• Title/Summary/Keyword: K-Block

Search Result 8,141, Processing Time 0.044 seconds

Costoclavicular brachial plexus block reduces hemidiaphragmatic paralysis more than supraclavicular brachial plexus block: retrospective, propensity score matched cohort study

  • Oh, Chahyun;Noh, Chan;Eom, Hongsik;Lee, Sangmin;Park, Seyeon;Lee, Sunyeul;Shin, Yong Sup;Ko, Youngkwon;Chung, Woosuk;Hong, Boohwi
    • The Korean Journal of Pain
    • /
    • v.33 no.2
    • /
    • pp.144-152
    • /
    • 2020
  • Background: Hemidiaphragmatic paralysis, a frequent complication of the brachial plexus block performed above the clavicle, is rarely associated with an infraclavicular approach. The costoclavicular brachial plexus block is emerging as a promising infraclavicular approach. However, it may increase the risk of hemidiaphragmatic paralysis because the proximity to the phrenic nerve is greater than in the classical infraclavicular approach. Methods: This retrospective analysis compared the incidence of hemidiaphragmatic paralysis in patients undergoing costoclavicular and supraclavicular brachial plexus blocks. Of 315 patients who underwent brachial plexus block performed by a single anesthesiologist, 118 underwent costoclavicular, and 197 underwent supraclavicular brachial plexus block. Propensity score matching selected 118 pairs of patients. The primary outcome was the incidence of hemidiaphragmatic paralysis, defined as a postoperative elevation of the hemidiaphragm > 20 mm. Factors affecting the incidence of hemidiaphragmatic paralysis were also evaluated. Results: Hemidiaphragmatic paralysis was observed in three patients (2.5%) who underwent costoclavicular and 47 (39.8%) who underwent supraclavicular brachial plexus blocks (P < 0.001; odds ratio, 0.04; 95% confidence interval, 0.01-0.13). Both the brachial plexus block approach and the injected volume of local anesthetic were significantly associated with hemidiaphragmatic paralysis. Conclusions: The incidence of hemidiaphragmatic paralysis is significantly lower with costoclavicular than with supraclavicular brachial plexus block.

Algorithm to prevent Block Discontinuity by Overlapped Block and Manning Window (중첩 기반 연산과 Hanning Window를 이용한 블록 불연속 노이즈 방지 알고리즘)

  • Kim, Joo-Hyun;Jang, Won-Woo;Park, Jung-Hwan;Yang, Hoon-Gee;Kang, Bong-Soon
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.11 no.9
    • /
    • pp.1650-1657
    • /
    • 2007
  • In this paper, we propose an Overlapped Block and an Hanning Window to prevent a Block Discontinuity when we use an algorithm to eliminate ringing artifact which is based on a block structure. The algorithm to eliminate ringing artifact operates with a block structure and 24-RGB data and is based on a modified K-means algorithm. The proposed overlapped block method is piled up one on another per an half of the size of unit-block when an input image is split into several unit-blocks. Therefore, we define a data unit as the unit-block of the block size, $16{\times}16$ pixels. We reconstruct the processed data units into the original form of input image by using an isotropic form of Hanning Window. Finally, in order to evaluate the performance of the abovementioned algorithms, we compare three image, an input image with ringing artifact, an image result obtained by conventional method (non-overlapped), and an image result obtained the proposed method.

The Celiac Plexus Block and the Lumbar Sympathetic Ganglion block for the Upper and Lower Abdominal Cancer Pain -7 cases- (상하복부 암성통증에 대한 복강신경총 및 요부교감신경절 차단 -7예 보고-)

  • Gill, Hyun-Jue;Yoon, Duck-Mi;Oh, Hung-Kun;Ree, Ye-Chul
    • The Korean Journal of Pain
    • /
    • v.1 no.2
    • /
    • pp.171-176
    • /
    • 1988
  • It is well known that the celiac plexus block is specially useful for relieve intractable upper abdominal pain caused by upper abdominal visceral malignancy or upper abdominal metastasis from distant organs. But in cases of lower abdominal or pelvic metastasis from upper abdominal malignancy, the lower abdominal intractable pain is remained after the successful celiac plexus block. We have reported 7 cases of celiac plexus block combined with lumbar sympathetic ganglion block, among the 305 cases of the celiac plexus block from 1968 to Nov. 1987, performed in patients with lower abdominal or back pain due to carcinomatosis of lower abdominal metastatic malignancy, that their results were excellent for pain relief.

  • PDF

A Comparative Analysis of Displacement Measurement of the Earth Surface by Load for Root Anchor Block and Rectangle Anchor Block (기초근가와 기존근가의 하중에 따른 변위 비교분석)

  • Mun, Sung-Won;Kim, Jeom-Sik;Kim, Do-Young;Park, Yong-Beom
    • The Transactions of The Korean Institute of Electrical Engineers
    • /
    • v.62 no.6
    • /
    • pp.863-869
    • /
    • 2013
  • In this paper, we compared and analyzed for safety 1.2m rectangular anchor block and arch-type root anchor block. First, numerical analysis was performed three-dimensional nonlinear method by numerical model test using finite element analysis program "Visual FEA". Then, measure displacement of the surface of the earth after construct each anchor block at 14M electric pole and increase loads through field verification tests for safety evaluation.

Effects of Variable Block Size Motion Estimation in Transform Domain Wyner-Ziv Coding

  • Kim, Do-Hyeong;Ko, Bong-Hyuck;Shim, Hiuk-Jae;Jeon, Byeung-Woo
    • Proceedings of the Korean Society of Broadcast Engineers Conference
    • /
    • 2009.01a
    • /
    • pp.381-384
    • /
    • 2009
  • In the Wyner-Ziv coding, compression performance highly depends on the quality of the side information since better quality of side information brings less channel noise and less parity bit. However, as decoder generates side information without any knowledge of the current Wyner-Ziv frame, it doesn't have optimal criterion to decide which block is more advantageous to generate better side information. Hence, in general, fixed block size motion estimation (ME) is performed in generating side information. By the fixed block size ME, the best coding performance cannot be attained since some blocks are better to be motion estimated in different block sizes. Therefore if there is a way to find appropriate ME block of each block, the quality of the side information might be improved. In this paper, we investigate the effects of variable block sizes of ME in generating side information.

  • PDF

Effect of Neutral Solvent on the Phase Behavior of Polystyrene-block-Poly(n-butyl methacrylate) Copolymers

  • Li, Chaoxu;Li, Guang-Hua;Moon, Hong-Chul;Lee, Dong-Hyun;Kim, Jin-Kon;Cho, Jun-Han
    • Macromolecular Research
    • /
    • v.15 no.7
    • /
    • pp.656-661
    • /
    • 2007
  • The effects of a neutral solvent of dioctyl phthalate (DOP) on the phase behavior of symmetric polystyrene-block-poly(n-butyl methacrylate) copolymers (PS-b-PnBMA) were assessed herein. Closed-loop phase behavior with a lower disorder-to-order transition (LDOT) and an upper order-to-disorder transition (UODT) was observed for PS-b-PnBMA/DOP solution when the quantity of DOP was carefully controlled. When the molecular weight of PS-b-PnBMA became larger, the LDOT did not appreciably change at smaller quantities of DOP. With larger quantities of DOP, the reduction in the UODT is greater than the increase in the LDOT. This behavior is discussed in accordance with a molecular theory predicated on a compressible random-phase approximation.

Ultrasound-Guided Femorosciatic Nerve Block (초음파 유도 대퇴좌골 신경 차단술)

  • Kang, Chan;Kim, Young-Mo;Hwang, Deuk-Soo;Kim, Joung-Hun;Park, Jun-Young;Lee, Woo-Yong
    • The Journal of Korean Orthopaedic Ultrasound Society
    • /
    • v.3 no.2
    • /
    • pp.74-78
    • /
    • 2010
  • Since the extent of use of musculoskeletal ultrasound in orthopaedic surgery is expanding, popliteal block(sciatic nerve block) and femoral nerve block(saphenous nerve block) are easily and safely performed without complications such as nerve injury or incomplete block. Also, due to the expanding use of ultrasound, orthopaedic surgery of not only foot but also ankle and lower leg could be done without general anesthesia or spinal anesthesia. We describe a detailed technique for ultrasound-guided femorosciatic nerve block based on the experience over 120 cases.

  • PDF

Splanchnic Nerve Block at T12 Level (제 12흉추부위에서 시행한 내장신경차단)

  • Park, Chung-Hyun;Yoon, Kuck-Mi;Oh, Hung-Kun
    • The Korean Journal of Pain
    • /
    • v.5 no.1
    • /
    • pp.17-22
    • /
    • 1992
  • Splanchnic nerve block(SNP) is performed to relieve intractable upper abdominal cancer pain. Boas, in a technique using fluoroscopy, was the first to note the difference between transcrural celiac plexus block and retrocrural splanchnic nerve block(SNB). We have experienced 10 cases of SNB at the T12 level under control of fluoroscopy. Our results support this approach as an effective method for upper abdominal cancer pain control.

  • PDF

A Comparative Research on the Drafting Method of the Basic Patterns for Women (여성용 원형 제도법에 관한 비교 연구)

  • Kim, Jeong-Hee;Kim, Hee-Jin;Cho, Jae-Hee;Lim, Kyoung-Hwa;Yi, Kyong-Hwa
    • Korean Journal of Human Ecology
    • /
    • v.10 no.4
    • /
    • pp.379-390
    • /
    • 2001
  • The purpose of this study is to investigate the fitness according to drafting method of the block patterns for women in Korea. The major findings of this study are as follows: 1. According to comparative analysis of required measurements, two measurements of back length and bust girth are used in Proportional Drafting Method (Munhwa). In case of Compromise Drafting Methods are used across chest, across back, bust length, bust width, full length in front, across shoulder and shoulder length in addition to back length and bust girth. The type of Armstrong as a Short Measure Drafting Method uses 10 measurements for the drafting the bodice. 2. While Esmod block pattern arid Armstrong's block pattern are the lightest in full width and other widths. Rasara block pattern is the most ample. In Lee, Myung-hee's block pattern and Lee, Hyung-sook's block pattern, amounts of drooping are decided $3{\sim}4cm$, but drooping amounts of other block patterns are decided corresponding to real measurements. While cap height in Esmod and Armstrong's sleeve patterns are directly measured Armhole length of the block pattern, cap height of other sleeve patterns are used armhole depth and cap height length as well as armhole length. 3. When analyzing to indirect measurements, Esmod block pattern shows the least different between full length of block pattern and that of body form. Munhwa block pattern and Kim, Hyosook's block pattern are mostly same to body form back length. However all of the block patterns are sheller than body form length. In case of Suh, Wansuk's block pattern, across back and across chest are same size, but other block patterns show difference between across back and across chest. Most block patterns' neck width in front and bach bodice are almost same. Front neck width is generally bigger than back neck width in some cases.

  • PDF

The Efficiency of Cell Block in the Diagnosis of Non-gynecologic Cytology (비 산부인과 세포 검사 진단에 있어서세포 군집절편(Cell-Block)법의 유용성)

  • Han, Seung Hee;Youn, Mi Ja;Park, Byung Kyu;Lim, Byung Soo;Ahn, Mi Jung;Yang, Chul Kyu;Jeon, Geum Hee;Sung, Ha Ok
    • Korean Journal of Clinical Laboratory Science
    • /
    • v.36 no.1
    • /
    • pp.38-42
    • /
    • 2004
  • Because of the lack of resources on the importance of cell block, the diagnosis of cytologic specimen has been overlooked. Out of 1,243 cases of non-gynecologic cytology specimen, about 87.1% has been proven to be diagnostically useful. About 0.9% of those were rendered diagnostic by cell block alone. If cell block was not made it could have resulted in misdiagnosis. The effect on making cell block might not be directly linked to the patient but to the pathologist, it can be a helpful secondary tool in lowering the chance of giving false negative results hence. Giving the patient the opportunity of an adequate treatment. This study has proven that cell block has diagnostic value in non-gynecologic cytology. We are doing our best to increase the production rate of cell block and to improve the quality of cytology smears and cell block, so that we can increase the accuracy of diagnosis.

  • PDF