• Title/Summary/Keyword: Anesthetic method

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Dependence Potential of Propofol: Behavioral Pharmacology in Rodents

  • Cha, Hye-Jin;Cha, Ji-Hun;Cho, Hea-Young;Chung, Eun-Yong;Kwon, Kyoung-Jin;Lee, Jun-Yeon;Jeong, Ho-Sang;Kim, Hye-Soo;Chung, Hye-Joo;Kim, Eun-Jung
    • Biomolecules & Therapeutics
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    • v.20 no.2
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    • pp.234-238
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    • 2012
  • Propofol is an anesthetic commonly used to provide sedation or to induce and maintain an anesthetic stated. However, there are reports which indicate propofol may cause psychological dependence or be abused. In the present study, we used various behavioral tests including climbing test, jumping test, conditioned place preference, and self-administration test to assess the dependence potential and abuse liability of propofol compared to a positive control (methamphetamine) or a negative control (saline or intralipid). Among the tests, the conditioned place preference test was conducted with a biased method, and the selfadministration test was performed under a fixed ratio (FR) 1 schedule, 1 h per session. No difference was found in the climbing test and jumping test, but propofol (30 mg/kg, i.p.) increased the rewarding effect in the conditioned place preference test, and it showed a positive reinforcing effect compared to the vehicle. These results indicate that propofol tends to show psychological dependence rather than physical dependence, and it seems not to be related with dopaminergic system.

The assessment of anesthetic depth by quantitative electroencephalography in intravenous anesthesia by intermittent bolus injection (간헐적 일시 정맥주사 마취에서 정량적 뇌파분석을 이용한 마취 심도의 평가)

  • Lee, Soo-Han;Bae, Chun-Sik;Noh, Gyu-Jeong;Bae, Kyun-Seop;Kim, Jin-Young;Chung, Byung-Hyun
    • Korean Journal of Veterinary Research
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    • v.45 no.1
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    • pp.131-137
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    • 2005
  • To assess anesthetic depth using quantitative electroencephalography (q-EEG), we recorded processed EEG (raw EEG) till 100 minutes in beagle dogs anesthetized for 60 minutes with tiletamine/zolazepam (n=5, TZ group), xylazine/ketamine (n=5, XK group) and propofol (n=5, PI group) by intermittent bolus injection. Raw EEG was converted into 95% spectral edge frequency (SEF) and median frequency (MF) through fast fourier transformation (FFT) method. 95% SEF value of TZ group was significantly higher (p<0.05) than the XK group from 10 minutes to 100 minutes. 95% SEF value of PI group was significantly higher (p<0.05) than the XK group from 10 minutes to 40 minutes, and significantly low (p<0.05) than XK group at 90 and 100 minutes. MF was significantly higher (p<0.05) in TZ group from 60 minutes to 100 minutes. Based on these results, using dissociative agent with ${\alpha}_2$-adrenergic agent is more potent in CNS depressed than using dissociative agent alone, and low doses of propofol has a disinhibitory effect on CNS.

Pain control using the Point-Inject Technique in dental local anesthesia (Point Inject Technique을 이용한 치과 국소마취의 통증 조절 및 진료 효율의 극대화)

  • Lee, Jae-youn;Choe, Sunga
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.32-37
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    • 2021
  • Many approaches to local anesthesia have been studied in dentistry. In this study, we introduce a new local anesthetic method, "Point-Inject Technique (PIT)", and compare it with traditional injection techniques. The PIT method utilizes both the vasoconstrictive and antinociceptive properties of local anesthetics as well as the application of controlled pressure during injection, reducing the time to complete anesthesia. Fifty patients were selected as the experimental group who were anesthetized using PIT, and the other 50 patients were selected as the control group using the direct injection method with a carpool syringe. The PIT group received 0.25 cartridges of 2% lidocaine with 1:100,000 epinephrine. The control group received 1.5~2 cartridges of 2% lidocaine with 1:100,000 epinephrine. Both groups were asked to mark the intensity of the pain caused by anesthesia using the Numeric Pain Rating Scale. The average time to recover from anesthesia was 40 minutes in the experimental group and 90 minutes in the control group. Additionally, 96% of the experimental group reported feeling no pain, while 78% of the control group reported having some form of pain during injection. The PIT method reduced both the reported pain scores of patients as well as time to recover from local anesthesia than the widely-used syringe injection method.

The Effect of SGB in Lagophthalmos Caused by Facial Nerve Palsy -A case report- (안면 신경 마비로 인한 토안에서 성상신경절 차단의 효과 -증례보고-)

  • Kim, Soo-Young;Nam, Dae-Hee
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.116-118
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    • 1998
  • Stellate ganglion block(SGB) is frequently performed in pain clinics. Facial palsy produces asymmetry of the face, lagophthalmos and incomplete eyelid closure. Exposure keratitis and eyeball pain can be induced by prolonged lagophthalmos. SGB was performed on a 51-year-old female patient who had exposure of keratitis and eyeball pain due to facial nerve palsy after an operation for chronic otitis media. After 31 stellate ganglion blocks, eyeball pain and keratitis nearly subsided. SGB is an effective method to treat lagophthalmos caused by facial nerve palsy.

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Clinical Evaluation of Cesarian Section Anerohesia (제왕절개술 마취에 대한 임상적 고찰)

  • Park, Dae-Pal
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.63-66
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    • 1986
  • Maternal and fetal effects of anesthesia for 423 cesarian section, performed during the past three and quarter years period in this hospital, have been evaluated. It is emphasized that the selection of anesthetic agent and method should depend upon the physical status of the patients and the ability of both obstetrician and anesthesiologists. Author results were as follows: 1. The incidence of c-section was 13.9% of total deliveries. 2. More than about three fourths of total cases were emergency cases. 3. Almost all cases were operated under general anesthesia. 4. The good physical states of patients resulted in better Apgar score of infants. 5. The shorter the interval from induction of anesthesia to delivery, the better was the Apgar score of infants.

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Tracheal Reconstruction with High Frequency Jet Ventilation in Patients of Tracheal Stenosis (기관 협착 환자에서 고빈도 제트 환기법응 이용한 기관 성형술)

  • 김정택
    • Journal of Chest Surgery
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    • v.23 no.5
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    • pp.1021-1026
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    • 1990
  • The patients with tracheal stenosis have become more increasing in recent due to the increased use of tracheostomy and assisted ventilation Anesthetic management during tracheal reconstruction is a concern to the anesthetist and the surgeon, who must share the airway as a operation field and at the same time provide good gas exchange. Multiple technique such as the tube ventilation system or C \ulcornerP bypass method have been recommended to achieve this goals. However, these methods have disadvantages of poor surgical exposure and hemorrhagic complication from using C \ulcornerP bypass The technique for HFJV was first described for bronchoscopy, and it involves positive-pressure breathing with high flow[40 \ulcorner60L/min] of oxygen This flow is directed to a semirigid catheter inserted in the endotracheal tube and the tracheal reconstruction can be done without interruption. From Dec. 1986 to July 1990 we have experienced 6 patients of tracheal stenosis necessitating circumferential resection and end to end anastomosis; 5 patients with tracheal stenosis following cuffed tracheostomy or intubation, a patient with tracheal stenosis due to invasive thyroid cancer. The specific advantages during tracheal reconstruction are unobstructed field during surgical reconstruction and good gas exchange through the procedure.

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Treatment of 43 Patients with Buerger's Disease (Buerger환자 43명의 치료 경험)

  • Cheun, Jae-Kyu;Jang, Young-Ho;Chung, Jung-Kil
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.114-119
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    • 1996
  • Buerger's disease is a nonatherosclerogic occlusive inflammatory disease of medium and small arteries, and veins, of unknown cause. It occurs predominantly in young males who are habitual tabacco users. These patients often complain of painful ulcerations of their digits. The care of this disease is very difficult when the treatment is delayed. Consequently, early treatments are most important to patients with Buerger's disease. This disease can be treated with sympathetic block such as stellate ganglion block for upper extremities and lumbar epidural block, and lumbar sympathetic block for lower extremities. Intravascular regional sympathetic block can be another method of treatment. However, discontinuation of smoking is the most basic and essential treatment for Buerger's disease. We treated 43 Buerger's disease patients with stellate ganglion block and laser therapy. The treatment was not effective for three patients who definitely required amputation.

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Study on application of surgical therapeutic method of foot diseases and foot anesthesia technique in cattle (소 발굽병의 외과적 치료법 및 발굽마취법 확립에 관한 연구)

  • Jeong, Soon-wuk;Yun, Suk-jung
    • Korean Journal of Veterinary Research
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    • v.39 no.1
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    • pp.240-246
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    • 1999
  • forty-five claw lamed cows with pododermatitis circumscripta, hyperplasia interdigitalis, and dermatitis verrucosa were treated surgically through resection of necrotic tissues, currettage, antibiotics application, and compressive bandage, under retrograde intravenous regional anesthesia of claw. At 7 days postoperation were showed lameness score 0, absense of swelling of extremitis, without fistulation and purulent exudate in wound. Mean duration time of action of local anesthetic drug was 75 minutes and mean operation time for treatment of pododermatitis circumscripta, hyperplasia interdigitalis, and dermatitis verrucosa was 35 minutes, 20 minutes, and 21 minutes, respectively.

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Lumbar Facet Joint Injection in Low Back Pain and Sciatica Caused by Lumbar Facet Joint Arthropathy (후관절 관절증으로 인한 요통 및 좌골신경통에 대한 후관절강내 차단)

  • Ban, Jong-Seok;Go, Jeon-Seock;Min, Byng-Woo
    • The Korean Journal of Pain
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    • v.2 no.2
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    • pp.174-180
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    • 1989
  • An intra-articular lumbar facet joint block with a local anesthetic and asteroid is a reliable method of diagnosis and therapy for low back pain and/or sciatica caused by lumbar facet arthropathy under fluoroscopy. We injected 40 mg of methylperdnisolone acetate and 1 ml of 0.5% bupivacaine into each lumbar facet joint to 14 patients. The results are as follows: 1) Excellent pain relief in 2 patients (14.29%) 2) Good pain relief in 6 patients (42.85%) 3) Fair pain relief in 4 patients (28.57%) 4) Non effective pain relief in 2 patients (14.29%).

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CT Guided Transaortic Celiac Plexus Neurolysis (CT감시하의 경대동맥 접근법에 의한 복강 신경총 차단)

  • Chung, Mi-Young;Lee, Hae-Giu;Lee, Chul-Woo
    • The Korean Journal of Pain
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    • v.4 no.1
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    • pp.37-41
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    • 1991
  • Celiac Plexus neurolysis (C. P. N) has been commonly used to treat malignant pain of the abdominal area that is intractable. It relieves the pain effectively instead of using massive systemic narcotic analgesics. C. P. N. with modified transaortic technique was performed under C-T guidance, in which a single needle was advanced from a left posterior paramedian approach through the aorta in order to inject anesthetic agents directly into the celiac plexus. There was marked pain relief without any hemorrhagic and neurological or other complications. We found this modified transaortic method of C. P. N. to be very effective, safe and easy to perform compared with the classic two needle technique.

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