치료)

  • Kwon, Ki Bum;Lee, Kyoung Min
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.4
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    • pp.149-153
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    • 2019
  • Recurrence is a common complication following hallux valgus surgery. The postoperative recurrence rates have been reported to be between 2.7% and 16%. Reoperation is considered only for the recurrent deformities with intractable pain. The success of reoperation depends on identifying and addressing the cause of the recurrence appropriately. The surgical principle of reoperation for a recurrent hallux valgus is similar to that of the primary surgery, but arthrodesis and proximal metatarsal osteotomies with greater correcting power are adopted more frequently.

Chin bone graft and sinus membrane elevation using Piezosurgery : Case reports (Piezosurgery를 이용한 이부 골이식술 및 상악동 거상술)

  • Kim, Su-Gwan;Moon, Sung-Yong
    • The Journal of the Korean dental association
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    • v.44 no.1 s.440
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    • pp.45-54
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    • 2006
  • Piezosurgery uses modulated ultrasonic vibration to allow controlled cuting of bony structures. delicate bony structures can be cut easily and with great precision without destruction of soft tissue. Piezosurgery can be used to harvest the chin bone for intra-oral augmentation. Maxillary sinus membrane perforation is the most common complication that occurs with the sinus elevation augmentation procedure. This complication can occur during the osteotomy, which is performed with burs, or during the elevation of the membrane using manual elevators. The purpose of this study is to introduce new surgical technique that simplifies chin bone graft and maxillary sinus surgery, thus avoiding perforating the membrane.

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Bisphosphonate related osteonecrosis of the jaws: report of two cases

  • Han, Jin-Woo
    • Imaging Science in Dentistry
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    • v.41 no.3
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    • pp.129-134
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    • 2011
  • Bisphosphonates are compounds used to treat osteoporosis and malignant bone metastasis. Despite the benefits related to the use of these medications, osteonecrosis of the jaws is a significant complication in a subset of patients receiving these drugs. This complication occurs either spontaneously or after a simple dento-alveolar surgery. Recently there were two patients who showed the features of bisphosphonate related osteonecrosis of the jaws (BRONJ) in Gangneung-Wonju National University Dental Hospital. The patients revealed the clinical and radiological features of classical osteomyelitis. This report presents two cases of BRONJ which were examined by plain radiography and computed tomography.

A Comparative Study between the Application Group and Non-application Group of a Sand Bag on the Surgical Region after a Pediatric Cardiac Catheterization (환아의 심도자 시술 후 시술 부위의 모래주머니 적용효과)

  • Han Jin Kyung;Cho Kyoul Ja
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.340-348
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    • 1999
  • The purpose of this study was to compare degree of complication and discomfort between application ' non-application of a sand bag after 3hours, 6hours, 18hours of a cardiac catheterization. The results were as follows : 1) There was no difference in a degree of occurrence of a complication and pain of the femoral punture site between application and non-application of a sand bag after the cardiac catheterization. 2) A degree of a discomfort between application and non-application of a sand bag after the cardiac catheterization recorded the highest scores in the application group of a sand bag 6 hours after the cardiac catheterization.

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Clinical Analysis of the Laryngo-Tracheal Stenosis (후두 및 기관협착증의 임상적 고찰)

  • 김영호;최은창;최재영;홍원표
    • Korean Journal of Bronchoesophagology
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    • v.3 no.2
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    • pp.261-269
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    • 1997
  • When performing an endotracheal intubation or tracheotomy to an unconscious patient in emergent situations, one should consider the possibility of later complication of laryngo-tracheal stenosis which can result in difficulties in decannulation. Laryngo-tracheal stenosis is a bothersome problem developing as a complication of treatment by tracheotomy with a cuffed tube and long-term endotracheal intubation with assisted ventilation. One hundred twenty-three cases of laryngo-tracheal stenosis patients during the four yew period from May 1992 to April 1996 were restrospectively reviewed according to several parameters such as the duration of intubation, site of stenosis, treatment modality and, site of tracheostoma. The present report is an analysis of these materials to search for the possible etiologic factors and its proper preventive methods. It was desirable that the endotracheal intubation should be limited within 20 days at most. Tracheotomy performed by non-otolaryngologists has a tendency to be on a higher level of trachea. Technical precautions should be taken into consideration when doing a tracheotomy. The success rate of decannulation of tracheal T-tube was 78.8% and it required average 11 months.

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Osteoid Osteoma of the Navicular in the Foot - case report - (족근 주상골에 발생한 유골골종 - 증례 보고 -)

  • Young, Ki-Won;Lee, Kyung-Tai;Lee, Se-Young;Kim, Wan-Seop;Choi, Sung-I
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.211-216
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    • 2002
  • Delay in diagnosis is possible in bone tumor located in the foot because it is rare. We experienced one case of osteoid osteoma located at the navicular bone of the foot which was slowly progressive and complicated with calcaneocuboidal joint, talonavicular joint arthritis. Osteoid osteoma of the navicular bone in the foot is rare. It bring about unwanted delay in diagnosis, complication. It is necessary to diagnose and treat in early situation to prevent complication and unnecessary operation.

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Povidone-Iodine related Chemical Burn under the Tourniquet (A Case Report) (지혈대 내측의 포비돈-요오드 용액에 의한 화학 화상 (1예 보고))

  • Won, Jong-Kyoung;Lee, Kang
    • Journal of Korean Foot and Ankle Society
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    • v.16 no.3
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    • pp.190-192
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    • 2012
  • In the extremity surgery, pneumatic tourniquet and povidone-iodine solution are commonly used to provide an aseptic, bloodless field, and their complication rate has remained low. However, chemical burn under tourniquet has been rarely reported. Patients sustained burn injuries over the dependent, weight-bearing regions such as posterior neck, back, buttocks and posterior thighs. This rare adverse complication occurred in a 22-year-old man who underwent modified Brostrom operation with arthroscopic os trigonum excision. 10% povidone-iodine was used as topical antiseptic, and full thickness burn occurred underneath the area of tourniquet application. Main causes of povidone-iodine related chemical burn are considered maceration, irritation of the skin, long term use of the tourniquet and pressure. To reduce the complications like chemical burn, awareness of the risk and the possible pathogenesis as well as the preventive measures is important in surgical practice.