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Kyung Han Kim 6 Articles
Hemodynamic Effects of Co-administration of Midazolam during Anesthesia Induction with Propofol and Remifentanil in Hypertensive Patients
Ju Deok Kim, Joo Won Kim, His Chiang Kung, Jun Hong Kang, Hye Young Shin, Doo Sik Kim, Sie Jeong Ryu, Kyung Han Kim
Kosin Med J. 2017;32(1):36-46.   Published online June 30, 2017
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Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM

Propofol, midazolam and remifentanil are commonly used for clinical anesthesia. We compared the effects of midazolam-propofol-remifentanil and propofol-remifentanil on hemodynamic responses during anesthesia induction in hypertensive patients.


Seventy-six hypertensive patients with ASA II-III were assigned to receive midazolam-propofol (group MP; n = 38) or propofol (group P; n = 38). Anesthesia was induced with midazolam 0.03 mg/kg (group MP) or saline 0.03 ml/kg (group P). After two minutes, propofol 1.0 mg/kg (group MP) or 1.5 mg/kg (group P) i.v. bolus was administered. Simultaneously, 4 ng/ml of remifentanil target controlled infusion (TCI) was administered in both groups. Anesthesia was maintained using sevoflurane and 2 ng/ml of remifentanil TCI. Systolic, diastolic, and mean blood pressure (SBP, DBP, and MBP) and heart rate (HR) were measured before induction, 2 min after midazolam or normal saline, 2 min after propofol, 1 min after rocuronium, and immediately, 1 min, 2 min, and 3 min after intubation.


SBP, DBP, and MBP decreased after propofol administration and increased immediately after intubation in both groups (P < 0.05). After intubation, SBP, DBP, and MBP decreased more than baseline values in either group. Although the overall BP of Group P was lower than that of Group MP, there were no significant differences except for SBP at 2min after intubation (P < 0.05). HR was no significant difference in either group.


Our results suggest that midazolam-propofol-remifentanil has similar hemodynamic effect with propofol-remifentanil during anesthesia induction in hypertensive patients.

Treatment of Stent Dislodgement Complicated by Coronary Artery Dissection using Parallel Wire Technique and Small Balloon
Su Young Kim, Seung-Hee Han, Kyung Han Kim, Moo Hyun Kim, Jong Sung Park
Kosin Med J. 2013;28(1):55-60.   Published online January 19, 2013
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Abstract PDFPubReader   ePub   CrossRef-TDMCrossref - TDM

Stent dislodgement is a rare complication of complex percutaneous coronary artery intervention and is often associated with significant morbidity. We report a case of stent dislodgement complicated by coronary artery dissection and acute total occlusion of left circumflex coronary artery. Direct expansion of the dislodged stent was performed using parallel wire technique and small balloon. An overlapping stent was implanted for remained coronary artery dissection. Coronary artery flow was restored and ST segment elevation was normalized after successful intervention.

Severe Hypoxemia following Methylmethacrylate Bone Cement during Total Elbow Replacement
Tae Ho Chang, Doo Sik Kim, Sie Jeong Ryu, Kyung Han Kim, Se Hwan Kim
Kosin Med J. 2006;21(2):170-174.
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Clinical Usefulness of Propofol-Fentanyl Intravenous Anesthesia
Min Seong Sim, Doo Sik Kim, Sie Jeong Ryu, Kyung Han Kim, Se Hwan Kim, Tae Ho Chang
Kosin Med J. 2006;21(1):120-125.
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Influence of Patient-Controlled Analgesia with Morphine and Fentanyl on the Recoverery of Atracurium Block
Se Hwan Kim, Jung Ho Kim, Doo Sik Kim, Sie Jeong Ryu, Tae Ho Chang, Kyung Han Kim, Ok Sik Han
Kosin Med J. 2006;21(1):172-177.
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Acute Fulminant Hepatitis following Operation
Tae Ho Chang, Kyung Han Kim, Se Hwan Kim
The Journal of Kosin Medical College. 1987;3(1):81-86.
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KMJ : Kosin Medical Journal