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Spinal anesthesia and postoperative epidural analgesia in a patient with congenital central hypoventilation syndrome: a case report

Choi Y, Lee S, Lee J, Woo S

BACKGROUND: Congenital central hypoventilation syndrome (CCHS) is a rare disorder characterized by alveolar hypoventilation and autonomic dysregulation. Patients with CCHS have adequate ventilation while awake but exhibit hypoventilation while asleep....
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Factors Affecting the Response to First-Line Treatments in Patients with Anti-N-Methyl-D-Aspartate Receptor Encephalitis

Zhang X, Wang C, Zhu W, Wang B, Liang H, Guo S

BACKGROUND AND PURPOSE: Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is the most common type of autoimmune encephalitis. This study aimed to explore the possible factors affecting the response to first-line treatments in...
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Central Hypoventilation Syndrome in Posterior Circulation Stroke Treated by Respiratory Rehabilitation: a Case Report

Kim MG, Sul B, Hong BY, Kim JS, Lim SH

Central hypoventilation syndrome is a rare and fatal condition resulting from various central nervous system disorders that is characterized by a failure of automatic breathing. We report a case of...
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Respiratory Responses during Exercise in Self-contained Breathing Apparatus among Firefighters and Nonfirefighters

Hostler D, Pendergast DR

BACKGROUND: Firefighters are required to use self-contained breathing apparatus (SCBA), which impairs ventilatory mechanics. We hypothesized that firefighters have elevated arterial COâ‚‚ when using SCBA. METHODS: Firefighters and controls performed a...
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Two Cases of Pediatric Obstructive Hypoventilation Managed with Upper Airway Surgery

Kim TM, Hong SN, Yoo JH, Lee SH

Sleep-disordered breathing in children can include habitual snoring, obstructive hypoventilation, upper airway resistance syndrome, and obstructive sleep apnea. Obstructive hypoventilation in children is characterized by COâ‚‚ retention caused by prolonged...
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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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Anti-N-methyl-D-aspartate Receptor (NMDAR) Encephalitis: Neuronal Burden of a Comorbid Ovarian Teratoma

Hwang J, Byeon JH, Kim GH, Eun SH, Eun BL

Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a disease that is characterized by acute psychiatric symptoms, seizures, and central hypoventilation. Patients with anti-NMDAR encephalitis exhibit speech alterations, insomnia, seizures, and movement disorders....
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Respiratory Failure Induced by Severe Hypothyroidism in a Korean Woman

Kwon H, Kim BR, Han SS, Hong Y

A 76-year-old Korean woman visited to emergency room because of respiratory arrest and admitted to intensive care unit of the hospital. Severe hypothyroidism was diagnosed after repeated failure of weaning...
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Utility of end-tidal carbon dioxide monitoring in intramuscular ketamine sedation in the pediatric emergency department

Yang HJ, Seo HY, Kwak JR, Lee JS

PURPOSE: Recently, the use of end-tidal carbon dioxide (ETCOâ‚‚) monitoring has been suggested for early detection of hypoventilation over oxygen saturation (S(P)Oâ‚‚) monitoring. We aimed to determine the usefulness of...
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Haddad Syndrome with a Germ-Line Mutation in the PHOX2B Gene in a Korean Neonate

Baek C, Jung JM, Lim YJ, Kim KH, Yu HW, Kim GH, Chung ML

Congenital central hypoventilation syndrome (CCHS) is a life-threatening disease that primarily manifests as sleep-associated respiratory insufficiency and a markedly impaired ventilatory response to hypercarbia and hypoxemia. Paired-like homeobox 2b (PHOX2B)...
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A Case of Rapidly Developed Obesity Hypoventilation Syndrome in a Patient with Kyphoscoliosis

Kim MY, Jeong JS, Jang YN, Go SE, Lee SH, Moon HS, Kang HH

Obesity hypoventilation syndrome (OHS) is characterized by severe obesity, excessive daytime sleepiness, hypoxemia and hypercapnea. Because OHS mimics pulmonary hypertension or cor pulmonale, clinicians should recognize and treat this syndrome...
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Molecular genetics of congenital central hypoventilation syndrome and Haddad syndrome

Lee JH, Kim DK

Congenital central hypoventilation syndrome (CCHS) is a disorder of the autonomic nervous system characterized by a decreased response to hypercarbia. CCHS is frequently associated with congenital megacolon; the combination is...
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Dental Treatment of a 3-Year-Old Male Patient with Haddad Syndrome under Outpatient General Anesthesia

Jang JH, Shin TJ, Kim YJ, Kim JW, Jang KT, Lee SH, Kim CC, Hyun HK

The co-occurrence of congenital central hypoventilation syndrome (CCHS) and Hirschsprung's disease (HD) is termed Haddad syndrome, which is an extremely rare disorder. It was reported first by Haddad in 1978...
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Myxedema Coma Successfully Treated by Low Dose Oral Levothyroxine

Park MG, Lee KJ, Lee HW, Sim EH, Kang JD, Yeo CW

Myxedema coma is a severe life-threatening form of hypothyroidism that is associated with a high mortality rate. It is known to be common in the elderly, and is mainly accompanied...
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Phrenic Nerve Stimulation for Diaphragm Pacing in a Quadriplegic Patient

Son BC, Kim DR, Kim IS, Hong JT

Chronic hypoventilation due to injury to the brain stem respiratory center or high cervical cord (above the C3 level) can result in dependence to prolonged mechanical ventilation with tracheostomy, frequent...
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Hypercapnic Respiratory Failure Immediate After Bariatric Surgery

Jo YY, Jung WS, Park HY, Chang YJ

Surgery and general anesthesia can both lead to impaired lung function, abnormal gas exchange and abnormal respiratory mechanics in obese patients. A 37 year old obese female who had obesity...
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Meta-analysis for Efficacy and Safety of Propofol during Dental Sedation

Choi SS, Seo KS, Kim HJ

BACKGROUND: Dental sedation reduces fear and phobia during dental treatment and helps patients get quality treatment by inducing adequate consciousness control. Propofol has recently grabbed the spotlight, but no meta-analysis...
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Hypoventilation and hypokalemia in a patient with poor oral intake in the postanesthesia care unit: A case report

Yi YR, Hwang BM

  • KMID: 2169110
  • Anesth Pain Med.
  • 2012 Apr;7(2):170-173.
We encountered a case of hypoventilation and hypokalemia in a patient with poor oral intake in the postanesthesia care unit (PACU). A 44-year-old woman underwent a total abdominal hysterectomy under...
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Anesthetic management of the bariatric surgery

Lee H

Obesity, that is, having a body mass index (BMI) >30 kg/m2, has increased dramatically and became the most single most common preventable cause of death in South Korea. In the...
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Anesthetic management for neonate with giant cystic hygroma involved upper airway: A case report

Kim H, Kim HS, Oh JT, Lee JR

Significant differences exist between neonatal and adult airways. Anesthetic management of the airway may be challenging in neonate and young infant with large neck mass because these patients are at...
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