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심경부감염 환자에서 McGrath MAC Videolaryngoscope을 사용한 기관내 삽관
유안희 ( Ann Hee You ),신옥영 ( Ok Yung Shin ) 경희대학교 경희의료원 2014 慶熙醫學 Vol.29 No.2
Endotracheal intubation in deep neck infection patients is one of the most challenging experience in anesthesiologists. Infected tissues are vulnerable to trauma can be induced during the intubation attempts, so succeded trials with same plan can increase intubation failure rate. In this report, we tried alternative methods in each intubation trials including flexible bronchoscope and McGrath MAC videolaryngoscope.
The association of pancreatic cancer incidence with smoking status and smoking amount in Korean men
남도진,오창모,Ha Eun-Hee,김민호,양은혜,Lee Hyo Choon,Shin Soon Su,황우연,You Ann Hee,류재홍 한국역학회 2022 Epidemiology and Health Vol.44 No.-
OBJECTIVES: Our study examined the dose-response relationship between smoking amounts (pack-years) and the risk of developing pancreatic cancer in Korean men.METHODS: Of 125,743 participants who underwent medical health checkups in 2009, 121,408 were included in the final analysis and observed for the development of pancreatic cancer. We evaluated the associations between smoking amounts and incident pancreatic cancer in 4 groups classified by pack-year amounts. Cox proportional hazards models were used to estimate the adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) of incident pancreatic cancer by comparing groups 2 (<20 pack-year smokers), 3 (20-≤40 pack-year smokers), and 4 (>40 pack-year smokers) with group 1 (never smokers).RESULTS: During 527,974.5 person-years of follow-up, 245 incident cases of pancreatic cancer developed between 2009 and 2013. The multivariate-adjusted HRs (95% CIs) for incident pancreatic cancer in groups 2, 3, and 4 were 1.05 (0.76 to 1.45), 1.28 (0.91 to 1.80), and 1.57 (1.00 to 2.46), respectively (p for trend=0.025). The HR (95% CI) of former smokers showed a dose-response relationship in the unadjusted model, but did not show a statistically significant association in the multivariate-adjusted model. The HR (95% CI) of current smokers showed a dose-response relationship in both the unadjusted (p for trend=0.020) and multivariate-adjusted models (p for trend=0.050).CONCLUSIONS: The risk of developing pancreatic cancer was higher in current smokers status than in former smokers among Korean men, indicating that smoking cessation may have a protective effect.
General Anesthesia of a Patient with Hemifacial Microsomia
( Minsung Kim ),( Yena Ahn ),( Ann Hee You ) 경희대학교 경희의료원 2023 慶熙醫學 Vol.38 No.1
Hemifacial microsomia (HFM), also known as unilateral otomandibular dysostosis or lateral facial dysplasia, is the second most common congenital defect of the head and neck. HFM is an asymmetrical, congenital malformation of the 1st and 2nd branchial arches and the second most common craniofacial anomaly after cleft lip and palate. HFM can present with a spectrum of deformities involving the eyes, ears, and the first two pharyngeal arches. Deformities of the first and second pharyngeal arches include cleft lip and palate, bifid tongue, mandibular hypoplasia, maxillary hypoplasia, oral malocclusion, and dental malformations. Depending on disease’s severity, the airway is compromised leading to difficult airway, and often severe enough for surgical intervention with a tracheostomy. This report presents a 17 month child who has been diagnosed HFM disease and scheduled to undergo excisional revision with tragoplasty for accessory auricles and V-tube insertion. MAC video laryngoscope and lightwand were used for intubation, and with multiple attempts, the patient was finally successfully intubated. This case report with comprehensive literature review investigates possible difficulties and cautions during intubation of HFM patients, and discuss adequate methods of intervention.
Anesthesia in Patients with Acute Intermittent Porphyria: A Case Report
( Yun-jong Kim ),( Ann-hee You ) 경희대학교 경희의료원 2020 慶熙醫學 Vol.35 No.1
Acute intermittent porphyria (AIP) is a rare meta-bolic disorder caused by deficiency of porphobilinogen deaminase. Acute attack of AIP may be precipitated by many factors during surgery including fasting, dehyd-ration, stress, infection, and drugs. The majority of acute attacks manifest as fluctuating blood pressure, tachycardia, electrolyte disturbances, and urinary retention. Even, bradycardia and sudden cardiac arrest can be occured. Therefore, selection and documentation of appropriate medications should be done in advance to prevent any perioperative crises. We report the safe use of propofol, rocuronium and sevoflurane in a patient affected with AIP.
The risk of gastric cancer according to changes in smoking status among Korean men
박성근,김민호,오창모,Ha Eun-Hee,양은혜,황우연,You Ann Hee,류재홍 한국역학회 2022 Epidemiology and Health Vol.44 No.-
OBJECTIVES: Smoking is a risk factor for gastric cancer. Studies have shown that the risk of gastric cancer can vary by smoking status and smoking amount at a single point in time. However, few data have been reported about the effect of changes in smoking status over time on the risk of gastric cancer. METHODS: This study collected data from the National Health Insurance Corporation in Korea on 97,700 Korean men without gastric cancer who underwent health check-ups from 2002 to 2013. The smoking status (never smoked, quit smoking, and currently smoking) of study participants was assessed in 2003-2004 and 2009, and the results were categorized into 7 groups: never-never, never-quit, never-current, quit-quit, quit-current, current-quit, and current-current. Participants were followed until 2013 to identify incident gastric cancer. A multivariate Cox proportional hazard model was used to calculate adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for incident gastric cancer according to changes in smoking status and smoking amount (pack-years). RESULTS: Compared with group 1 (never-never), participants currently smoking in 2009 (never-current, quit-current, and current-current) had higher HRs for gastric cancer (never-quit: 1.077; 95% CI, 0.887 to 1.306, never-current: 1.347; 95% CI, 0.983 to1.846, quit-quit: 1.086; 95% CI, 0.863 to 1.366, quit-current: 1.538; 95% CI, 1.042 to 2.269, current-quit: 1.339; 95% CI, 1.077 to 1.666, and current-current: 1.589; 95% CI, 1.355 to 1.864, respectively). The risk for gastric cancer was highest in heavy smokers, followed by moderate smokers. CONCLUSIONS: In all categories of smoking status, current smoking was associated with the highest risk of gastric cancer. Heavy smoking was associated with an increased risk of gastric cancer, even in former smokers.
Moon, Chang-Kiu,Chung, Jin-Ho,Lee, You-Mie,Lee, Soo-Hwan,Hwang, Gwi-Seo,Park, Kwang-Sik,Mock, Myung-Soo,Kim, Seong-Gon,Ahn, Young-Soo,Ann, Jeong-Hee The Pharmaceutical Society of Korea 1988 Archives of Pharmacal Research Vol.11 No.2
Impaired erythrocyte deformability was considered to paly an important role in microcirculatory disturbances. We recently confirmed that the brazilin, the main active principle of Caesalpinia sappan, enhanced activity of erythrocyte deformability and reduced blood viscosity. In this study, we examined the effects of brazilin on three biochemical parameters (ATP, 2, 3-diphosphoglycerate, and calcium) which influenced erythrocyte deformability. Treatment with barzilin increased erythrocyte deformability and ATP concentrations in streptozotocin-induced diabetic rats. Concentrations of 2, 3-diphosphoglycerate and calcium in diabetic rats following brazilin administration were decreased significantly compared to those of diabetic control rats. The results suggest that brazilin have a potential effect to improve rheological abnormalities in diabetes.
Huge Goiter로 기도협착이 있는 환자에서 Awake Bronchoscopic Intubation을 통한 기도 관리 - 증례보고 -
권태완 ( Taewan Kwon ),강화자 ( Wha-ja Kang ),유안희 ( Ann Hee You ) 경희대학교 경희의료원 2019 慶熙醫學 Vol.34 No.1
The huge thyroid goiter is one of the risk factors of difficult airway. We report the anesthetic management of compromised airway with tracheal narrowing due to a huge goiter. After applying lidocaine spray, awake oral fiberoptic intubation was perfomed and intubation was done with 6.0mm reinforced armored tube. After successful total thyroidectomy, neuromuscular blockade was completely reversed by sugammadex and extubation was uneventful. No respiratory compromise was noted after extubation and the patient was discharged in 3 days after the surgery without any complications.
The risk of gastric cancer according to changes in smoking status among Korean men
Sung Keun Park,Min-Ho Kim,Chang-Mo Oh,Eunhee Ha,Eun Hye Yang,Woo Yeon Hwang,Ann Hee You,Jae-Hong Ryoo 한국역학회 2022 Epidemiology and Health Vol.44 No.-
OBJECTIVES Smoking is a risk factor for gastric cancer. Studies have shown that the risk of gastric cancer can vary by smoking status and smoking amount at a single point in time. However, few data have been reported about the effect of changes in smoking status over time on the risk of gastric cancer. METHODS This study collected data from the National Health Insurance Corporation in Korea on 97,700 Korean men without gastric cancer who underwent health check-ups from 2002 to 2013. The smoking status (never smoked, quit smoking, and currently smoking) of study participants was assessed in 2003-2004 and 2009, and the results were categorized into 7 groups: never-never, never-quit, never-current, quit-quit, quit-current, current-quit, and current-current. Participants were followed until 2013 to identify incident gastric cancer. A multivariate Cox proportional hazard model was used to calculate adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for incident gastric cancer according to changes in smoking status and smoking amount (pack-years). RESULTS Compared with group 1 (never-never), participants currently smoking in 2009 (never-current, quit-current, and current-current) had higher HRs for gastric cancer (never-quit: 1.077; 95% CI, 0.887 to 1.306, never-current: 1.347; 95% CI, 0.983 to1.846, quit-quit: 1.086; 95% CI, 0.863 to 1.366, quit-current: 1.538; 95% CI, 1.042 to 2.269, current-quit: 1.339; 95% CI, 1.077 to 1.666, and current-current: 1.589; 95% CI, 1.355 to 1.864, respectively). The risk for gastric cancer was highest in heavy smokers, followed by moderate smokers. CONCLUSIONS In all categories of smoking status, current smoking was associated with the highest risk of gastric cancer. Heavy smoking was associated with an increased risk of gastric cancer, even in former smokers.