• Title/Summary/Keyword: anesthetic time

Search Result 200, Processing Time 0.025 seconds

Comparison of Suprascapular Nerve Block and Shoulder Joint Injection for Treatment of Frozen Shoulder (견구축증(Frozen Shoulder)에서 견갑상신경차단과 견관절강내 주사의 통증 치료 효과)

  • Jeong, Hyeon-Gyoo;Lee, Sang-Gon
    • The Korean Journal of Pain
    • /
    • v.11 no.2
    • /
    • pp.226-229
    • /
    • 1998
  • Background: Treatment for frozen shoulder is various and difficult. It is important for pain clinicians to plan more effective and simpler treatment modalities. Pain clinicians have done suprascapular nerve block(SSNB) for treatment of frozen shoulder, but the effectiveness of treatment has been unsatisfactory. Shoulder joint injection(SJI) using local anesthetics and steroid mixture is a relatively simple procedure. This study was performed to compare therapeutic effects of SSNB and SJI in frozen shoulder. Methods: Eighty patients suffering from frozen shoulder were randomly divided into two groups. Group 1 had been treated with SSNB and physiotherapy for 3 weeks. Group 2 had been treated with SJI and physiotherapy for the same duration. Pain scores and treatment results were compared and analyzed at the time of 2 months after treatment started. Results: The VAS scores after SJI were lower than those of SSNB. Therapeutic results according to Haggart's classifications were significantly effective in group 2. Conclusion: These results show that SJI is more effective than SSNB for treatment of frozen shoulder.

  • PDF

Studies on Efficacy of Combined Preparation of Crude Drugs(XXIII) -Analgesic, Anticonvulsive, Sedative, Antipyretic Actions of Yangkyuksanwhatang and its Effects on Isolated Ileum and Blood Vessel- (생약복합제제(生藥複合製劑)의 약효연구(藥效硏究) (제13보)(第13報) -양격산화탕(凉膈散火湯)의 진통(鎭痛) 항경련(抗痙攣) 진정(鎭靜) 해열(解熱) 작용(作用) 및 적출(摘出) 장관(腸管) 및 혈관(血管)에 미치는 영향(影響)-)

  • Hong, Nam-Doo;Kim, Jong-Woo;Song, Il-Byung;Won, Do-Hee;Kim, Nam-Jae;Kim, Jin-Sung
    • Journal of Pharmaceutical Investigation
    • /
    • v.15 no.2
    • /
    • pp.63-72
    • /
    • 1985
  • Analgesic, anticonvulsive, sedative and antipyretic actions of Yangkyuksanwhatang which is composed of nine crude drugs including Rehmanniae Radix, and its effects on isolated ileum and blood vessel were investigated. The results of the studies were summerized as follows; 1. Analgesic and antipyretic effects were observed. 2. Suppressive actions were not shown on the convulsion induced by strychnine, but significant effects were noted on the convulsion induced by picrotoxin. 3. A prolongation of anesthetic time induced by pentobarbital sodium was significantly observed. 4. Relaxing actions were noted on the ileum of mice, and also, same effects were recognized on the contraction of the ileum due to acetylcholine chloride and barium chloride. 5. The expansion of blood vessels by relaxation of smooth muscle and hypotensive effects were noted.

  • PDF

Beneficial and adverse effects of toad venom, a traditional Oriental medicine

  • Xie Jing-Tian;Maleckar Spring A.;Yuan Chun-Su
    • Advances in Traditional Medicine
    • /
    • v.2 no.1
    • /
    • pp.28-35
    • /
    • 2002
  • Toad venom, 'Chan su' in Chinese and 'somso' in Korean, is a well-known traditional oriental medicine obtained from the skin venom gland of the toad. Formulations of toad venom have been widely applied in China, Japan, Korea and other oriental countries for a long time. It is often found in traditional Chinese formulations, such as Jiuxin (or Kyushin in Japan), Yixin, Huoxin, Shexiang baoxin wan, Lu shen wan and Laryngitis pills. According to a pharmaceutical chemistry study, toad venom contains multiple biological active substances, such as bufalin, resibufogenin and cinobufagin. Modern pharmacological studies indicated that toad venom has multiple pharmacological actions, including acting as a cardiotonic, antitumor local anesthetic effects, stimulates the respiratory center, vasopressor action, anti-inflammatory and diuretic effects. Like other medications, toad venom also has certain toxicity and adverse effects, for example, inducing delayed afterdepolarization and triggered arrhythmia. The major chemical constituents, basic pharmacological actions and adverse reactions of toad venom are discussed in this article.

A Study on the Effect of the Digital Nomadism on Modern Fashion

  • Kim Mi-Hyun;Chung Heung-Sook Grace
    • International Journal of Costume and Fashion
    • /
    • v.4 no.2
    • /
    • pp.45-55
    • /
    • 2004
  • Rapid informatization and technology advance in the 21st century has invited a new paradigm and changed many things in human life pattern. The impact of mobility seen in this digital nomadism has brought about, when it comes to clothing, a change in its unique meaning, that is, the graftage of high technology onto present nomad's life style who live moving around all the time due to the expansion of mobile environment. As the fruits of this expansion of mobile environment and technology advance in wireless telecommunication, easy-to-carry smaller sized devices such as cell phones, PDA, and MP3 players represent the present times, while the future would be an 'era of wearing' in which kinds of electronic devices and systems are integrated into clothing. Thus in this study, concept of wearable computer seen in the 21st century's digital nomadism was reviewed, and figurativeness and anesthetic value of wearable computer were discussed in association with the change in high style image resulted from technology advance and change of life style. By drawing a justice from which, value of future fashion was also prospected.

Motor and Somato Sensory Evoked Potentials During Intraoperative Surveillance Testing in Patients with Diabetes

  • Lee, Kyuhyun;Kim, Jaekyung
    • International journal of advanced smart convergence
    • /
    • v.9 no.1
    • /
    • pp.37-46
    • /
    • 2020
  • Cerebral vascular surgery can damage patients' motor and sensory nerves; therefore, neuromonitoring is performed intraoperatively. Patients with diabetes often have peripheral neuropathy and may be prone to nerve damage during surgery. This study aimed to identify factors that should be considered when diabetic patients undergo intraoperative neuromonitoring during brain vascular surgery and to present new criteria. Methods: In patients with and without diabetes who underwent cerebrovascular surgery (n = 30/group), we compared the intraoperative stimulation intensity, postoperative motor power and sensory, glycated hemoglobin (HbA1c) and glucose levels, and imaging findings. Results: Fasting glucose, blood glucose, and HbA1c levels were 10%, 12.1%, and 9.7%, respectively; they were higher in patients with than in patients without diabetes. Two patients with diabetes had weakness, and 10 required increased Somato sensory evoked potential (SSEP) stimulation, while in 16, motor power recovered over time rather than immediately. The non-diabetic group had no weakness after surgery, but 10 patients required more increased SSEP stimulation. The diabetic group showed significantly more abnormal test results than the non-diabetic group. Conclusion: For patients with diabetes undergoing surgery with intraoperative neuromonitoring, whether diabetic peripheral neuropathy is present, their blood glucose level and the anesthetic used should be considered.

Evaluation of In Vitro Release Profiles of Fentanyl-Loaded PLGA Oligomer Microspheres

  • Gilson Khang;Seo, Sun-Ah;Park, Hak-Soo;John M. Rhee;Lee, Hai-Bang
    • Macromolecular Research
    • /
    • v.10 no.5
    • /
    • pp.246-252
    • /
    • 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.

Comparison of Adding Clonidine Versus Epinephrine into Local Anesthetics in Brachial Plexus Block (상박신경총 차단에서 첨가한 Clonidine과 Epinephrine의 비교)

  • Lee, Hong-Sik
    • The Korean Journal of Pain
    • /
    • v.7 no.2
    • /
    • pp.205-210
    • /
    • 1994
  • The effects of either clonidine or epinephrine into local anesthetics administered into brachial plexus sheath were evaluated in 42 patients who underwent surgery of the upper limb. All patient received 0.5 ml/kg of 2:1 mixture of bupivacaine and lidocaine injected into the brachial plexus sheath, using the subclavian perivascular technique. The patients were randomly allocated into two groups; Group I(n=25) received $150{\mu}g$ of clonidine hydrochloride, and Group II(n=27) received $200{\mu}g$ of epinephrine. The duration of analgesia and the degree of sedation reflecting the systemic effect of clonidine were assessed. The block produced by the addition of clonidine was longer($100.3{\pm}469.8$ vs $648.8{\pm}192.1$ min) and superior to that by epinephrine(p < 0.05). The highest degree of sedation was achieved about 20 minutes after block, which roughly equals the time required for intramuscular clonidine to show the similar effect. The author concludes that the injection of clonidine mixed to local anesthetics into the brachial plexus sheath prolongs analgesia than that of epinephrine, but this prolongation may be due to the systemic effect of clonidine.

  • PDF

Premedication & Anesthesia for OPD Based Laryngeal Procedures (외래 후두 수술의 술전처치 및 마취)

  • Lee, Seung-Won;Kim, Jae-Wook;Koh, Yoon-Woo;Lee, Jun-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.20 no.1
    • /
    • pp.11-16
    • /
    • 2009
  • OPD based laryngeal procedures offers a new avenue to the modern laryngologist, incorporating new technology in the office setting. With the development of flexible fiberoptic endoscopes, compact video system, and short acting anesthetics and sedatives allow these procedures. The success or failure of procedures are depend on excellent topical anesthesia. An inadequately anesthetized patient is apt to be uncomfortable, anxious and hyperresponsive and therefore unlikely to tolerate the procedure. On the other hand, a patient who is well informed, reassured, and thoroughly anesthetized can complete procedures. Therefore, optimal anesthesia is obligatory for excellent surgical results. The phonosurgeon should choose the anesthetic and sedative agents based on duration of action, time of onset of action, and any medical contraindications that the patient may have. And should be familiar with the properties and interaction of the agents used, as well as the signs of toxicity.

  • PDF

Investigation on Sedation and Anesthetic of $AQUI-S^{\circledR}$ for Black Rockfish(Sebastes schlegeli) ($AQUI-S^{\circledR}$의 조피볼락(Sebastes schlegeli)에 대한 진정 및 마취 효과)

  • Shin, Gee-Wook;Shin, Yong-Seung;Kim, Young-Rim;Lee, Eun-Young;Yang, Hyang-Hee;Palaksha, K.J.;Yeon, Seong-Chan;Lee, Hee-Chun;Oh, Myung-Joo;Joh, Seong-Joon;Kang, Seung-Won;Jung, Tae-Sung
    • Journal of Veterinary Clinics
    • /
    • v.23 no.3
    • /
    • pp.236-242
    • /
    • 2006
  • Along with olive flounder(Paralichthys olivaceus), black rockfish(Sebastes schlegeli) is another very popular maricultured species in Korea. As there is many difficulties in handlling live fish for aquaculturist, use of suitable anesthesia for proper handling of fish is very important in the field. In this view, the effect of $AQUI-S^{\circledR}$ has analysed for its use in the field. $AQUI-S^{\circledR}$, contains 50% isoeugenol, is a new anesthics for fish and zero-withdraw time required since it was approved as a safe additives of food. In the present study, black rockfish adult exhibted sedation effect from 5 ppm at $10^{\circ}C\;and\;15^{\circ}C$, and 7.5 ppm at $20^{\circ}C$, on the other hand, anesthesia was at least required 7.5 ppm at $10^{\circ}C\;and\;15^{\circ}C$, and 10 ppm at $20^{\circ}C$. The fish was recovered from sedation and anesthesia after approximately 5 and 10 minutes, respectively. In case of black rockfish fry, sedation was recorded from 2.5 ppm at $20^{\circ}C$, and 5 ppm at $15^{\circ}C\;and\;20^{\circ}C$. The least concentraion of anesthesia was 2.5 ppm at $10^{\circ}C$, 7.5 ppm at $15^{\circ}C$, and 5 ppm at $20^{\circ}C$. The acute toxic test showed that black rockfish adult and nv showed mortality above 12.5 and 15 ppm concentration of $AQUI-S^{\circledR}$, respectivly. In sum, $AQUI-S^{\circledR}$ is considered as useful anesthetic drug for sedation and anesthesia of black rockfish, it is highly availbale to be prevented from a varity of stress.

A Comparison of Pain Reducing Effects of Topical EMLA Cream and Subcutaneous Lidocaine in Hemodialysis Patients (혈액투석시 EMLA크림 처치와 Lidocaine 피내주사에 따른 통증정도의 비교)

  • Shin Mee-Ok;Park Hye-Ja;Chang Eun-Jeung;Suh Youn-Hee;Heo Mi-Yeon;Kim Mi-Kyoung;Choi Mi-Lee;Lee Myoung-Ja;Kim Young-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
    • /
    • v.2 no.1
    • /
    • pp.37-43
    • /
    • 1995
  • This study was conducted to compare the severity of cannulation pain in hemodialysis patients after topical application of EMLA cream and local injection of lidocaine and evaluated side effects and problems accompanied by the former. Twenty patients, who were on hemodialysis from September 1 to October 15, 1994 at the Kangnam St. Mary's Hospital, Catholic University Medical College, were divided into two groups of ten. To conduct a cross over study, two groups were placed on four repeated methods with lidocaine followed by four repeated methods with EMLA cream and vice versa, respectively, while the severity of cannulation pain was being measured according to a Visual Analogue Scale with each methods. The results are follows : 1) The scale of pain was recorded as $4.56{\pm}1.38$ and $2.05{\pm}1.36$ points for methods with lidocaine and EMLA cream, respectively, indicating the less severe pain with EMLA cream. 2) Local side effects such as itching(4 cases, 5.0%)and pallor (5 cases, 6.3%)were observed with methods with EMLA cream but disappeared before the completion of hemodialysis. 3) Problems associated with local lidocaine were pain at the injection of anesthetic (27cases, 16.9%)and fear for needle insertion(6 cases, 3.8%). The most frequent problems with EMLA cream application were an inconvenience in use (11 cases, 6.9%)and tedious long pretreatment time(11 cases, 6.9%), those associated with inconvenience in cream applying procedures. 4) Twelve out of twenty patients(60.0%) responded with yes to a continued use of EMLA cream in spite of problems with cream application and economical difficulties in purchasing. These results indicate that 5% EMLA cream used as a local anesthetic in hemodialysis significantly reduces cannulation pain and lacks side effects, thus serving as a suitable method for the alleviation of cannulation pain and inconvenience in hemodialysis and the relief of psychological stress of nurses.

  • PDF