• Journal of Dental Anesthesia and Pain Medicine
• /
• v.24 no.3
• /
• pp.223-225
• /
• 2024

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.24 no.2
• /
• pp.139-141
• /
• 2024

• Journal of Trauma and Injury
• /
• v.36 no.1
• /
• pp.3-7
• /
• 2023

Purpose: As resuscitative endovascular balloon occlusion of the aorta (REBOA) is performed in an extremely emergent situation, achieving competent clinical practice is mandatory. Although there are several educational courses that teach the REBOA procedure, there have been no reports evaluating the impact of training on clinical practice. Therefore, this study is aimed to evaluate the effects of the course on procedural performance during resuscitation and on clinical outcomes. Methods: Patients who were managed at a regional trauma center in Dankook University Hospital from August 2016 to February 2018 were included and were grouped as precourse (August 2016-August 2017, n=9) and postcourse (September 2017- February 2018, n=9). Variables regarding injury, parameters regarding REBOA procedure, morbidity, and mortality were prospectively collected and reviewed for comparison between the groups. Results: Demographics and REBOA variables did not differ between groups. The time required from arterial puncture to balloon inflation was significantly shortened from 9.0 to 5.0 minutes (P=0.003). There were no complications associated with REBOA after the course. Mortality did not show any statistical difference before and after the course. Conclusions: The endovascular training for REBOA pilot course, which uses a modified form of flipped learning, realistic simulation of ultrasound-guided catheter insertion and balloon manipulation, and competence assessment, significantly improved procedural performance during resuscitation of trauma patients.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.20 no.1
• /
• pp.45-47
• /
• 2020

Endotracheal tube damage is a well-known complication of maxillary surgery. We report a case of failure to ventilate due to superficial damage to the tubing between the cuff and pilot balloon in the nasal portion of a north facing Ring, Adair and Elwyn pre-formed endotracheal tube during Surgically Assisted Rapid Palatal Expansion surgery. The endotracheal tube was replaced uneventfully and surgery completed successfully. On reflection, we feel that that the vulnerable position of the cuff-pilot tubing significantly contributed to this critical incident and suggest that increased recognition of this is vital for the prevention of such cases in the future.

• Journal of Dental Anesthesia and Pain Medicine
• /
• v.15 no.2
• /
• pp.101-103
• /
• 2015

In oral and maxillofacial surgery, many complications associated with nasotracheal tube can be caused. In this case, we reported ballooning tube damage of nasotracheal tube during orthognathic double-jaw surgery and replacement of tube through cut down of tube and tube exchange using airway exchange catheter. The patient scheduled for high Le Fort I osteotomy and bilateral sagittal split osteotomy was intubated nasotracheally with nasal endotracheal tube. During maxilla osteotomy, air bubble was detected in the oral blood. In spite of our repeated ballooning, the results were the same so we changed damaged tube using airway exchange catheter aseptically. Tiny and superficial cutting site was detected in the middle of pilot tube. As we know in our case, tiny injury impeded a normal airway management and prevention is important.

• Journal of Environmental Science International
• /
• v.10 no.6
• /
• pp.417-422
• /
• 2001

The vertical structure of atmosphere was observed In investigate the variation of surface ozone concentration by vertical downward mixing of residual ozone in the atmospheric boundary layer at the Busan coastal area. Airsonde and pilot balloon measurements were made at Gamcheondong and the Kimhae airport for April 26~27, 1996. The vertical potential of potential temperature showed a residual layer between 510m and 1800m from 2100LST April 26 to 0900LST April 27. The downward mixing of ozone in the residual layer of the atmospheric boundary layer was confirmed from vertical profile of mixing ratio near 600m in the morning. The thickness of the sea breeze layer was 900m at 1500LST April 26. Thereafter, it become to be lowered with time A low level jet was measured near 900m at 0300LST on April 27 from a pibal measurement. Early morning sharp increase of surface ozone concentration at the Busan coastal area was caused by vertical downward mixing of ozone concentration rather than by photochemical reaction In the atmospheric boundary layer.