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Haesang Yoon 8 Articles
The Effects of 30-Minutes of Pre-Warming on Core Body Temperature, Systolic Blood Pressure, Heart Rate, Postoperative Shivering, and Inflammation Response in Elderly Patients with Total Hip Replacement under Spinal Anesthesia: A Randomized Double-blind Controlled Trial
You Mi Cheon, Haesang Yoon
J Korean Acad Nurs 2017;47(4):456-466.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.456
AbstractAbstract PDF
Abstract Purpose

This study was designed to determine the effects of pre-warming on core body temperature (CBT) and hemodynamics from the induction of spinal anesthesia until 30 min postoperatively in surgical patients who undergo total hip replacement under spinal anesthesia. Our goal was to assess postoperative shivering and inflammatory response.

 Methods

Sixty-two surgical patients were recruited by informed notice. Data for this study were collected at a 1,300-bed university hospital in Incheon, South Korea from January 15 through November 15, 2013. Data on CBT, systemic blood pressure (SBP), and heart rate were measured from arrival in the pre-anesthesia room to 3 hours after the induction of spinal anesthesia. Shivering was measured for 30 minutes post-operatively. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were measured pre-operatively, and 1 and 2 days postoperatively. The 62 patients were randomly allocated to an experimental group (EG), which underwent pre-warming for 30 minutes, or a control group (CG), which did not undergo pre-warming.

 Results

Analysis of CBT from induction of spinal anesthesia to 3 hours after induction revealed significant interaction between group and time (F=3.85, p=.008). In addition, the incidence of shivering in the EG was lower than that in the CG (χ2=6.15, p=.013). However, analyses of SBP, heart rate, CRP, and ESR did not reveal significant interaction between time and group.

 Conclusion

Pre-warming for 30 minutes is effective in increasing CBT 2 and 3 hours after induction of spinal anesthesia. In addition, pre-warming is effective in decreasing post-operative shivering.

Citations

Citations to this article as recorded by  
  • Effect of Prewarming on Postoperative Hypothermia, Vital Signs, and Thermal Comfort: A Randomized Controlled Trial
    Refiye Akpolat, Sevban Arslan
    Therapeutic Hypothermia and Temperature Management.2024; 14(2): 89.     CrossRef
  • Immediate fever during anaesthesia recovery after surgical procedure with scoliosis: A case report and literature review
    Limin Zhou, Xiumei Cui, Guixi Mo, Jingsong Wei, Meizhen Mo, Yiyue Zhong
    International Journal of Surgery Case Reports.2024; 121: 110027.     CrossRef
  • Effects of Forced-Air Warming Therapy on Anxiety, Pain, and Body Temperature of Patients under Local Anesthesia during Surgery: A Quasi-Experimental Study
    Jeongmin Lee, Yeojin Yi
    Journal of Korean Academy of Fundamentals of Nursing.2023; 30(2): 206.     CrossRef
  • Effects of a preoperative forced-air warming system for patients undergoing video-assisted thoracic surgery
    Yan Xiao, Rui Zhang, Na Lv, Chunmiao Hou, Chunguang Ren, Huiying Xu
    Medicine.2020; 99(48): e23424.     CrossRef
  • Physiological Factor Evaluation of the Warm Humidification of Anesthetic Gas Nursing Care
    Hyosun Park, Nayeon Shin
    Asia-Pacific Journal of Oncology Nursing.2019; 6(4): 397.     CrossRef
  • Effects of perioperative warm socks‐wearing in maintaining core body temperature of patients undergoing spinal surgery
    Hui Yeon Lee, Gaeun Kim, Yeonghee Shin
    Journal of Clinical Nursing.2018; 27(7-8): 1399.     CrossRef
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Influence of Pre-operative Fasting Time on Blood Glucose in Older Patients
Misuk Hong, Haesang Yoon
J Korean Acad Nurs 2011;41(2):157-164.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.157
AbstractAbstract PDF
Purpose

This study was performed to identify changes in blood glucose at preoperative fasting time in surgical patients over 60 yr.

 Methods

Data collection was performed from July, 2008 through July, 2009. Participants consisted of 80 nondiabetic surgical patients. Blood glucose was checked from 3 to 5 times. The 5 times were 2-hr fasting on the pre-operative day (T1, n=80), 8 hr (T2, n=80), 10 hr (T3, n=17), 12 hr (T4, n=34) and 14 hr fasting on the day of the operation (T5, n=29).

 Results

Of the patients, 27.5% had a blood glucose level of less than 79 mg/dL at T2; 17.6% at T3; 32.4% at T4; and 17.2% at T5. Mean blood glucose levels were 93.8 mg/dL at T1; 88.4 mg/dL at T2; 91.7 mg/dL at T3; 87.4 mg/dL at T4: and 94.1 mg/dL at T5. Blood glucose was the lowest at T2 (p<.001).

 Conclusion

As 17.6-32.4% of the patients showed the blood glucose level of less than 79 mg/dL at 8-14 hr pre-operative fasting, the authors recommend that surgical patients >60 yr-of-age be observed for hypoglycemia during pre-operative fasting of more than 10 hr and that surgical patients >60 yr-of-age with risks for hypoglycemia be scheduled for operation within 10 hr preoperative fasting.

Citations

Citations to this article as recorded by  
  • The Effect of Postinduction Blood Glucose on Intraoperative Hypothermia
    Zhangtian Shen, Kosuke Kuroda, Hiroshi Morimatsu
    Medicina.2023; 59(2): 395.     CrossRef
  • Comparison of fasting and non‐fasting patients receiving intravenous (IV) sedation
    E. Besi, C. Besi, R. Lees, A. Morrison, N. O'Connor
    Oral Surgery.2018; 11(2): 98.     CrossRef
  • A Cross-sectional Observational Analysis of Preoperative Blood Glucose Levels in Nondiabetic Patients presenting for Surgery
    Aparna A Nerurkar, Swagat Pattajoshi, Bharati A Tendolkar
    Journal of Research & Innovation in Anesthesia.2017; 2(2): 29.     CrossRef
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The Effects of Pneumoperitoneum on Heart Rate, Mean Arterial Blood Pressure and Cardiac Output of Hypertensive Patients during Laparoscopic Colectomy
Eun Ju Kim, Haesang Yoon
J Korean Acad Nurs 2010;40(3):433-441.   Published online June 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.3.433
AbstractAbstract PDF
Purpose

This study was performed to identify effects of pneumoperitoneum on hemodynamic changes of hypertensive patients undergoing laparoscopic colectomy under general anesthesia.

 Methods

Data collection was done from January 2 to June 10, 2008. Seventy-six patients, including 38 hypertensive patients, who had taken antihypertensive drugs more than 1 month and 38 normotensive patients undergoing laparoscopic colectomy were enrolled in this study. The hemodynamic parameters were heart rate (HR), mean arterial pressure (MAP) and cardiac output (CO) which were measured 7 times from before induction of anesthesia to 5 min after deflation of the pneumoperitoneum. Collected data were analyzed using Repeated Measures ANOVA and Bonferroni comparison method.

 Results

HR in the hypertensive group was significantly decreased at deflation of the pneumoperitoneum and 5 min after deflation of the pneumoperitoneum (p=.012). MAP in the hypertensive group was not different from the normotensive group (p=.756). CO in hypertensive group was significantly lower than normotensive group (p<.001) from immediately after pneumoperitoneum to 5 min after deflation of the pneumoperitoneum.

 Conclusion

The results indicate that pneumoperitoneum during laparoscopic surgery does not lead to clinically negative hemodynamic changes in heart rate, mean arterial pressure or cardiac output of hypertensive patients, who have taken antihypertensive drugs for more than 1 month.

Citations

Citations to this article as recorded by  
  • Non-Invasive Cardiac Output Monitoring with Electrical Cardiometry During Laparoscopic Cholecystectomy Surgery, a Cross-Sectional Study
    Khaled Ahmed Yassen, Walla Aljumaiy, Imran Alherz, Lina A. AlMudayris, Sara Abdulhameed AlBunyan, Renad S. AlSubaie, Fatma Alniniya, Sherif Saleh
    Journal of Clinical Medicine.2025; 14(7): 2228.     CrossRef
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A Comparison of the Effect of Lidocaine or Sodium Bicarbonate Mixed with Rocuronium on Withdrawal Movement, Mean Arterial Pressure and Heart Rate during Rocuronium Injection
Sung Suk Lee, Haesang Yoon
J Korean Acad Nurs 2009;39(2):270-278.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.270
AbstractAbstract PDF
Purpose

This study was performed to find out the effects of lidocaine or 8.4% sodium bicarbonate mixed with rocuronium on mean arterial pressure, heart rate and withdrawal movement.

 Methods

Data collection was performed from December 15, 2006 through May 31, 2007. Seventy-five patients with American Society Anesthesiologist (ASA) physical status I & II, under general anesthesia, were randomly assigned to 1 of 3 groups: R group (RG) received rocuronium 0.6 mg/kg; RL group (RLG), rocuronium 0.6 mg/kg mixed with 2 mL of 2% lidocaine; RS group (RSG), rocuronium 0.6 mg/kg with the same volume of 8.4% sodium bicarbonate. Mean arterial pressure, heart rate and withdrawal movement were observed from its injection until 5 min after endotracheal intubation.

 Results

The incidence of withdrawal movement with its corresponding injections was 72%, 40% and 4% in RG, RLG and RSG, respectively (p<.001). Score of withdrawal movement was the lowest in RSG of all groups (p<.001). While mean arterial pressure (p=.011) in RSG decreased significantly, and heart rate (p=.003) in RG increased more with its injection than before induction of anesthesia.

 Conclusion

Administration of the equivalent volume of 8.4% sodium bicarbonate with rocuronium is more effective than that of lidocaine with rocuronium compared with rocuronium only, in preventing withdrawal movement and in stabilizing mean arterial pressure and heart rate.

Citations

Citations to this article as recorded by  
  • Pharmacological and non-pharmacological interventions for reducing rocuronium bromide induced pain on injection in children and adults
    Hemanshu Prabhakar, Gyaninder Pal Singh, Zulfiqar Ali, Mani Kalaivani, Martha A Smith
    Cochrane Database of Systematic Reviews.2016;[Epub]     CrossRef
  • Pharmacological and non-pharmacological intervention for rocuronium-induced withdrawal movement in the Korean population: a meta-analysis of 41 studies including 4,742 subjects
    Geun Joo Choi, Sangseok Lee, Jeoung Hyuk Lee, Seul Gi Park, Hyun Kang
    Korean Journal of Anesthesiology.2014; 66(6): 419.     CrossRef
  • Bolus Effective Dose of Ketamine for Preventing Withdrawal Movement on Injection of Rocuronium in Paediatric Patients
    SK Min, SY Lee, KS Park, J Yoo, YJ Chae
    Journal of International Medical Research.2011; 39(4): 1408.     CrossRef
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Effect of Ondansetron combined with Dexamethasone on Postoperative Nausea & Vomiting and Pain of Patients with Laparoscopic Hysterectomy
Miok Nam, Haesang Yoon
J Korean Acad Nurs 2009;39(1):44-52.   Published online February 17, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.1.44
AbstractAbstract PDF
Purpose:

The purpose of this study was to compare the effects of ondansetron combined with dexamethasone on Post-Operative Nausea and Vomiting (PONV) and pain with ondansetron alone in patients with laparoscopy assisted vaginal hysterectomy under general anesthesia.

 Methods:

Data were collected from April 1 through September 30, 2005 using a double blind method. Ondansetron 4 mg and dexamethasone 10 mg were administered to the experimental group (25 patients), and ondansetron 4 mg only to the control group (25 patients). The medications were administered through an intravenous line at the beginning peritoneum suture. PONV by Index of Nausea Vomiting and Retching (INVR), nausea by Visual Analogue Scale (VAS), and pain (VAS) were assessed at postoperative 1 hr, 3 hr, 6 hr, 24 hr, and 48 hr. Data were analyzed using repeated measures ANOVA, and Bonferroni methods.

 Results:

The experimental group that received ondansetron combined with dexamethasone had less PONV (p=.048), and nausea (p=.012) than control group that received ondansetron alone. However, there was no difference in pain (p=.557) between the patients in the two groups.

 Conclusion:

We conclude that the administration of ondansetron combined with dexamethasone is more effective than the administration of ondansetron alone to reduce PONV in patients with laparoscopic hysterectomy.

Citations

Citations to this article as recorded by  
  • Analgesia for Gynecologic Oncologic Surgeries: A Narrative Review
    Kaiwal Patel, Sukhman Shergill, Nalini Vadivelu, Kanishka Rajput
    Current Pain and Headache Reports.2022; 26(1): 1.     CrossRef
  • Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis
    Stephanie Weibel, Gerta Rücker, Leopold HJ Eberhart, Nathan L Pace, Hannah M Hartl, Olivia L Jordan, Debora Mayer, Manuel Riemer, Maximilian S Schaefer, Diana Raj, Insa Backhaus, Antonia Helf, Tobias Schlesinger, Peter Kienbaum, Peter Kranke
    Cochrane Database of Systematic Reviews.2020;[Epub]     CrossRef
  • Pain management after laparoscopic hysterectomy: systematic review of literature and PROSPECT recommendations
    Philipp Lirk, Juliette Thiry, Marie-Pierre Bonnet, Girish P Joshi, Francis Bonnet
    Regional Anesthesia & Pain Medicine.2019; 44(4): 425.     CrossRef
  • Comparing Effects of Two Different Types of Nei-Guan Acupuncture Stimulation Devices in Reducing Postoperative Nausea and Vomiting
    Hanna Oh, Bo Hwan Kim
    Journal of PeriAnesthesia Nursing.2017; 32(3): 177.     CrossRef
  • Combination of 5-HT3 Antagonist and Dexamethasone Is Superior to 5-HT3 Antagonist Alone for PONV Prophylaxis After Laparoscopic Surgeries
    Anirban Som, Sulagna Bhattacharjee, Souvik Maitra, Mahesh K Arora, Dalim Kumar Baidya
    Anesthesia & Analgesia.2016; 123(6): 1418.     CrossRef
  • Effect of Evidence-based Clinical Practice Guidelines for Promotion of Postoperative Nausea and Vomiting of Patients with Laparoscopic Hysterectomy
    Sung-Hee Lee, Sung-Jung Hong, Hwa Sun Kim, Younghoon Jeon
    Korean Journal of Adult Nursing.2015; 27(5): 481.     CrossRef
  • Cost Analysis of Post Operative Pain Management for Surgical Patients using PCA
    Sung-Jung Hong, Eunjoo Lee
    Journal of Korean Academy of Fundamentals of Nursing.2013; 20(2): 137.     CrossRef
  • Impact of perioperative dexamethasone on postoperative analgesia and side-effects: systematic review and meta-analysis
    N.H. Waldron, C.A. Jones, T.J. Gan, T.K. Allen, A.S. Habib
    British Journal of Anaesthesia.2013; 110(2): 191.     CrossRef
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The Effects of Preemptive Analgesia of Morphine and Ketorolac on Postoperative Pain, Cortisol, O2 Saturation and Heart Rate
Yun Ju Seo, Haesang Yoon
J Korean Acad Nurs 2008;38(5):720-729.   Published online October 30, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.5.720
AbstractAbstract PDF
Purpose

This study investigated the preemptive analgesic effects of Morphine and Ketorolac on postoperative pain, cortisol, O2 saturation and heart rate for the first 24 hr after abdominal surgery.

 Methods

Data collection was performed from April 1 to September 30, 2006. Forty patients undergoing a gastrectomy under general anesthesia were randomly allocated to the experimental or control group. The experimental group (20 patients) was administered Morphine and Ketorolac approximately 1 hr prior to skin incision, but the control group (20 patients) was administered Morphine and Ketorolac at peritoneum closure through a patient-controlled analgesia (PCA) pump. Postoperative pain, blood pressure, heart rate, cortisol, O2 saturation, frequency of the PCA button pressed and doses of additional analgesics were observed through post operative 24 hr. Collected data was analyzed using t-test, χ2 test, repeated measures ANOVA, and Bonferroni methods.

 Results

Postoperative pain, cortisol, the frequency of PCA button pressed, and dose of additional analgesics of the experimental group were significantly lower than the control group. There were no statistical differences in blood pressure, heart rate and O2 saturation between the experimental group and control group.

 Conclusions

We concluded that administration of morphine and ketorolac at 1 hr prior to skin incision resulted in decreasing postoperative pain, but it didn't affect blood pressure, heart rate or O2 saturation for 24 hr after abdominal surgery.

Citations

Citations to this article as recorded by  
  • Salivary Antioxidant Status in Patients with Oral Lichen Planus: Correlation with Clinical Signs and Evolution during Treatment withChamaemelum nobile
    Asta Tvarijonaviciute, Cristina Aznar-Cayuela, Camila P. Rubio, Fernando Tecles, Jose J. Ceron, Pia López-Jornet
    BioMed Research International.2018; 2018: 1.     CrossRef
  • Efficacy of preemptive lornoxicam on postoperative analgesia after surgical removal of mandibular third molars
    Zeynep Fatma Zor, Berrin Isik, Sedat Cetiner
    Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology.2014; 117(1): 27.     CrossRef
  • Strategies in Postoperative Analgesia in the Obese Obstructive Sleep Apnea Patient
    Jahan Porhomayon, Kay B. Leissner, Ali A. El-Solh, Nader D. Nader
    The Clinical Journal of Pain.2013; 29(11): 998.     CrossRef
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A comparison of the Effects of Intravenous Fluid Warming and Skin Surface Warming on Peri-operative Body Temperature and Acid Base Balance of Elderly Patients with Abdominal Surgery
Hyosun Park, Haesang Yoon
Journal of Korean Academy of Nursing 2007;37(7):1061-1072.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.7.1061
AbstractAbstract PDF

PURPOSE: The purpose of this study was to compare the effects of intravenous fluid warming and skin surface warming on peri-operative body temperature and acid base balance of abdominal surgical patients under general anesthesia. METHOD: Data collection was performed from January 4th, to May 31, 2004. The intravenous fluid warming(IFW) group(30 elderly patients) was warmed through an IV line by an Animec set to 37 degrees C. The skin surface warming(SSW) group(30 elderly patients) was warmed by a circulating-water blanket set to 38 degrees C under the back and a 60W heating lamp 40 cm above the chest. The warming continued from induction of general anesthesia to two hours after completion of surgery. Collected data was analyzed using Repeated Measures ANOVA, and Bonferroni methods. RESULTS: SSW was more effective than IFW in preventing hypothermia(p= .043), preventing a decrease of HCO3-(p= .000) and preventing base excess(p= .000) respectively. However, there was no difference in pH between the SSW and IFW(p= .401) groups. CONCLUSION: We conclude that skin surface warming is more effective in preventing hypothermia, and HCO3- and base excess during general anesthesia, and returning to normal body temperature after surgery than intravenous fluid warming; however, skin surface warming wasn't able to sustain a normal body temperature in elderly patients undergoing abdominal surgery under general anesthesia.

Citations

Citations to this article as recorded by  
  • Effects of Heated-Humidified Anesthetic Gas in the Elderly Patients with Colorectal Cancer during Laparoscopic Surgery: Randomized Controlled Trial
    Hyo-Sun Park, Younhee Kang
    Korean Journal of Adult Nursing.2018; 30(2): 206.     CrossRef
  • Anesthetic Management of Transapical Off-Pump Mitral Valve Repair With NeoChord Implantation
    Ali Sait Kavakli, Nilgun Kavrut Ozturk, Raif Umut Ayoglu, Mustafa Emmiler, Lutfi Ozyurek, Kerem Inanoglu, Sadik Ozmen
    Journal of Cardiothoracic and Vascular Anesthesia.2016; 30(6): 1587.     CrossRef
  • Core Temperature Evaluation in Different Body Parts in Patients Undergoing Laparoscope Surgery under Total Intravenous Anesthesia*
    Tae Soo Hahm, Won Ho Kim, Nam Cho Kim, Je Bog Yoo
    Journal of Korean Academy of Fundamentals of Nursing.2015; 22(4): 379.     CrossRef
  • Factors Affecting Intraoperative Body Temperature in Surgical Patients with Laparotomy under General Anesthesia
    Seohyun Lee, Haesang Yoon
    Journal of Korean Biological Nursing Science.2015; 17(3): 236.     CrossRef
  • Effects of Forced Air Warming on Body Temperature, Shivering and Pain in Laparoscopic Cholecystectomy Patients*
    Sung Joo Park, Sook Young Kim
    Journal of Korean Academy of Fundamentals of Nursing.2015; 22(3): 287.     CrossRef
  • Methods of Patient Warming during Abdominal Surgery
    Li Shao, Hong Zheng, Feng-Ju Jia, Hui-Qin Wang, Li Liu, Qi Sun, Meng-Ying An, Xiu-Hua Zhang, Hao Wen, Sara Cheng
    PLoS ONE.2012; 7(7): e39622.     CrossRef
  • Comparison of Antifebrile Effects of Hypothermia Blanket and Rectal Antipyretics for Infants after Open Heart Surgery
    Eun-Jung Kim, Myoung-Hee Kim
    Journal of Korean Academy of Child Health Nursing.2012; 18(4): 164.     CrossRef
  • Power Analysis in Experimental Designs with t test Analysis
    Jeong-Hee Kang, Kyung-Sook Bang, Sung-Hee Ko
    The Journal of Korean Academic Society of Nursing Education.2009; 15(1): 120.     CrossRef
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