Journal of Yeungnam Medical Science

Dae Lim Jee

10 Articles

Anesthetic Management of a Patient with Alexander's Disease: Case Report.: Bum Soo Kim, Dae Lim Jee, Sun Ok Song; Yeungnam Univ J Med. 2010;27(1):47-51. Published online June 30, 2010; DOI: https://doi.org/10.12701/yujm.2010.27.1.47

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Abstract PDF: We present here the case of a 13-year-old male patient with Alexander's disease who underwent surgical correction of a femur fracture. Alexander's disease is a rare and fatal disorder that affects the white matter in the brain and it causes developmental delay, psychomotor regression, spasticity, megaloencephaly and seizure. The patient had the possibility of a seizure attack during the perioperative period. We discuss the anesthetic management of a patient with Alexander's disease and we review the relevant literature.

Use of Magnesium in Anesthesiology and Pain Medicine.: Chae Rim Seong, Dae Lim Jee; Yeungnam Univ J Med. 2009;26(2):93-101. Published online December 31, 2009; DOI: https://doi.org/10.12701/yujm.2009.26.2.93

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Abstract PDF: The use of magnesium sulphate has recently increased in anesthesiology and pain medicine. The roles of magnesium sulphate are as an analgesic adjuvant, a vasodilator, a calcium channel blocker and reducing the anesthetic requirement. These effect are primarily based on the regulation of calcium influx into the cell and antagonism of the N-methyl-D-aspartate receptor. We discuss here the clinical effects of magnesium sulphate on anesthesiology and pain medicine.

Anesthetic Induction in a Sitting Position for a Patient with Congestive Heart Failure.: Seung Dong Kim, Gul Jung, Dae Lim Jee; Yeungnam Univ J Med. 2008;25(2):150-153. Published online December 31, 2008; DOI: https://doi.org/10.12701/yujm.2008.25.2.150

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Abstract PDF: A 67-year-old woman with severe congestive heart failure (New York Heart Association, NYHA class IV) was set to receive general anesthesia for cardiac surgery. For several months, she had been in a constant sitting position from which the slightest change evoked dyspnea. A patient in such a condition is rarely considered a candidate for general anesthesia, because such patients are never eligible for any type of surgery other than that used to fix the heart problem itself. We report this case to explain how anesthesia was induced with the patient sitting in a crouching position and discuss other methods of induction that can probably be used in similar situations.

Treatment of Atelectasis Dectected in the Recovery Room after General Anesthesia: Chang jae Hwang, Heung dae Kim, Dae pal Park, Il suk Seo, Sun ok Song, Sae yeon Kim, Dae lim Jee, Deok hee Lee; Yeungnam Univ J Med. 2007;24(2 Suppl):S696-701. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S696

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Abstract PDF: Atelectasis is a relatively common complication following surgery in anesthetized patient with respiratory symptoms, but rarely occur in normal healthy patient. Anesthesiologists must be wary to prevent atelectasis, because it may lead to hypoxia during and after the operation. This case reports a healthy patient without previous respiratory symptoms who developed left lower lobar atelectasis after general anesthesia. Vigorous chest physiotherapy including intended coughing, deep breathing, chest percussion and vibration under postural change was effective. Therefore, vigorous chest physiotherapy is essential part of early treatment modalities for atelectasis in postoperative recovery room.

Subcutaneous Emphysema and Inflammation of the Neck after Tracheal Puncture by an Intubating Stylet.: Gul Jung, Woo Mok Byun, Hyung Jun Lim, Jong Gyun Kim, Dong Min Kwak, Deok Hee Lee, Sae Yeon Kim, Sun Ok Song, Il Sook Seo, Dae Lim Jee, Heung Dae Kim, Dae Pal Park; Yeungnam Univ J Med. 2007;24(2):344-344. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2.344

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Abstract PDF: Laryngo-tracheal perforation caused by the use of a stylet during tracheal intubation is a rare complication. We present a case of subcutaneous emphysema and connective tissue inflammation after tracheal intubation. The patient was a 41-year-old male undergoing general anesthesia for an appendectomy. The intubation was difficult during laryngoscopy (Cormack-Lehane Grade III). An assistant provided an endotracheal tube with a stylet inside while the laryngoscope was in place. During intubation, a short, dull sound was heard with a sudden loss of resistance after the distal tip of the endotracheal tube passed the rima glottis. A sonogram and computerized tomography revealed subcutaneous emphysema from the neck to the upper mediastinum and fluid collection between the trachea and the thyroid. This lesion appeared to have been caused by the protruded, loose stylet. Anesthesiologists should be aware of the damage a loose stylet protruding beyond the tip of the endotracheal tube can cause.

Anesthesia for a Jehovah's Witness Patient Experiencing Unexpected Perioperative Hemorrhage: A Case Report.: Seoung Ki Lim, Dae Lim Jee; Yeungnam Univ J Med. 2006;23(1):96-102. Published online June 30, 2006; DOI: https://doi.org/10.12701/yujm.2006.23.1.96

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Abstract PDF

Jehovah's Witnesses refuse a transfusion of blood or blood products because of religious beliefs; this refusal at times presents a dilemma for the treating physician. We report a case of a 25-year-old Jehovah's Witness patient who underwent a reoperation for a previous proximal humerus shaft fracture and experienced unexpected massive hemorrhage intraoperatively and postoperatively. The postoperative lowest hemoglobin level was 2.9 g/dl. The patient recovered from the severe anemia without any clinical sequala. We review the legal, ethical and religious issues and suggest the best possible medical care that Jehovah's Witness patient would permit.

Citations

Citations to this article as recorded by

Experience of a bloodless operation and care for Jehovah's Witnesses - Two cases report -
Sung Hwan Cho, Bon Sung Koo, Sang Hyun Kim, Won Seok Chai, Hee Cheol Jin, Yong Ik Kim
Korean Journal of Anesthesiology.2008; 55(5): 621. CrossRef

Ventilation Impairment During Anesthesia in Patients with Anterior Mediastinal Mass.: Kibum Bum Park, Sang Jin Park, Dae Lim Jee, Bo Hyun Lee; Yeungnam Univ J Med. 2005;22(1):104-112. Published online June 30, 2005; DOI: https://doi.org/10.12701/yujm.2005.22.1.104

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Abstract PDF: Because of location, a mediastinal mass may cause complications such as a major airway obstruction, a superior vena caval obstruction, and cardiac compression during general anesthesia. The patient's condition need to be assessed by several methods to predict the risks associated with general anesthesia. The authors took computed tomographs for a preoperative evaluation of two patients with an anterior mediastinal mass, and the risk of perioperative complications was predicted by measuring the tracheal area. The patients were managed according to the preoperative evaluation but severe ventilation impairments were encountered during anesthesia. In one patient, stable ventilation could not be maintained until spontaneous breathing appeared. The operation was cancelled and the patient was brought into the ICU. In the other patient, a tracheal tube was inserted deeper in an attempt to pass the narrowed tracheal portion due to mediastinal tumor compression resulting in improved ventilation

Acute Postoperative Pulmonary Edema without Reasonable Causes: A Case Report.: Ji Hoon Jeong, Hyung Jun Lim, Sung Min Lee, Dae Lim Jee; Yeungnam Univ J Med. 2004;21(1):114-119. Published online June 30, 2004; DOI: https://doi.org/10.12701/yujm.2004.21.1.114

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Abstract PDF: This report concerns an unusual case of acute postoperative pulmonary edema without any apparent causes in a 45-year-old man. The patient was subjected to the removal of a previously placed device on the left tibia, and the excision of a benign mass on the right forearm. Unexpected acute bilateral pulmonary edema occurred immediately after the completion of the procedures. The etiologies were reviewed in relation to the patient's condition and clinical manifestations. Fluid overloading was excluded as a cause in view of the patient's perioperative state and postoperative chest X-ray results. We could not find any symptoms of upper airway obstruction during emergence from general anesthesia. We had doubts about tourniquet or fentanyl-induced pulmonary edema, but these factors were not sufficient to bring about pulmonary edema in this case. To our knowledge, the cause of acute pulmonary edema in this case is indeterminate.

Thiopental Prevents A Beta-Endorphin Response to Cardiopulmonary Bypass.: Sun Ok Song, Daniel B Carr, Dae Pal Park, Dae Lim Jee, Sae Yeon Kim; Yeungnam Univ J Med. 1997;14(2):350-358. Published online December 31, 1997; DOI: https://doi.org/10.12701/yujm.1997.14.2.350

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Abstract PDF: No abstract available.

The Role of Jugular Venous Oxyhemoglobin Saturation Monitoring During Cardic Surgery.: Sae Yeon Kim, Dae Lim Jee; Yeungnam Univ J Med. 1994;11(1):49-54. Published online June 30, 1994; DOI: https://doi.org/10.12701/yujm.1994.11.1.49

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Abstract PDF: Postoperative brain damage is one of most serious complications of cardiopulmonary bypass (CPB). To prevent brain damage during CPB, adequate cerebral perfusion for cerebral oxygen demand should be maintained. This study monitored jugular venous oxyhemoglobin saturation (SjO₂), which reflects the overall balance of cerebral oxygen supply and demand, intermittently in 10 patients undergoing cardiac surgery. At the initiation of CPB, in spite of a significant decrease in mean arterial pressure, SjO₂ did not change, and it was stable during the hypothermic period of CPB. But a significan reduction in SjO₂ was observed during the rewarming period, and SjO₂ had an inverse linear correlation with esophageal temperature. Furthermore, the percent decrease of SjO₂ was related to rewarming speed. Therefore, therapeutic approaches for SjO₂ desaturation include slower rewarming, increasing cerebral blood flow, decreasing the cerebral metabolic rate for oxygen, increasing oxygen content, and increasing perfusion flow rate.

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