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Yonsei Med J [journal]
- The author reply. Folliculitis associated with intermittant pneumatic compression. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):547.
- Letter to the editor. Folliculitis associated with intermittant pneumatic compression. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):545-6.
- Letter to the editor. Two major phenotypes of sulfite hypersensitivity: asthma and urticaria. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):542-4.
- Dexmedetomidine for rigid bronchoscopy in an infant with tracheal web after ventricular septal defect patch repair. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):539-41.
We report herein successful rigid bronchoscopy with preserved spontaneous breathing of a 54-day-old infant with tracheal web associated with previous ventricular septal defect (VSD) repair. We considered the use of dexmedetomidine in conjunction with intermittent ketamine from the following three clinical aspects. First, this infant was suffering from respiratory distress with chest retraction, the cause of which was not revealed by a computerized scan of the neck and chest. Second, the patient was scheduled for rigid bronchoscopy, which is accompanied by brief but strong stimulation. Third, this infant underwent congenital VSD heart repair approximately 1 month earlier.
- Simultaneous robot-assisted laparoendoscopic single-site partial nephrectomy and standard radical prostatectomy. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):535-8.
Recently, patients with urologic malignancies are treated with robot-assisted surgery and the expanded role of robot-assisted surgery includes even those patients with two concomitant primary urologic malignancies. In an effort to further reduce port site-related morbidity, robot-assisted laparoendoscopic single-site surgery (RLESS) has been developed. Therefore, we present herein our early experience and feasibility of simultaneous RLESS partial nephrectomy and standard robotrobot- assisted laparoendoscopic radical prostatectomy (RALP) on 3 patients with synchronous renal masses and prostate cancer.
- Atrial tachycardia originating from the aortomitral junction. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):530-4.
Atrial tachycardia (AT) originating from the aortomitral junction is a very rare and challenging disease. Its arrhythmic characteristics have not been described in detail compared with the descriptions of the arrhythmic characteristics of AT originating from the other locations. Only a few case reports have documented successful ablation of this type of AT using transaortic or transseptal approaches. We describe a case with AT that was resistant to right-sided ablation near the His bundle failed and transaortic ablation at the aortomitral junction successfully eliminated.
- Assessing Safety Attitudes among Healthcare Providers after a Hospital-Wide High-Risk Patient Care Program. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):523-9.
Purpose:Cardiopulmonary resuscitation (CPR) is commonly performed in high-risk, high intensity situations and is therefore a good procedure around which to develop and implement safety culture strategies in the hospital. The purpose of this study was to evaluate the impact of a hospital-wide quality improvement program on the management of sudden cardiac arrests by assessing healthcare providers' attitudes towards patient safety. Materials and
Methods:This study was designed as a prospective cohort study at a single academic medical center. The comprehensive hospital-based safety program included steps to identify areas of hazard, partner units with the Resuscitation Committee, and to conduct a Safety Attitudes Questionnaire (SAQ). The SAQ evaluated 35 questions in seven domains to assess changes in patient safety culture by comparing the results before and after the hospital- wide high risk patient care improvement program.
Results:The response rates of the pre- and post-SAQ survey were 489 out of 1121 (43.6%) and 575 out of 1270 (45.3%), respectively. SAQ survey responses revealed significant improvement in all seven domains of the questionnaire (p-values of 0.006 and lower). In a subgroup analysis, doctors and nurses showed improvement in five domains. Both doctors and nurses did not show improvement in the "sharing information" domain.
Conclusion:A hospital-wide quality improvement program for high-risk, high reliability patient care involving CPR care was shown to be associated with a change in healthcare providers' attitudes towards patient safety. Through an immersive and active program on CPR care, change in healthcare providers' attitudes towards patient safety was initiated.
- Effect of Dexmedetomidine on the Corrected QT and Tp-e Intervals during Spinal Anesthesia. [Journal Article]
- Yonsei Med J 2014 Mar 1; 55(2):517-22.