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Successful Empirical Treatment of Intravenous Immune Globulin in Recent-Onset Idiopathic Dilated Cardiomyopathy: A Case Report
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Hyun Soo Kim, Keum Nam Rim, Hyun Jong Shin, Sang Pyo Lee, Sang Bong Ahn, Yong Gu Lee, Young Chul Lee, Na Rae Ha, Sun Joo Chang, Jin Ho Shin
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Korean J Crit Care Med. 2007;22(2):96-100.
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- Intravenous immunoglobulin (IVIG) therapy has been introduced to idiopathic dilated cardiomyopathy due to their antiviral and anti-inflammatory effects. But each study reported conflicting result and treatment regimen has not been clearly established. We experienced a case of 28-year-old woman with idiopathic dilated cardiomyopathy with severely depressed cardiac function. Its onset time was obvious within 1 month. Despite of conservative treatment of heart failure, sudden cardiac arrest was developed. We tried IVIG therapy, and her symptoms and cardiac function were improved after IVIG treatment.
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Use of Laryngeal Mask Airway Proseal for Stereotactic Biopsy of Brain Tumor in which Difficult Intubation was Expected under General Anesthesia: A Case Report
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Yun Hong Kim, Hyun Soo Kim, Sung Ha Mun, Hyun Seung Lee
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Korean J Crit Care Med. 2004;19(1):47-51.
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Abstract
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- Stereotactic surgery is a technique allowing the operation of an intracranial lesion without the need for craniotomy.
Now stereotactic technique is widely used for aspiration of brain abscess or hemorrhage, biopsy of brain tumor and treatment of movement disorder etc. Because of the frame of stereotactic system, that is fixed on the scalp, laryngoscopic endotracheal intubation may be disturbed. So, in this case, we used laryngeal mask airway Proseal (PLMA(TM)) for maintenance of airway during stereotactic biopsy of brain tumor under general anesthesia. It was easily to insert PLMA(TM) using the introducer at once. The ventilation during the operation was not impeded at all time. There were not excessively changes of vital sign during general anesthesia. We think that PLMA(TM) may be a good alternative method for maintenance of airway during stereotactic surgery under general anesthesia.
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Use of Laryngeal Mask Airway ProsealTM in a Total Thyroidectomy for Huge Thyroid Tumor: A case report
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Hyun Soo Kim, Yun Hong Kim, Hyun Woo Nam
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Korean J Crit Care Med. 2002;17(1):38-41.
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Abstract
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- This is a case of anesthesia for a 49 year old woman with huge thyroid tumor who was admitted for total thyroidectomy.
General anesthesia for thyroidectomy has traditionally involved tracheal intubation. But, we failed orotracheal intubation as in ability to insert a tracheal tube from the oropharynx into the trachea. After laryngoscopy was attempted three times, a laryngeal mask airway ProSealTM (PLMATM), size 3, was requested. The device was passed easily, and a patent airway was obtained. During general anesthesia, patient was mechanically ventilated through the PLMATM to airway pressures of approximately 20 cmH2O and positive pressure ventilation without air leaks was possible. Total thyroidectomy was performed without hypoxia and hypercarbia.
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Clinical Study for Monitored Anesthesia Undergoing Ophthalmic Surgery
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Jeong Won Lee, Suk Hun Yoon, Tae Seong Kim, Hyun Soo Kim, Kwang Min Kim
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Korean J Crit Care Med. 1997;12(1):37-42.
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- Intoduction: The phrase "Monitored Anesthesia Care" refers to instances in which an anesthesiologist has been called upon to provide specific anesthesia services to a particular patient understanding a planned procedure, in connection with which a patient receives local anesthesia. Monitored anesthesia care is being increasingly used in the 1990s for a wide variety of diagnostic and therapeutic procedure. The primary objective in providing monitored anesthesia care is to ensure patient comfort and safety.
METHOD
We classified patients in three groups by premedication and oxygen administration, no premedication and no oxygen administration (group A), premedication and oxygen administration (group B), premedication and no oxygen administration (group C), measured vital signs and SpO2 (peripheral oxygen saturation) from just before operation, and checked the satisfaction score of surgeon and patients.
RESULT
SpO2 and satisfaction score of surgeon and patients are the best at premedication and oxygen administration group.
CONCLUSION
Monitored anesthesia is assumed to give more comfort and safety to patients than local anesthesia alone.
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