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Long-term Results of Stellate Ganglion Block in Patients with Olfactory Dysfunction
문호식,전진영,이상훈,주유미,성춘호 대한통증학회 2013 The Korean Journal of Pain Vol.26 No.1
Background:Olfactory dysfunction, including anosmia and hyposmia is difficult to treat. Although the mechanism is not well known, stellate ganglion block (SGB) is used to treat olfactory dysfunction. There are no prior studies on the long-term effects of SGB on olfactory dysfunction. The purpose of this study was to evaluate the continuity of therapeutic effects and patient satisfaction with SGB treatment. Methods:This was a follow-up study carried out via a telephonic survey. The olfactory function of the patient was evaluated using a visual analog scale (VAS). We checked VAS three times: VAS-I (pre-treatment VAS), VAS-A (post-treatment VAS), and VAS-C (VAS at follow up telephone survey). We divided the subjects into 2 groups according to their responsiveness to SGB: the responsive (R group) and the unresponsive groups (UR group). Patient satisfaction was evaluated using a Likert scale. Results:Out of the 40 subjects, 37 responded to the telephone survey. In the UR group, there was difference in the olfactory function. However, in the R group, there were significant VAS differences; VAS-I was 9.6 ± 0.7, VAS-A was 5.1 ± 4.2, and VAS-C was 2.7 ± 2.7 (P < 0.05). On the Likert scale, patient satisfaction was as follows: grade 1, 17 patients (45.9%); grade 2, 6 patients (16.2%); grade 3, 6 patients (16.2%); and grade 4, 8 patients (21.6%). Conclusions:SGB is a safe, long-lasting, and effective therapeutic modality for olfactory dysfunction treatment.
문호식,이해진,전진영,양원준 대한마취통증의학회 2013 Korean Journal of Anesthesiology Vol.64 No.6
Subdural injection of epidural anesthesia is rare and is usually undiagnosed during epidural anesthesia causing severely delayed maternal hypotension, hypoxia, and fetal distress. A 38-year-old primiparous woman was administered epidural labor analgesia at 40+6 weeks’ gestation, and developed progressive maternal respiratory depression, bradycardia, and hypotension after accidental subdural administration of the anesthetic agent. Furthermore, fetal distress occurred soon after administration. The patient was managed with oxygen, position changes, fluid resuscitation, and ephedrine. Intrauterine fetal resuscitation was successfully performed with atropine before cesarean section, and a healthy baby was delivered. Although subdural injection is uncommon, this case emphasizes the importance of anesthesiologists monitoring patients for a sufficient period after epidural labor analgesia, and being prepared to perform maternal or fetal resuscitation.
Rhabdomyolysis after prolonged laparoscopic radical nephrectomy -A case report-
문호식,김동규,신상호,이지영 대한마취통증의학회 2016 Anesthesia and pain medicine Vol.11 No.3
Rhabdomyolysis is characterized by the breakdown of skeletal muscle and the subsequent release of intracellular contents into the circulatory system. It is potentially life-threatening because it is sometimes associated with very high creatine kinase levels, myoglobinuria, and acute renal failure. We experienced a case of postoperative rhabdomyolysis after prolonged laparoscopic radical nephrectomy in the semi-lateral decubitus position. It was associated with suspicious gluteal compartment syndrome. Fortunately, the patient’s renal function was normal through his hospital course. Rhabdomyolysis is well worth considering at the point of intraoperative positioning and postoperative care after prolonged surgery.
호텔 예약사이트 이용후기 구전정보 특성에 따른 구전신뢰가 행동의도에 미치는 영향
문호식,김용일,허준 (사)한국관광레저학회 2018 관광레저연구 Vol.30 No.5
Recently online hotel booking sites are providing one-stop service from searching for hotel-related information to reserving hotel accommodations for customers. Travelers are actively posting their own travel experience in the form of online reviews on online booking sites. The aim of this study was to investigate the influence factor of e-Word of Mouth trust on behavior intention by e-WOM characteristics based on hotel reviews of hotel booking sites. A survey was conducted online from April 1 to 20, 2015. The results of this study were as follows; Firstly, the characteristics of e-WOM were divided into four factors including vividness, consensus, timeliness and usefulness. Secondly, e-WOM characteristics except for consensus are positively related to e-WOM trust and vividness had the most significant influence on trust of e-WOM, followed by usefulness, timeliness. Thirdly, e-WOM characteristics are positively related to behavior intention and usefulness had the most significant influence on behavior intention, followed by vividness, timeliness, consensus. Finally trust of e-WOM had a positive effect on behavior intention.
The Effect of the Valsalva Maneuver on the External Jugular Vein
문호식,Sung Hoon Jung,Sie Hyeon Yoo,Jae Young Ji,이해진 대한중환자의학회 2015 Acute and Critical Care Vol.30 No.3
Background: The external jugular vein (EJV) is a useful intravenous (IV) cannulation site for anesthesiologists, although it has a relatively high failure rate. Unlike other central veins, visualization of the EJV is important during IV cannulation, and the Valsalva maneuver distends the jugular venous system. However, the relationship between the maneuver and EJV visibility remains unknown. This study compared EJV visibility before and after the Valsalva maneuver. Methods: This was a prospective observational study that included 200 participants. After the induction of anesthesia, EJV visibility grade, depth from the skin to the EJV superficial surface (EJV depth), and EJV cross-sectional area (CSA) before the Valsalva maneuver were measured. The same parameters were measured after the Valsalva maneuver was performed. The EJV visibility grade was defined as grade A: good appearance and good palpation, grade B: poor appearance and good palpation, and grade C: poor appearance and poor palpation. Results: Patient body mass index and EJV depth affected the EJV visibility grade before the Valsalva maneuver (p < 0.05), although EJV CSA did not. The Valsalva maneuver distended EJV CSA and reduced EJV depth, although these changes were not correlated with EJV visibility grade. With regard to EJV visibility, 34.0% of grade B cases and 20.0% of grade C cases were improved by the Valsalva maneuver. Conclusions: Although the Valsalva maneuver improved EJV CSA and EJV depth, it did not greatly affect EJV visibility grade.
남진우,문호식,김영혜,한보미 대한마취통증의학회 2017 Anesthesia and pain medicine Vol.12 No.1
Background: The enSpireTM interventional discectomy system is a new device for treating percutaneous disc decompression (PDD). The outcomes of using the enSpireTM for lumbar disc herniation have not been previously reported. The aim of this study was to determine the clinical effectiveness and safety of the enSpireTM interventional discectomy system for lumbar disc herniation with radiating pain. Methods: Twelve patients with lumbar disc herniation with radiating leg pain were enrolled in the study. All patients received PDD using enSpireTM. Numeric rating scale (NRS) scores for pain and Oswestry Disability Index (ODI) scores were obtained initially and after 1 and 3 months. The patients were divided into 2 groups: Group 1, in which the NRS score improved by more than 50% at 3 months after procedure, and Group 2, in which the NRS score remained the same or improved by less than 50%. Results: After PDD using the enSpireTM, the NRS scores decreased from 6.9 ± 1.2 to 2.8 ± 2.7; and ODI scores decreased from 25.8 ± 4.6 to 18.2 ± 5.5. No statistical differences occurred between Group 1 (n = 8) and Group 2 (n = 4) except in the duration of prior illness. Conclusions: The enSpireTM interventional discectomy system is effective and safe over the short-term, minimally invasive, and easy to use.