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Jae-hoon Noh - One of the best experts on this subject based on the ideXlab platform.

  • Bilateral vocal cord palsy in a Post-Anesthesia Care Unit after total thyroidectomy
    2009
    Co-Authors: Min Suk Kim, Jae-hoon Noh
    Abstract:

    A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the Post-Anesthesia Care Unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy. (Korean J Anesthesiol 2009; 57: 540∼3)

  • Bilateral vocal cord palsy in a Post-Anesthesia Care Unit after total thyroidectomy: A case report.
    Korean journal of anesthesiology, 2009
    Co-Authors: Yong Duck Park, Min Suk Kim, Rak Min Choi, Jae-hoon Noh
    Abstract:

    A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the Post-Anesthesia Care Unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy.

Min Suk Chae - One of the best experts on this subject based on the ideXlab platform.

  • effect of intraoperative hartmann s versus hypotonic solution administration on flacc pain scale scores in children a prospective randomized controlled trial
    PLOS ONE, 2020
    Co-Authors: Sungwon Yang, Min Suk Chae
    Abstract:

    Background In healthy children, an isotonic solution containing no glucose or a small amount of glucose (1–2%) has been recommended as an intraoperative maintenance fluid due to the potential risk of hyponatremia associated with hypotonic solutions. However, a hypotonic solution with glucose is still widely used as a maintenance fluid for pediatric anesthesia. We speculated that the hypotonic solution may worsen postoperative discomfort and irritability in pediatric patients due to hyponatremia. Patients and methods In the current study, we compared the post-operative Face, Legs, Activity, Cry, Consolability(FLACC) scale scores of pediatric patients aged 3–10 years who received either a 1:2 dextrose solution or Hartmann's solution during Nuss Bar removal. Results The FLACC scale score in the Post-Anesthesia Care Unit was higher in the 1:2 dextrose solution group(HYPO) (n = 20) than in the Hartmann’s solution group(ISO) (n = 20) (6.30 vs 4.70, p = 0.044, mean difference and 95% Confidence Interval(CI) was 1.6 (0.04 to 3.16)). We also compared opioid consumption at the Post-Anesthesia Care Unit. Total dose of fentanyl per body weight in the Post-Anesthesia Care Unit was also higher in the HYPO (0.59 vs 0.37 mcg/kg, p = 0.042, mean difference and 95% CI was 0.22 mcg/kg (0.030 to 0.402)). Conclusions Intraoperative use of the hypotonic solution in children causes increased FLACC scale scores, leading to higher opioid consumption in Post-Anesthesia Care Unit.

  • Effect of intraoperative Hartmann’s versus hypotonic solution administration on FLACC pain scale scores in children: A prospective randomized controlled trial
    PLOS ONE, 2020
    Co-Authors: Mi Hyun Kim, Sungwon Yang, Min Suk Chae, Ji Young Lee, Min Soo Lee, Hyung Mook Lee
    Abstract:

    Background In healthy children, an isotonic solution containing no glucose or a small amount of glucose (1–2%) has been recommended as an intraoperative maintenance fluid due to the potential risk of hyponatremia associated with hypotonic solutions. However, a hypotonic solution with glucose is still widely used as a maintenance fluid for pediatric anesthesia. We speculated that the hypotonic solution may worsen postoperative discomfort and irritability in pediatric patients due to hyponatremia. Patients and methods In the current study, we compared the post-operative Face, Legs, Activity, Cry, Consolability(FLACC) scale scores of pediatric patients aged 3–10 years who received either a 1:2 dextrose solution or Hartmann's solution during Nuss Bar removal. Results The FLACC scale score in the Post-Anesthesia Care Unit was higher in the 1:2 dextrose solution group(HYPO) (n = 20) than in the Hartmann’s solution group(ISO) (n = 20) (6.30 vs 4.70, p = 0.044, mean difference and 95% Confidence Interval(CI) was 1.6 (0.04 to 3.16)). We also compared opioid consumption at the Post-Anesthesia Care Unit. Total dose of fentanyl per body weight in the Post-Anesthesia Care Unit was also higher in the HYPO (0.59 vs 0.37 mcg/kg, p = 0.042, mean difference and 95% CI was 0.22 mcg/kg (0.030 to 0.402)). Conclusions Intraoperative use of the hypotonic solution in children causes increased FLACC scale scores, leading to higher opioid consumption in Post-Anesthesia Care Unit.

Yong Duck Park - One of the best experts on this subject based on the ideXlab platform.

  • Bilateral vocal cord palsy in a Post-Anesthesia Care Unit after total thyroidectomy: A case report.
    Korean journal of anesthesiology, 2009
    Co-Authors: Yong Duck Park, Min Suk Kim, Rak Min Choi, Jae-hoon Noh
    Abstract:

    A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the Post-Anesthesia Care Unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy.

Sungwon Yang - One of the best experts on this subject based on the ideXlab platform.

  • effect of intraoperative hartmann s versus hypotonic solution administration on flacc pain scale scores in children a prospective randomized controlled trial
    PLOS ONE, 2020
    Co-Authors: Sungwon Yang, Min Suk Chae
    Abstract:

    Background In healthy children, an isotonic solution containing no glucose or a small amount of glucose (1–2%) has been recommended as an intraoperative maintenance fluid due to the potential risk of hyponatremia associated with hypotonic solutions. However, a hypotonic solution with glucose is still widely used as a maintenance fluid for pediatric anesthesia. We speculated that the hypotonic solution may worsen postoperative discomfort and irritability in pediatric patients due to hyponatremia. Patients and methods In the current study, we compared the post-operative Face, Legs, Activity, Cry, Consolability(FLACC) scale scores of pediatric patients aged 3–10 years who received either a 1:2 dextrose solution or Hartmann's solution during Nuss Bar removal. Results The FLACC scale score in the Post-Anesthesia Care Unit was higher in the 1:2 dextrose solution group(HYPO) (n = 20) than in the Hartmann’s solution group(ISO) (n = 20) (6.30 vs 4.70, p = 0.044, mean difference and 95% Confidence Interval(CI) was 1.6 (0.04 to 3.16)). We also compared opioid consumption at the Post-Anesthesia Care Unit. Total dose of fentanyl per body weight in the Post-Anesthesia Care Unit was also higher in the HYPO (0.59 vs 0.37 mcg/kg, p = 0.042, mean difference and 95% CI was 0.22 mcg/kg (0.030 to 0.402)). Conclusions Intraoperative use of the hypotonic solution in children causes increased FLACC scale scores, leading to higher opioid consumption in Post-Anesthesia Care Unit.

  • Effect of intraoperative Hartmann’s versus hypotonic solution administration on FLACC pain scale scores in children: A prospective randomized controlled trial
    PLOS ONE, 2020
    Co-Authors: Mi Hyun Kim, Sungwon Yang, Min Suk Chae, Ji Young Lee, Min Soo Lee, Hyung Mook Lee
    Abstract:

    Background In healthy children, an isotonic solution containing no glucose or a small amount of glucose (1–2%) has been recommended as an intraoperative maintenance fluid due to the potential risk of hyponatremia associated with hypotonic solutions. However, a hypotonic solution with glucose is still widely used as a maintenance fluid for pediatric anesthesia. We speculated that the hypotonic solution may worsen postoperative discomfort and irritability in pediatric patients due to hyponatremia. Patients and methods In the current study, we compared the post-operative Face, Legs, Activity, Cry, Consolability(FLACC) scale scores of pediatric patients aged 3–10 years who received either a 1:2 dextrose solution or Hartmann's solution during Nuss Bar removal. Results The FLACC scale score in the Post-Anesthesia Care Unit was higher in the 1:2 dextrose solution group(HYPO) (n = 20) than in the Hartmann’s solution group(ISO) (n = 20) (6.30 vs 4.70, p = 0.044, mean difference and 95% Confidence Interval(CI) was 1.6 (0.04 to 3.16)). We also compared opioid consumption at the Post-Anesthesia Care Unit. Total dose of fentanyl per body weight in the Post-Anesthesia Care Unit was also higher in the HYPO (0.59 vs 0.37 mcg/kg, p = 0.042, mean difference and 95% CI was 0.22 mcg/kg (0.030 to 0.402)). Conclusions Intraoperative use of the hypotonic solution in children causes increased FLACC scale scores, leading to higher opioid consumption in Post-Anesthesia Care Unit.

Min Suk Kim - One of the best experts on this subject based on the ideXlab platform.

  • Bilateral vocal cord palsy in a Post-Anesthesia Care Unit after total thyroidectomy
    2009
    Co-Authors: Min Suk Kim, Jae-hoon Noh
    Abstract:

    A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the Post-Anesthesia Care Unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy. (Korean J Anesthesiol 2009; 57: 540∼3)

  • Bilateral vocal cord palsy in a Post-Anesthesia Care Unit after total thyroidectomy: A case report.
    Korean journal of anesthesiology, 2009
    Co-Authors: Yong Duck Park, Min Suk Kim, Rak Min Choi, Jae-hoon Noh
    Abstract:

    A patient had respiratory difficulty and hoarseness following total thyroidectomy due to bilateral vocal cord palsy. The patient was a 60-year-old man who underwent total thyroidectomy for papillary carcinoma of the thyroid. He had no laryngeal symptoms prior to the operation. Anesthesia lasted 3.5 hours and was uneventful. Spontaneous respiration resumed after reversal of the neuromuscular blockade. After arriving at the Post-Anesthesia Care Unit, he complained of respiratory difficulty and hoarseness. We confirmed bilateral vocal cord palsy by fiberoptic laryngoscopy. It is necessary to perform a complete and thorough search for the underlying cause of vocal cord palsy.