A5062890578- Thyroid and Parathyroid Surgery
- Airway Management and Intubation Techniques
- Voice and Speech Disorders
- Anesthesia and Sedative Agents
- Cardiac, Anesthesia and Surgical Outcomes
- Anesthesia and Pain Management
- Nausea and vomiting management
- Myasthenia Gravis and Thymoma
- Tracheal and airway disorders
- Liver Disease Diagnosis and Treatment
- Pain Management and Opioid Use
- Spine and Intervertebral Disc Pathology
- Intensive Care Unit Cognitive Disorders
- Pain Management and Placebo Effect
- Hepatocellular Carcinoma Treatment and Prognosis
- Health Literacy and Information Accessibility
- Meningioma and schwannoma management
- Air Quality and Health Impacts
- Infrared Thermography in Medicine
- Central Venous Catheters and Hemodialysis
- Urinary Tract Infections Management
- Vascular Procedures and Complications
- Burn Injury Management and Outcomes
- Cardiac Arrhythmias and Treatments
- Obstructive Sleep Apnea Research
Kaohsiung Medical University Chung-Ho Memorial Hospital
2016-2025
Kaohsiung Medical University
2016-2025
E-Da Hospital
2011-2024
I-Shou University
2014-2024
Kaohsiung Municipal Hsiao-Kang Hospital
2015-2023
National Pingtung University of Science and Technology
2019-2022
Kaohsiung Municipal Ta-Tung Hospital
2013-2018
National Cheng Kung University Hospital
2013
Institute of Basic Medical Sciences of the Chinese Academy of Medical Sciences
2013
European Society of Anaesthesiology
2010
Due to the sparsity in knowledge, we investigated presence of various estrogenic endocrine-disrupting chemicals (EEDCs), including phthalates (PAEs), bisphenol-A (BPA), and nonylphenol (NP), as well microplastics (MPs) samples most widely consumed fish collected from different estuaries northern Taiwan. We then proceeded determine likely contribution that this exposure has on potential for health impacts humans following consumption fish. Six hundred caught five river (producing 130 pooled...
Fibreoptic intubation is a valuable modality for airway management. This study aimed to compare the effectiveness of dexmedetomidine vs target controlled propofol infusion in providing sedation during fibreoptic intubation. Forty patients with anticipated difficult airways and due undergo tracheal elective surgery were enrolled randomly allocated into group (1.0 microg.kg(-1) over 10 min) (n = 20) or 20). Intubating conditions patient tolerance as graded by scoring system evaluated primary...
Objectives/Hypothesis Thermal injury to the recurrent laryngeal nerve (RLN) may not be visually apparent and go unrecognized intraoperatively. This study aimed investigate heat thermal tolerance of RLN evaluate electrophysiologic correlates electromyographic (EMG) signal change during an acute damage. Study Design Prospective porcine model with continuous intraoperative neuromonitoring (CIONM). Methods Ten pigs (20 RLNs) undergoing CIONM had their EMG tracings recorded correlated heated...
Dexmedetomidine is characterized with effects of sedation, analgesia, amnesia and lack respiratory depression. Hence, it should be suitable for awake fibreoptic intubation (AFOI).We enrolled 30 oral cancer patients limited mouth openings who were undergoing AFOI elective surgery. Patients randomly allocated into two groups; the Dex group (n = 16) that received dexmedetomidine (1.0 microg kg(-1)) infusion Control 14) fentanyl infusion. Main outcomes evaluated by grading scores presenting...
Abstract Background Intraoperative neuromonitoring (IONM) of the recurrent laryngeal nerve (RLN) has recently been more frequently applied in thyroid surgery. However, concerns have raised regarding safety and optimal intensity electrical stimulation. Methods Eight piglets were enrolled, electrically evoked electromyography (EMG) was recorded from vocalis muscles via endotracheal surface electrodes. The baseline EMG measured continuous pulsatile stimulations performed on vagus RLN for 10...
Abstract Intraoperative neuromonitoring (IONM) is widely used in thyroid surgery. This study aimed to investigate the influence of neck extension on electromyographic (EMG) endotracheal tube displacement and determine necessity routinely checking final electrode position after patient had been fully positioned. A consecutive 220 patients undergoing thyroidectomy were enrolled. All intubated with EMG under direct laryngoscopy. The checked measured by laryngofiberoscopy before positioning....
A variety of electromyography (EMG) recording methods were reported during intraoperative neural monitoring (IONM) recurrent laryngeal nerve (RLN) in thyroid surgery. This study compared two surface that obtained by electrodes on endotracheal tube (ET) and cartilage (TC). analyzed 205 RLNs at risk 110 patients undergoing monitored thyroidectomy. Each patient was intubated with an EMG ET general anesthesia. pair single needle electrode inserted obliquely into the TC lamina each side. Standard...
In patients with limited mouth opening, traditional laryngoscopy and videolaryngoscopes are not useful when performing nasotracheal intubation. Eighty opening who required intubation were randomly assigned to either fibreoptic (n = 40) or the Trachway® 40). Using modified nasal difficulty scale, 22 (55%) received categorised as no compared 40 (100%) in Trachway group (p < 0.001). Mean (SD) total time was 71.8 (23.3) s 35.4 (9.8) We conclude that technique for is quicker easier opening.
Abstract Early and definite identification of the recurrent laryngeal nerve (RLN) is an important step to avoid inadvertent injury during complicated thyroid operations. This study aimed determine feasibility routine use intraoperative neuromonitoring (IONM) localize identify RLN at early stage surgery. prospective enrolled 220 consecutive patients (333 RLNs risk) who underwent operations with application IONM. The was localized identified routinely a stimulator after opening space between...
This study aims to evaluate and quantify the possible effect of psychological symptoms on healthy workers' quality life (QOL).The workers were recruited from a factory in south Taiwan. We assessed their with 5-item brief symptom rating scale (BSRS-5) measured QOL using Taiwanese version World Health Organization Quality Life (WHOQOL)-BREF. Multiple linear regression analysis was conducted explore association between two tools after control confounding by other predictors.A total 1,080...
Objectives/Hypothesis The use of neuromuscular blocking agent may effect intraoperative neuromonitoring (IONM) during thyroid surgery. An enhanced neuromuscular‐blockade (NMB) recovery protocol was investigated in a porcine model and subsequently clinically applied human neural monitoring Study Design Prospective animal retrospective clinical study. Methods In the experiment, 12 piglets were injected with rocuronium 0.6 mg/kg randomly allocated to receive normal saline, sugammadex 2 mg/kg,...
Background: Recurrent laryngeal nerve (RLN) palsy remains a major source of morbidity after thyroid surgeries. Intraoperative neural monitoring (IONM) has gained increasing acceptance as an adjunct to standard practice visual RLN identification. Endotracheal tube (ETT) surface recording electrodes systems are now widely used for IONM; however, malpositioned ETT can cause false IONM results and requires time-consuming intraoperative verification the position readjustment by anesthesiologist....
Background Vagal nerve stimulation (VNS) has been recommended as a routine procedure during intraoperative neuromonitoring (IONM) of the recurrent laryngeal (RLN). However, many surgeons have discouraged from performing VNS because need for opening carotid sheath. The purpose this study was to investigate feasibility and reliability without sheath dissection. Methods Two hundred twenty patients with 376 nerves at risk were enrolled in study. exposure IONM applied by simply pressing ball‐tip...