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Early Diagnosis and Treatment Strategies of Obesity Hypoventilation Syndrome

Kim HH, Lee SH, Kim SW

Obesity hypoventilation syndrome (OHS) is defined as the triad of obesity (body mass index, [BMI] ≥ 30 kg/m 2 ), daytime hypercapnia (PaCO2 ≥ 45 mm Hg), and sleep breathing...
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Clinical Implications of Routine Monitoring of Pulmonary Function and Ventilation in Patients with Duchenne Muscular Dystrophy

Cho HE, Lee JW, Choi WA, Kang SW

Purpose: To investigate the effect of regular monitoring of pulmonary function and ventilatory status on the initiation of non-invasive ventilation (NIV) between patients who were routinely monitored before receiving NIV...
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Effects of high-flow nasal cannula in patients with mild to moderate hypercapnia: a prospective observational study

Nam KH, Kang HK, Lee SS, Park SH, Kang SW, Hwang JJ, Park SY, Kim WY, Suh HJ, Kim EY, Seo GJ, Koh Y, Hong SB, Huh JW, Lim CM

Background: Evidence for using high-flow nasal cannula (HFNC) in hypercapnia is still limited. Most of the clinical studies had been conducted retrospectively, and there had been conflicting reports for the...
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Two Cases of Severe Type 2 Respiratory Failure Associated with Diffuse Idiopathic Skeletal Hyperostosis

Sato T, Bannai T, Miyake T, Murakami K, Maekawa R, Shiio Y

Diffuse idiopathic skeletal hyperostosis (DISH) is a non-inflammatory process characterized by hyperostosis at tendon insertions and around joint capsules and ossification of the anterior longitudinal ligament of the spine. The...
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Clinical assessment of the efficacy of supraglottic airway devices compared with endotracheal tubes in cats during volume-controlled ventilation

Niyatiwatchanchai N, Thengchaisri N

The efficacies of a supraglottic airway device (SGAD) and an endotracheal tube (ETT) in cats under general anesthesia with volume-controlled ventilation (VCV) were compared. Thirty healthy cats were randomly allocated...
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High-Flow Nasal Cannula Oxygen Therapy Can Be Effective for Patients in Acute Hypoxemic Respiratory Failure with Hypercapnia: a Retrospective, Propensity Score-Matched Cohort Study

Bae S, Han M, Kim C, Lee H, Ahn JJ, Kim JH, Kang BJ

BACKGROUND: Usually, high-flow nasal cannula (HFNC) therapy is indicated for de novo acute hypoxemic respiratory failure (AHRF). Although only a few researches have examined the effectiveness of HFNC therapy for...
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Reduction of PaCOâ‚‚ by high-flow nasal cannula in acute hypercapnic respiratory failure patients receiving conventional oxygen therapy

Lee HW, Choi SM, Lee J, Park YS, Lee CH, Yoo CG, Kim YW, Han SK, Lee SM

BACKGROUND: It has been suggested that a high-flow nasal cannula (HFNC) could help to remove carbon dioxide (CO2) from anatomical dead spaces, but evidence to support that is lacking. The...
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Cerebrovascular reactivity to hypercapnia during sevoflurane or desflurane anesthesia in rats

Sakata K, Kito K, Fukuoka N, Nagase K, Tanabe K, Iida H

BACKGROUND: Hypercapnia causes dilation of cerebral vessels and increases cerebral blood flow, resulting in increased intracranial pressure. Sevoflurane is reported to preserve cerebrovascular carbon dioxide reactivity. However, the contribution of...
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Cardiopulmonary Bypass Strategies to Maintain Brain Perfusion during Lung Transplantation in a Patient with Severe Hypercapnia

Sohn B, Park S, Lee HJ, Jeong JH, Choi SM, Lee SM, Seo JH, Kim YT

Herein, we report a case of lung transplantation in a patient with profound preoperative hypercapnia, focusing on the cardiopulmonary bypass strategy used for brain perfusion during the operation. We applied...
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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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Successful Rescue Therapy with Pumpless Extracorporeal Carbon Dioxide Removal in a Patient with Persistent Air Leakage Due to Empyema

Cho J, Lee YJ, Lee JH, Lee CT, Cho YJ

A young metastatic lung cancer patient developed empyema due to an infection with carbapenem-resistant Acinetobacter baumannii. Hydropneumothorax was detected and managed by a tube thoracotomy. However, persistent air leakage through...
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Decrease in spectral entropy by low tidal volume ventilation-associated severe hypercapnia: a case report

Ann J, Jung SM, Park SJ

Severe hypercapnia can be predicted by a decrease in cerebral electrical activity. The authors describe a sudden decrease in spectral entropy due to severe hypercapnia-induced respiratory acidosis in a patient...
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Effects of Thoracic Epidural Anesthesia on Hemodynamic Changes Induced by Hypercapnia during Sevoflurane Anesthesia

Yoo JH, Kim SH, Kim MG, Cho A, Choi DH, Kim HJ

OBJECTIVE: Many studies have demonstrated that carbon dioxide has direct depressive effects on the myocardium and dilates the vascular bed. However, it leads to an increase in arterial blood pressure...
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Development of a Novel Alarm System to Improve Adaptation to Non-invasive Ventilation in Patients With High Cervical Spinal Cord Injury

Kim SH, Shin YB, Jang MH, Kim SY, Ro JH

In this case report, we want to introduce a successful way of applying non-invasive ventilation (NIV) with a full face mask in patients with high cervical spinal cord injury through...
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Pumpless extracorporeal interventional lung assist for bronchiolitis obliterans after allogenic peripheral blood stem cell transplantation for acute lymphocytic leukemia

Park YH, Chung CU, Choi JW, Jung SO, Jung SS, Lee JE, Kim JO, Moon JY

Bronchiolitis obliterans (BO), which is associated with graft-versus-host disease after allogenic hematopoietic stem cell transplantation, is a major obstacle to survival after bone marrow transplantation due to its gradual progress,...
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Optimal Ventilatory Strategies in Preterm Infants: Permissive Hypercapnia

Hwang JH

Bronchopulmonary dysplasia associated with lung injury is an important morbidity in extremely low birth weight infants. Lung injury during mechanical ventilation is associated with high tidal volume and high end-inspiratory...
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A unilateral large bronchopleural fistula caused by rupture of bulla with coexisting bilateral giant bullae: A case report

Kim YO, Yeom JH, Lee JM, Byun JW, Shin WJ

  • KMID: 1965852
  • Anesth Pain Med.
  • 2014 Jan;9(1):54-57.
A patient with a large bronchopleural fistula presents several intraoperative challenges for the anesthesiologist, particularly if bullae coexist bilaterally. Ideally, a double lumen tube is inserted while the patient is...
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Unidirectional valve malfunction by the breakage or malposition of disc: two cases report

Lee C, Lee KC, Kim HY, Kim MN, Choi EK, Kim JS, Lee WS, Lee MJ, Kim HT

Malfunction of the unidirectional valve in a breathing circuit system may cause hypercapnia from the rebreathing of expired gas, ventilation failure, and barotrauma. Capnography is a useful method for monitoring...
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The Time When the Metabolic Compensation for Hypercapnia Begin to Occur in Very Low Birth Weight Infants

Lee JM, Kim C, Kim YJ, Shin SH, Lee J, Sohn JA, Sohn SH, Choi GY, Lee JA, Park HW, Choi CW, Kim EK, Kim HS, Kim BI, Choi JH

PURPOSE: Lung injury from mechanical ventilation is one of the major pathogenetic factors of bronchopulmonary dysplasia. Permissive hypercapnia (PH) is one of the strategies for reducing lung injury. However, PH...
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Change of Cerebrovascular Reactivity by Prandial State in Women with Migraine without Aura: Transcranial Doppler Ultrasonography (TCD) with Breath-Holding Method

Park JH, Park SA, Lee TK, Sung KB

  • KMID: 2203109
  • J Korean Soc Clin Neurophysiol.
  • 2012 Jun;14(1):20-24.
BACKGROUND: Migraine patients can be sensitive to external or internal stimuli, such as light, noise, or hormonal changes. Using transcranial Doppler ultrasonography (TCD) with breath-holding method, we evaluated the changes...
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