• Journal of Korean Critical Care Nursing
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• v.4 no.1
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• pp.37-50
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• 2011

Purpose: This study is to evaluate the effect of abdominal breathing on postoperative pain, state anxiety, blood pressure, and heart rate of cardiac surgery patients treated in intensive care unit. Methods: A non-synchronized design of nonequivalent control group pre-post test was used. Participants were divided into an experimental group(n=22) and a control group(n=21). Just usual postoperative treatments were provided to the control group, while abdominal breathing interventions were provided to the experimental group, in addition to usual treatments. The intervention was consisted of 4 stages-introductions, breathing perception, breathing training, and closing-and it lasted twelve minutes in total. Pain, state anxiety, blood pressure and heart rate were the dependent variables of the abdominal breathing. Results: Those who carried out abdominal breathing showed a significant reduction in pain, as well as decrease of systolic blood pressure. However, it turned out to have no effect on state anxiety, diastolic blood pressure and heart rate. Conclusion: Abdominal breathing is simple and harmless and is effective for reducing postoperative pain.

• The Journal of Korean Medicine
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• v.37 no.2
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• pp.36-44
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• 2016

Objectives: This study aimed to evaluate the effects of breath-counting meditation (BCM) and deep breathing (DB) on heart rate variability (HRV). These breathing techniques have the characteristics of non-paced and self-controlled breathings, resulting in less increase of HRV. We also compared BCM and DB with usual breathing (UB) or relaxing breathing (RB) which can reveal the characteristics of those. Methods: 83 healthy volunteers sitting in chairs performed non-paced breathing; UB, RB, BCM, and DB each for 5 minutes. One minute of relaxation was permitted between breathings. Participants surfed the internet sitting in front of a computer during UB, while for RB, they remained steady with eyes closed. For BCM, they breathed inwardly counting from 1 to 10 repetitively, while they took a deep breath during DB. Physiological indices were simultaneously recorded with a biofeedback system. Results: Respiration rate, thoracic amplitude, and mean heart rate decreased in RB compared with UB, but there was no change in HRV. Respiration rate in BCM and DB was lower than that in UB or RB, and the amplitude of thorax or abdomen, and HRV all increased (p<0.05). However, mean heart rate and skin conductance decreased in BCM compared with UB (p<0.05), whereas those were no different between DB and UB. Conclusion: BCM, just concentrating mentally on breathing with counting each breath, can increase HRV with less sympathetic activation, while DB, actively moving thorax and abdomen for achieving the deepest respiration rate, can greatly raise HRV with the maintenance of mean vagal or sympathetic tone.

• Sleep Medicine and Psychophysiology
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• v.11 no.1
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• pp.10-16
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• 2004

Sleep is associated with definite changes in respiratory function in normal human beings. During sleep, there is loss of voluntary control of breathing and a decrease in the usual ventilatory response to both low oxygen and high carbon dioxide levels. Especially, rapid eye movement (REM) sleep is a distinct neurophysiological state associated with significant changes in breathing pattern and ventilatory control as compared with both wakefulness and non-rapid eye movement (NREM) sleep. REM sleep is characterized by erratic, shallow breathing with irregularities both in amplitude and frequency owing to marked reduction in intercostal and upper airway muscle activity. These blunted ventilatory responses during sleep are clinically important. They permit marked hypoxemia that occurs during REM sleep in patients with lung or chest wall disease. In addition, sleep-disordered breathing (SDB) is more frequent and longer and hypoventilation is more pronounced during REM sleep. Although apneic episodes are most frequent and severe during REM sleep, most adults spend less than 20 to 25% of total sleep time in REM sleep. It is, therefore, possible for patients to have frequent apneas and hypopneas during REM sleep and still have a normal apnea-hypopnea index if the event-rich REM periods are diluted by event-poor periods of NREM sleep. In this review, we address respiratory physiology according to sleep stage, and the clinical implications of SDB and hypoventilation aggravated during REM sleep.

• The Journal of Korean Medicine
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• v.37 no.1
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• pp.114-124
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• 2016

Objectives: The aim of this study is to find what effects both the posture of sitting and standing and the ratio of inhalation and exhalation (I/E) have on heart rate variability (HRV) Methods: We made two breathing sets with 4:6 or 6:4 ratios of I/E at 0.1 Hz of respiratory frequency and sitting or standing position. There was 20 minute-rest between sets. Each set include 5 minute-3 breathings as follows: 0.1Hz paced breath with sitting, usual breathing with standing and 0.1Hz paced breath with standing. Five minute-usual breathings with sitting as basal lines were exerted before and after these 3 breaths. Electrocardiogram-recording was exerted from 73 healthy participants (37 men and 36 women) who carried out two sets of breathings. Finally, HRV indices were analyzed of 62 participants (32 men and 30 women). Results: In 4:6 maintaining the same posture, SDNN were statistically increased, while mean heart rate(HR) were not changed. In 6:4, mean HR, SDNN were statistically increased. When changed from sitting to standing, in 4:6, SDNN were statistically decreased and mean HR was increased. However, in 6:4 during change of posture, SDNN were also statistically decreased and mean HR was statistically decreased. There was no statistical change of HF during 4:6 or 6:4 ratios of I/E moving from sitting to standing position. Conclusions: For increasing HRV, breathing in low respiratory rate with sitting was recommended regardless of ratio of I/E. In changing from sitting to standing, 4:6 may increase mean HR, and 6:4 may decrease mean HR.

• Journal of Sasang Constitutional Medicine
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• v.28 no.1
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• pp.40-50
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• 2016

Objectives We observed what effects both ratio of inhalation and exhalation(I/E) and posture have on heart rate variability(HRV) according to Sasang Constitution(SC).Methods HRV of 73 healthy participants who filled in self-questionnaires was recorded while they carried out 0.1Hz paced breathing(PB) with sitting, usual breathing(UB) with standing, and 0.1Hz PB with standing. PB was conducted to 4:6 or 6:4 of I/E and UB with sitting was executed before and after each breathing. Finally, HRV indices were analyzed of 60 participants(Soeum: 24, Soyang: 18, Taeeum: 18).Results & Conclusions In both self-questionnaires and HRV indices, there are not statistically significant between SC about the posture and I/E. SOEUM preferred 4:6 of I/E and showed lower mean RR and SDNN. SOYANG preferred 6:4 of I/E and showed higher mean RR and lower mean heart rate. TAEUM did not prefer I/E and showed the highest SDNN.

• Journal of Sasang Constitutional Medicine
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• v.28 no.2
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• pp.123-131
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• 2016

Objectives We observed what effects of Paced Breathing(PB) in specific respiration rate have on heart rate variability (HRV) according to Sasang Constitution.Methods HRV of 72 healthy participants in sitting position was recorded while they carried out usual breathing, 0.2Hz, 0.1Hz, and 0.05Hz PB each 5 minutes in consecutive order. Five minute of relaxation was permitted between each breathing. Finally, HRV indices were statictically analyzed of 32 participants (SOEUM: 11, SOYANG: 10, TAEEUM: 11) after data out of accord with respiration rate or outliers were excluded.Results and Conclusions According to respiration rates, there was no statistical significance of HRV among Sasang Constitution. Regardless of Sasang Constituion, 0.2Hz PB increased mean heart rate and decreased natural logarithmic low frequency(lnLF) oscillation of HRV without the change of natural logarithmic high frequency(lnHF), while 0.1Hz PB increased lnLF and standard deviation of N-N interval(SDNN), and slightly decreased lnHF without the change of mean heart rate. 0.05 Hz PB also showed the same effect as 0.1Hz PB, but was impracticable.

• Archives of Craniofacial Surgery
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• v.13 no.2
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• pp.119-124
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• 2012

Purpose: Closed reduction and nasal packings for 3-7 days is usual procedures in managing nasal bone fracture. Most patients experience several discomfort owing to lack of nasal breathing. There are many reports concerning how to reduce patient's discomforts or complications. But it is obvious that the duration of nasal packing is 3-7 days. The aim of this study is evaluate the effect of half day nasal packing in results of nasal bone fracture. Methods: The study was performed on 97 nasal bone fracture patients who had simple nasal bone fractures from January to June 2012. The incidence, cause, patient's discomfort and satisfaction with half day nasal packing are analyzed according to patient's medical records and questionnaire at each nasal packing removal, postoperative 4 weeks. Results: Young male patients, especially the teenagers and the twenties were the common age group, and physical violence was most common cause of injury. A total of 78 out of 97 patients were male. In 92 cases, closed reduction were applied. Approximately, 87% of the patients were satisfied with the outcomes. Conclusion: Half day nasal packing is considered as an effective method to minimize patient's discomfort owing to prolonged absence of nasal breathing with maintenance of stability.

• Journal of Chest Surgery
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• v.13 no.4
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• pp.496-496
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• 1980

A 37 year old male patient was suffered from severe labored breathing caused by post tracheostomy stenosis, which was localized at the mediastinal trachea [cuffed tracheal stenosis] and ranged 1.5 cm in length and approximately 3 ram. in diameter on tracheogram. After dilation of tracheal stenosis with dilator, endotracheal intubation was tried for induction of anesthesia and control of respiration during operation. A tube was placed just beyond the tracheal stenosis without respiratory difficulty. Under the endotracheal anesthesia, circumferential resection of the mediastinal trachea containing the stenosis, approximately 2 cm in length [4 tracheal rings}, was carried out and primary direct end to end anastomosis was performed with interrupted submucosal sutures [3-0 Dexon] and mobilization of trachea Postoperative tracheostomy was not performed. The patient was completely relieved from dyspnea immediately after operation. Post-operative convalescence was entirely uneventful and at present, about 3 months after operation, he is now conducting a usual life. From the literature and our experience, the etiology and treatment of post-tracheostomy stenosis were discussed.

• Journal of Chest Surgery
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• v.13 no.4
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• pp.503-506
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• 1980

A 37 year old male patient was suffered from severe labored breathing caused by post tracheostomy stenosis, which was localized at the mediastinal trachea [cuffed tracheal stenosis] and ranged 1.5 cm in length and approximately 3 ram. in diameter on tracheogram. After dilation of tracheal stenosis with dilator, endotracheal intubation was tried for induction of anesthesia and control of respiration during operation. A tube was placed just beyond the tracheal stenosis without respiratory difficulty. Under the endotracheal anesthesia, circumferential resection of the mediastinal trachea containing the stenosis, approximately 2 cm in length [4 tracheal rings}, was carried out and primary direct end to end anastomosis was performed with interrupted submucosal sutures [3-0 Dexon] and mobilization of trachea Postoperative tracheostomy was not performed. The patient was completely relieved from dyspnea immediately after operation. Post-operative convalescence was entirely uneventful and at present, about 3 months after operation, he is now conducting a usual life. From the literature and our experience, the etiology and treatment of post-tracheostomy stenosis were discussed.

• Journal of Physiology & Pathology in Korean Medicine
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• v.35 no.6
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• pp.249-254
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• 2021

The aim of this study was to raise awareness about smoking and to facilitate the induction of smoking cessation. The participants were 49 patients who showed intention to participate in the test. The participants who had done a questionnaire, were asked to quit smoking for about an hour. After taking the breath deeply, they stopped for 20 seconds and measured breathing slowly. Carbon monoxide in the exhalation was higher when the daily smoking amount was higher and the smoking duration was longer, but not significant. In the case of smoking after meal and smoking in bed in the morning, the carbon monoxide level was significantly higher than that in the case of not smoking. It was significantly associated with skin allergic symptoms. The usual exercise habits, drinking and the respiratory disease were not correlated with carbon monoxide levels.