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Sevoflurane with opioid or dexmedetomidine infusions in dogs undergoing intracranial surgery: a retrospective observational study

Marquez-Grados F, Vettorato , Corletto F

This study reports the clinical use of two sevoflurane-based anesthetic techniques in dogs undergoing craniectomy. Twenty-one animals undergoing elective rostrotentorial or transfrontal craniectomy for brain tumor excision, anesthetized with sevoflurane,...
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The effect of early extubation on postoperative delirium in patients with liver transplantation: a propensity score matching analysis

Choi YM, Choi YJ, Choi EJ, Ri HS, Park JY, Koh KH, Yoon SZ, Cha JR, Lee KS

BACKGROUND: Maintenance of tracheal intubation is associated with use of sedatives, stress due to mechanical ventilation, or respiratory complications. The aim of this study is to compare the incidence of...
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Protecting Postextubation Respiratory Failure and Reintubation by High-Flow Nasal Cannula Compared to Low-Flow Oxygen System: Single Center Retrospective Study and Literature Review

Lee M, Kim JH, Jeong IB, Son JW, Na MJ, Kwon SJ

BACKGROUND: Use of a high-flow nasal cannula (HFNC) reduced postextubation respiratory failure (PERF) and reintubation rate compared to use of a low-flow oxygen system (LFOS) in low-risk patients. However, no...
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Hypercapnia does not shorten emergence time from propofol anesthesia: a pilot randomized clinical study

Kwon KH, Bae H, Kang HG, In J

BACKGROUND: The elimination of anesthetic agents is a decisive factor in the emergence from general anesthesia. In this pilot study, we hypothesized that hypercapnia would decrease the emergence time from...
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The Need for Early Tracheostomy in Patients with Traumatic Cervical Cord Injury

Beom JY, Seo HY

BACKGROUND: In patients who need sustained endotracheal intubation and mechanical ventilation due to respiratory failure after traumatic cervical spinal cord injury, tracheostomy can be performed to reduce the duration of...
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Case-control Study on Risk Factors of Unplanned Extubation Based on Patient Safety Model in Critically Ill Patients with Mechanical Ventilation

Kwon E, Choi K

PURPOSE: This study aimed to identify risk factors of unplanned extubation in intensive care unit (ICU) patients with mechanical ventilation using a patient safety model. METHODS: This study was designed to...
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Comparison of Dexmedetomidine and Remifentanil on Airway Reflex and Hemodynamic Changes during Recovery after Craniotomy

Kim H, Min KT, Lee JR, Ha SH, Lee WK, Seo JH, Choi SH

PURPOSE: During emergence from anesthesia for a craniotomy, maintenance of hemodynamic stability and prompt evaluation of neurological status is mandatory. The aim of this prospective, randomized, double-blind study was to...
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The prophylactic effect of dexamethasone on postoperative sore throat in prone position surgery

Lee SH, Lee YC, Lee JH, Choi SR, Lee SC, Lee JH, Chung CJ

BACKGROUND: Sore throat and hoarseness are common complications after general anesthesia with tracheal intubation. The position for patients can affect the incidence of postoperative sore throat (POST) by causing displacement...
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Effectiveness of applying continuous positive airway pressure in a patient with paradoxical vocal fold movement after endotracheal extubation: a case report

Shin YH, Song KL, Ko DC, Pin JW, Ryu KH, Kim HS

Paradoxical vocal fold movement (PVFM) is an uncommon upper airway disorder defined as paradoxical adduction of the vocal folds during inspiration. The etiology and treatment of PVFM are unclear. The...
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Clinical efficacy of high-flow nasal cannula compared to noninvasive ventilation in patients with post-extubation respiratory failure

Yoo JW, Synn A, Huh JW, Hong SB, Koh Y, Lim CM

BACKGROUND/AIMS: Post-extubation respiratory failure (PERF) is associated with poor clinica l outcomes. High-f low nasa l cannula (HF NC) ox ygen therapy has been used in patients with respiratory failure,...
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The effect of combining lidocaine with dexamethasone for attenuating postoperative sore throat, cough, and hoarseness

Cho CK, Kim JE, Yang HJ, Sung TY, Kwon HU, Kang PS

BACKGROUND: Despite the established efficacy of dexamethasone and lidocaine for preventing postoperative airway symptoms, no study has investigated the effects of dexamethasone plus lidocaine for attenuating postoperative airway symptoms. The...
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Unplanned Extubation in Patients with Mechanical Ventilation: Experience in the Medical Intensive Care Unit of a Single Tertiary Hospital

Lee TW, Hong JW, Yoo JW, Ju S, Lee SH, Lee SJ, Cho YJ, Jeong YY, Lee JD, Kim HC

BACKGROUND: Potentially harmful unplanned extubation (UE) may occur in patients on mechanical ventilation (MV) in an intensive care unit (ICU) setting. This study aimed to evaluate the clinical characteristics of...
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Model for Unplanned Self Extubation of ICU Patients Using System Dynamics Approach

Song YG, Yun EK

PURPOSE: In this study a system dynamics methodology was used to identify correlation and nonlinear feedback structure among factors affecting unplanned extubation (UE) of ICU patients and to construct and...
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Intraoperative predictors of early tracheal extubation after living-donor liver transplantation

Lee S, Sa GJ, Kim SY, Park CS

BACKGROUND: Prolonged mechanical ventilation after liver transplantation has been associated with deleterious clinical outcomes, so early tracheal extubation posttransplant is now increasing. However, there is no universal clinical criterion for...
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Pain Perception of Nurses and Pain Expression of Patients in Critical Care Units

Bae KH, Jeong IS

PURPOSE: This study was done to identify pain perception (P-PER) by nurses and pain expression (P-EXP) by patients in critical care units (ICUs) and degree of agreement between nurses' P-PER...
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A Comparison of Humidified High Flow Nasal Cannula with Bubble CPAP in Very Low Birth Weight Infants

Gwon M, Lee JJ, Kim SB, Park MS, Lee JH

PURPOSE: To compare the effect of humidified high flow nasal cannula (HHFNC) with that of nasal continuous positive airway pressure (NCPAP) as the mode of extubation in very low birth...
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Comparison of Related Characteristics between Unplanned and Planned Extubation of Patients in Medical Intensive Unit

Cho HI, Lee YW, Kim HS, Sim BY

  • KMID: 2298304
  • Korean J Adult Nurs.
  • 2012 Oct;24(5):509-519.
PURPOSE: This retrospective study was designed to examine the frequency of unplanned extubation, and to identify the related factors of unplanned extubation in medical intensive care unit patients. METHODS: Data were...
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Sufentanil infusion before extubation suppresses coughing on emergence without delaying extubation time and reduces postoperative analgesic requirement without increasing nausea and vomiting after desflurane anesthesia

Lee JY, Lim BG, Park HY, Kim NS

BACKGROUND: Coughing, hypertension, tachycardia, and even laryngospasm can occur due to airway irritation during emergence from anesthesia. We investigated the effect of maintaining a sufentanil infusion during emergence from anesthesia...
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The effect of dexmedetomidine on the adjuvant propofol requirement and intraoperative hemodynamics during remifentanil-based anesthesia

Kang WS, Kim SY, Son JC, Kim JD, Muhammad H, Kim SH, Yoon TG, Kim TY

BACKGROUND: The effects of dexmedetomidine on the propofol-sparing effect and intraoperative hemodynamics during remifentanil-based propofol-supplemented anesthesia have not been well investigated. METHODS: Twenty patients undergoing breast surgery were randomly allocated to...
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Effects of Rotated Endotracheal Tube Fixation Method on Unplanned Extubation, Oral Mucosa and Facial Skin Integrity in ICU Patients

Choi YS, Chae YR

PURPOSE: The study was done to compare effects of two endotracheal tube (ET tube) fixation methods (rotated fixation versus conventional) on unplanned extubation and skin integrity for orally intubated patients...
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