Yonsei medical journal
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Yonsei medical journal · May 2013
Randomized Controlled TrialEffect-site concentration of remifentanil for minimizing cardiovascular changes by inhalation of desflurane.
This study aims to investigate the most appropriate effect-site concentration of remifentanil to minimize cardiovascular changes during inhalation of high concentration desflurane. ⋯ The most appropriate effect-site concentration of remifentanil for blunting hemodynamic responses by inhalation of high concentration desflurane is 4 ng/mL.
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Yonsei medical journal · May 2013
Randomized Controlled Trial Comparative StudyLaryngeal mask airway insertion in adults: comparison between fully deflated and partially inflated technique.
The laryngeal mask airway (LMA) is a supraglottic airway device designed to seal around the laryngeal inlet. A controlled study was designed to compare the effectiveness and complications in inserting the LMA when the cuff is fully deflated and partially inflated. ⋯ The fully deflated method is more accurate and safe because of better fiberoptic view and lesser complications than the partially inflated group.
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Yonsei medical journal · Jan 2013
Randomized Controlled TrialIncidence of venous air embolism during myomectomy: the effect of patient position.
Venous air embolism (VAE) is characterized by the entrainment of air or exogenous gases from broken venous vasculature into the central venous system. No study exists regarding the effect of patient positioning on the incidence of VAE during abdominal myomectomy. The purpose of this study was to assess the incidence and grade of VAE during abdominal myomectomy in the supine position in comparison to those in the head-up tilt position using transesophageal echocardiography. ⋯ The incidence and grade of VAE in the head-up tilt group were significantly lower than those in the supine group during abdominal myomectomy.
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Yonsei medical journal · Jan 2013
Randomized Controlled Trial Comparative StudyComparison of natural drainage group and negative drainage groups after total thyroidectomy: prospective randomized controlled study.
The aim of this study was to compare a negative pressure drain with a natural drain in order to determine whether a negative pressure drainage tube causes an increase in the drainage volume. ⋯ These results indicate that a negative pressure drain may increase the amount of drainage during the first 24-48 hours postoperatively. Therefore, it is not necessary to place a closed suction drain when only a total thyroidectomy is done.
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Yonsei medical journal · Nov 2012
Randomized Controlled TrialTotal intravenous anesthesia with propofol reduces postoperative nausea and vomiting in patients undergoing robot-assisted laparoscopic radical prostatectomy: a prospective randomized trial.
We investigated the effect of total intravenous anesthesia (TIVA) with propofol on postoperative nausea and vomiting (PONV) after robot-assisted laparoscopic radical prostatectomy (RLRP) in patients at low risk of developing PONV, in comparison to balanced anesthesia with desflurane. ⋯ In order to prevent PONV after RLRP in the early postoperative period, anesthesia using TIVA with propofol is required regardless of patient-related risk factors.