• 제목/요약/키워드: intratracheal

검색결과 99건 처리시간 0.027초

회화방법에 따른 폐 내 석면섬유의 투과전자현미경 분석 (Analysis of Asbestos Fiber in Lungs by Transmission Electron Microscopy According to the Digestion Method)

  • 한정희;정용현;양정선
    • 한국산업보건학회지
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    • 제23권4호
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    • pp.333-340
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    • 2013
  • Objectives: This study was designed to establish an accurate analytical method for asbestos in a biological sample for determining occupational asbestos-related diseases and relief of the health effects of environmental asbestos. Methods: Biological samples were obtained from lungs of rats following intratracheal instillation of asbestos(Chrysotile, anthophyllite) and were prepared according to digestion method(Wet digestion, high temperature ashing, low temperature ashing). The samples were then analyzed for asbestos fibers using a transmission electron microscope equipped with an energy dispersive X-ray spectrometer. Results: Low temperature plasma ashing removed more of the organic components and reduced fiber loss compared to the wet digestion method, making specimens so prepared more suitable for transmission electron microsocpy. Conclusions: The low temperature ashing technique is the most accurate method for analyzing asbestos in biological samples.

Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports

  • Ji, Sungmi;Song, Jaegyok;Kim, Seok Kon;Kim, Moon-Young;Kim, Sangyun
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제17권3호
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    • pp.219-223
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    • 2017
  • In cases of multiple facial trauma and other specific cases, the anesthesiologist may be asked to convert an oral endotracheal tube to a nasal endotracheal tube or vice versa. Conventionally, the patient is simply extubated and the endotracheal tube is re-inserted along either the oral or nasal route. However, the task of airway management can become difficult due to surgical trauma or worsening of the airway condition. Fiberoptic bronchoscopy was considered a novel method of airway conversion but this method is not useful when there are secretions and bleeding in the airway, or if the anesthesiologist is inexperienced in using this device. We report a successful airway conversion under the aid of both, a fiberoptic bronchoscope and a C-MAC video laryngoscope.

중증 서맥성 전도장애 개에서 피부경유 심박 조절 하에 기관내 스텐트 장착 (Intratracheal Stenting Under the Aid of Transcutaneous Cardiac Pacing in a Dog with Severe Bradycardic Conduction Defect)

  • 이승근;현창백;장광호
    • 한국임상수의학회지
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    • 제25권5호
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    • pp.400-404
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    • 2008
  • 10살된 암컷 요오크셔테리어(체중 3 kg)가 심한 호흡곤란 청색증, 간헐성 발작 증상으로 진료가 의뢰되었다 신체검사 결과 지속성 맥박결손을 동반한 불규칙 서맥이 부정기적으로 관찰되었다. 심전도 검사에서 고도의 방실차단이, 방사선검사에서 중증 기관허탈이 진단되었다. 피부경유 심박조절 하에 자동확장 기관내 스텐트를 성공적으로 장착할 수 있었다.

Ovalbumin과 디젤배기가스 입자로 유도된 기도염증과 기도 과민성에 대한 황금 추출물의 항천식 효과 (Antiasthmatic Effects on Scutellaria baicalensis Georgi Extracts Against Airway Inflammation and Hyperresponsiveness Induced by Diesel Exhaust Particles with Ovalbumin Sensitization)

  • 임흥빈;김승형
    • 한국약용작물학회지
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    • 제20권2호
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    • pp.129-135
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    • 2012
  • The feature of asthma are airway inflammation (AI), reversible airway obstruction, and an increased sensitivity to bronchoconstricting agents, elevated airway hyperresponsiveness (AHR), excess production of Th2 cytokines, and eosinophil accumulation in the lungs. This study was performed to investigate if oral administration of $Scutellaria$ $baicalensis$ Georgi water extracts (SBG) have the antiasthmatic potential for the treatment of asthma. Asthmatic HI and AHR were induced by systemic sensitization to ovalbumin (OVA) with intratracheal instillation with 0.1 mg/mL of diesel exhaust particles (DEP) suspension once a week for 10 weeks in BALB/c mice. SBG was orally administered with the concentraion of 200 mg/kg 5 days a week for 10 weeks. Long-term SBG treatment suppressed the eosinophil infiltration into airways from blood, the asthmatic AI and AHR by attenuating the production of cytokine IL-4, IL-5 and IL-13, histamine and OVA-specific IgE. Our data suggest that SBG has inhibitory effects on AI and AHR in a mouse model of asthma, may act as a potential Th2 cytokine antagonist, and may have a therapeutic effect on allergic asthma.

초보자에서 마네킨에게 직접 후두경과 삽관용 후두마스크기도기를 이용한 기관내삽관의 비교 (Comparison of tracheal intubation using the Macintosh laryngoscope versus the intubating laryngeal mask airway in novice users - A manikin study -)

  • 황지영;조근자
    • 한국응급구조학회지
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    • 제16권2호
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    • pp.75-89
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    • 2012
  • Purpose : This research was designed to provide basic data for advanced pre-hospital airway management by comparing the time to ventilation and success rate for tracheal intubation performed with Macintosh laryngoscope and intubating Laryngeal Mask Airway(ILMA) in a manikin. Methods : All participants were novice users among EMT-Paramedic students and were divided into two groups: (1) the group for Macintosh laryngoscope guided tracheal intubation(MLG-TI) (2) the group for ILMA guided tracheal intubation(ILMA-TI). After an introductory lecture and demonstration, each group made an attempt ten tracheal intubation to compare the ventilation time and success rate for tracheal intubation. Results : 1) There was significant difference in the time to ventilation through MLG-TI, the time to first and second ventilation through ILMA-TI of the 10 attempts. 2) The time to first ventilation through ILMA-TI was significantly shorter than that of ventilation through MLG-TI. 3) There was no significant difference between the time to ventilation through MLG-TI and the time to second ventilation through ILMA-TI. 4) The success rates of ILMA-TI were significantly higher than those of MLG-TI. Conclusion : ILMA-TI can be an alternative method for MLG-TI in advanced pre-hospital airway management.

생쥐에서 급성 폐렴에 대한 여정자 열매 추출물의 억제효과 (Ligustrum lucidum Fruits Extract Inhibits Acute Pulmonary Inflammation in Mice)

  • 곽호근;임흥빈
    • 한국약용작물학회지
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    • 제21권5호
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    • pp.323-328
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    • 2013
  • Traditionally, Ligustrum lucidum fruits (LL) is one of the well-known oriental herb used in the treatment of skin and lung inflammation. This study investigated anti-inflammatory effects of LL in the pathogenesis of acute pulmonary inflammation in mice. Acute pulmonary inflammation was induced by intratracheal instillation of cigarette smoke condensate (CSC) and lipopolysaccharide (LPS) 5 times within 12 days in mice. LL extract was administered orally at a dose of 50 or 200 mg/kg. Administration of LPS and CSC significantly elevated airway hyperresponsiveness (AHR) to mice, and increased in the levels of inflammatory cells and mediators in mice. However, the LL extract significantly reduced the elevated AHR, and the increase of neutrophils, $CD4^+/CD3^+$ cells and $CD8^+/CD3^+$ cells, along with reducing the expression of TNF-${\alpha}$, IL-6, and MIP-2. Moreover, the LL extract alleviated the infiltration of inflammatory cells in expanded airway walls histologically. These results indicate that the LL extract has an inhibitory effects on acute pulmonary inflammation and AHR in murine model, and plays a crucial role as a immunomodulator which possess anti-inflammatory property.

랫드에 주입된 국내산 암면의 호흡기 독성 및 생체내구성 평가 (Domestic Rock Wool Toxicity Study on Respiratory System and Biopersistence Evaluation in Sprague-Dawely Rats)

  • 정용현;한정희;강민구;이성배;김현영
    • 한국산업보건학회지
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    • 제19권2호
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    • pp.127-138
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    • 2009
  • Rock wool, a kind of asbestos substitutes, was analyzed for its physicochemical properties. After fivers of rock wool were instilled into rat lungs, These pathological changes were evaluated. In addition, the fibers in the lungs were counted and characterized after the lungs were treated for electron microscopical analysis. The lungs of rats showed pathological lesions such as granulomatous changes, but these lesions disappeared at 28 days groups after instilled rats. The rock wool fibers in the lungs decreased more 50 % after 28 days instilled into rat lungs. And rock wool showed early change in fiber compositions after 3 days compare with chrysotile showed after 7 days instilled into rat lungs. This study showed that the durability of rock wool in the lungs is more milder than chrysotile.

Effects of GHX02 on Chronic Obstructive Pulmonary Disease Mouse Model

  • Yang, Won-Kyung;Lyu, Yee Ran;Kim, Seung-Hyung;Park, Yang Chun
    • 대한한의학회지
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    • 제39권4호
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    • pp.126-135
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    • 2018
  • Objectives: Chronic obstructive pulmonary disease (COPD) is characterized by chronic inflammation and irreversible airflow. This study aimed to evaluate the effects of GHX02 in a COPD-induced mouse model. Methods: The COPD mouse model was established by exposure to cigarette smoke extract and lipopolysaccharide which were administered by intratracheal injection three times with a 7 day interval. GHX02 (100, 200, 400 mg/kg) and all other drugs were orally administrated for 14 days from Day 7 to Day 21. Results: GHX02 significantly decreased the neutrophil counts in bronchoalveolar lavage fluid (BALF) and the number of $CD4^+$, $CD8^+$, $CD69^+$, and $CD11b^+/GR1^+$ cells in BALF and lung cells. GHX02 also suppressed the secretion of tumor necrosis factor-alpha ($TNF-{\alpha}$), interleukin-17A, macrophage inflammatory protein 2 (MIP2), and chemokine (C-X-C motif) ligand 1 (CXCL-1) in BALF and ameliorated the lung pathological changes. Conclusions: Thus, GHX02 effectively inhibited airway inflammation by inhibiting migration of inflammatory cells and expression of pro-inflammatory cytokines. Therefore, GHX02 may be a promising therapeutic agent for COPD.

Micropipette tip intubation in rats as a replacement for conventional endotracheal tube intubation

  • Myung-Good Kim;Jeong-Ho Ryu;Dong Min Lee;Tae-Seo Park;Ji-An Choi
    • 대한두개안면성형외과학회지
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    • 제24권2호
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    • pp.87-90
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    • 2023
  • Endotracheal intubation is often necessary in the course of animal experiments, especially in craniofacial surgery. However, endotracheal intubation can be a major burden in this context. The authors performed simple and cost-saving method using a 200 µL yellow micropipette tip, and the success of this method was demonstrated by X-ray and autopsy. We used a total of 30 rats. After the rats were fixed with a plaster, the trachea and vocal cords were visualized with the tongue pulled back. Under direct visualization of the vocal cords, a curving micropipette tip was advanced into the trachea. This method can be learned quickly and applied successfully by general experimenters. We successfully intubated all 30 rats without any complications. The success rate of micropipette tip intubation was 100%. This procedure was performed by one experimenter within 2 to 3 minutes after induction of anesthesia. We demonstrated its superiority by X-ray and autopsy. Herein, we describe endotracheal intubation of rats using micropipette tips. To the best of our knowledge, this method is novel and represents the simplest and most efficient means of intubation in rats, providing an alternative to conventional endotracheal intubation.

Cuff tear of endotracheal tube induced by a palatal orthodontic device during nasotracheal intubation: a case report

  • Kyung Nam Park;Seung-Hwa Ryoo;Kwang-Suk Seo;Hyun Jeong Kim;Myong-Hwan Karm
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제24권5호
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    • pp.361-366
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    • 2024
  • Orthognathic surgery often requires intraoral orthodontic appliances that are fixed directly to the bone, which can complicate nasotracheal intubation if the devices protrude into the nasal cavity. This case report describes a 19-year-old man scheduled for elective orthognathic surgery who experienced recurrent cuff tears of the endotracheal tube during nasotracheal intubation due to protruding orthodontic screws in the palate. Despite initial attempts at nasotracheal intubation through the left nostril, the cuff of the 7.0 mm internal diameter (ID) Ring, Adair & Elwyn (RAE) tube repeatedly ruptured, with identical rupture patterns observed. Facial CT revealed that the orthodontic screws had protruded into both nasal cavities with significant visibility in the sagittal, coronal, and transverse views. Fiberoptic examination of the left nasal passage identified a firm protrusion below the inferior turbinate, corresponding to the location of the screw, which likely caused the cuff tears. Intubation was successfully performed via the right nostril during the fiberoptic examination. This case highlights the critical importance of evaluating intraoral corrective devices using comprehensive craniofacial imaging before anesthesia induction, as well as conducting fiberoptic examinations during intubation to avoid complications and ensure patient safety.