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Changes in Pharyngeal Width Over Time as an Indicator of Dysphagia in Stroke Patients

Baek S, Jung IH, Lee HY, Song J, Cha E, Jung KI, Yoo WK, Ohn SH

Objective To verify the pharyngeal width at rest as a measurement that could be used to assess changes in the degree of dysphagia over time in stroke patients. Methods In a...
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Risk Factors and Assessment of Aspiration

Ko SH

Aspiration is the entry of materials, such as pharyngeal secretions, food, or stomach contents, into the respiratory system. Dysphagia is the most common risk factor of aspiration, but there are...
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Fatal pulmonary aspiration during balanced sedation with dexmedetomidine and midazolam: A case report

Park JH, Kim SY, Kwon MA

Recently, balanced sedation has commonly been used during procedural sedation. Dexmedetomidine is known for its relative safety to cause “conscious sedation” with little respiratory depression but has some limitations such...
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Exogenous lipoid pneumonia presented by acute eosinophilic pneumonia

Seong GM, Kim M

Exogenous lipoid pneumonia is an uncommon medical condition resulting from aspiration or inhalation of oily material. Generally, lipoid pneumonia has nonspecific clinical and radiological presentations, and may be misdiagnosed as...
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Pulmonary aspiration during intubation in a high-risk patient: A video clip and clinical implications

Koh GH, Kim SH, Son HJ, Jo JY, Choi SS, Park SU, Kim WJ, Ku SW

We report a case of pulmonary aspiration during induction of general anesthesia in a patient who was status post esophagectomy. Sudden, unexpected aspiration occurred even though the patient had fasted...
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Broken Metallic Intubation Stylet after Tracheal Intubation in Pediatric Patient

Jung HS, Kang JK

A 6-year-old male patient underwent general anesthesia for laparoscopic appendectomy. During induction of intubation, metallic intubation stylet was broken. Broken piece was confirmed by bronchoscopy and chest radiography and was...
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Increased Bolus Volume Effect on Delayed Pharyngeal Swallowing Response in Post-stroke Oropharyngeal Dysphagia: A Pilot Study

Park JW, Sim GJ, Yang DC, Lee KH, Chang JH, Nam KY, Lee HJ, Kwon BS

OBJECTIVE: To confirm a relationship between the pharyngeal response and bolus volume, and examine whether increasing the fluid bolus volume can improve penetration and aspiration for stroke dysphagic patients. METHODS: Ten...
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Effects of a Ventilator-associated Pneumonia Prevention Program on Incidence Rate and Endotracheal Colonization

Song UR, Kim SY

PURPOSE: This study examined the effects of a program designed to prevent ventilator-associated pneumonia (VAP) on VAP rate and endotracheal colonization. The program focused on aspiration prevention and oral care. METHODS:...
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Effects of Cervical Kyphosis on Recovery From Dysphagia After Stroke

Kim SK, Mo SJ, Moon WS, Jun PS, Kim CR

OBJECTIVE: To determine the effects of cervical kyphosis on the recovery of swallowing function in subacute stroke patients. METHODS: Baseline and 1-month follow-up videofluoroscopic swallowing studies (VFSSs) of 51 stroke patients...
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Severe Endobronchial Inflammation Induced by Aspiration of a Ferrous Sulfate Tablet

Lim SY, Sohn SB, Lee JM, Lee JA, Chung S, Kim J, Choi J, Kim S, Yoo AY, Roh JA, Park H, Kim WS, Sim JK, Shim JJ, Min KH

Iron supplements such as ferrous sulfate tablets are usually used to treat iron-deficiency anemia in some elderly patients with primary neurologic disorders or decreased gag reflexes due to stroke, senile...
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Airway management in patient with continuous bleeding lesion of the trachea: a case report

Kim KN, Lee HJ, Choi HI, Kim DW

Hemoptysis requires proper treatment to prevent blood aspiration and asphyxiation. If the patient loses consciousness or is anesthetized, the bleeding inside the trachea may continuously flow into the distal part,...
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Effect of Chronic Obstructive Pulmonary Disease on Swallowing Function in Stroke Patients

Park GW, Kim SK, Lee CH, Kim CR, Jeong HJ, Kim DK

OBJECTIVE: To investigate the prevalence of chronic obstructive pulmonary disease (COPD) in stroke patients, and to assess the difference in swallowing function between stroke patients with COPD (COPD group) and...
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Practical Assessment of Dysphagia in Stroke Patients

Lee KM, Kim HJ

OBJECTIVE: To develop a quantitative and organ-specific practical test for the diagnosis and treatment of dysphagia based on assessment of stroke patients. METHODS: An initial test composed of 24 items was...
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Usefulness of the Simplified Cough Test in Evaluating Cough Reflex Sensitivity as a Screening Test for Silent Aspiration

Lee JY, Kim DK, Seo KM, Kang SH

OBJECTIVE: To assess cough reflex sensitivity using the simplified cough test (SCT) and to evaluate the usefulness of SCT to screen for silent aspiration. METHODS: The healthy control group was divided...
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Effectiveness of milrinone for cardiogenic shock due to massive pulmonary aspiration: a case report

Park JH, Kwon MA, Kim DH, Kim SK, Jeon DG, Song J, Ji SH, Lee GW, Kang BJ

Pulmonary aspiration of gastric contents is one of the most frightening complications during anesthesia. Although pulmonary aspiration of gastric contents in general surgical patients is not common and resulting long-term...
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Evaluation of Salivary Aspiration in Brain-Injured Patients With Tracheostomy

Kang Y, Chun MH, Lee SJ

OBJECTIVE: To determine the useful tool for evaluating salivary aspiration in brain-injured patients with tracheostomy. METHODS: Radionuclide salivagram and laryngoscopy was done in 27 brain-injured patients with tracheostomy. During salivagram, 99mTc...
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Treatment of dysphagia in patients with brain disorders

Beom J, Han TR

Dysphagia is caused by various pathologic conditions of which brain disorders are the major etiology. If food materials enter an airway, aspiration pneumonia or serious asphyxia can develop, which necessitates...
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A Case of Activated Charcoal Aspiration Treated by Early and Repeated Bronchoalveolar Lavage

Lee HM, Park JS, Kim JY, Lee JY, Ahn BK, Gil HW, Choi JS

  • KMID: 2319739
  • Tuberc Respir Dis.
  • 2012 Feb;72(2):177-181.
Activated charcoal is an inert substance and it is used in standard therapy in patients with acute intoxication. Charcoal has some side effects such as pulmonary aspiration, gastrointestinal complications, and...
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Morphometric Analysis for Pulmonary Small Cell Carcinoma Using Image Analysis

Jeong SM, Ha SY, An J, Cho HY, Chung DH, Kim NR, Park S

  • KMID: 2277524
  • Korean J Pathol.
  • 2011 Feb;45(1):87-91.
BACKGROUND: There are few studies of how to diagnose small cell lung cancer in cytological tests through morphometric analysis. We tried to measure and analyze characteristics of small cell carcinoma...
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Role of Temporary Injection Laryngoplasty in Acute Unilateral Vocal Fold Paralysis with Aspiration

Chang H, Ahn Y, Lim YS, Hah JH, Sung MW, Kim KH, Kwon TK

BACKGROUND AND OBJECTIVES: We evaluated the role of temporary injection laryngoplasty in patients with unilateral vocal fold paralysis (UVFP) after cardiothoracic surgeries. SUBJECTS AND METHOD: Taking the introduction of injection laryngoplasty...
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