We have investigated the flora of Yeongheungdo Island in Ongjin-gun, Incheon. A total of 13 separate field trips were carried out from March 2012 to October 2013. As a result, 302 taxa including 80 families, 211 genera, 261 species, 6 subspecies, 31 varieties and 4 forms were identified. These include the following: 1 taxon protected under the Act on the Protection and Management of Wildlife, 3 Korean endemic taxa, 8 floristic indicator species including 2 taxa of grade V, 3 of grade II and 3 of grade I, 33 naturalized taxa with the naturalization rate of 10.9% and 1 northern taxon vulnerable to climate change.

This is the case report of a 58-year-old man who developed acute severe hypoglycemia after a spinal block. He had a history of injecting insulin combined with 50% dextrose for hyperkalemia control. After the spinal block, he presented with hypo-glycemic symptoms and went into convulsions. Following injection of midazolam and 10 ml of 50% dextrose, his mental state returned to alert. We recommend careful monitoring of blood sugar level of chronic kidney disease patients who under-go neuraxial block.

We experienced an 18-month-old patient with congenital lobar emphysema who underwent one-lung ventilation. With con-sideration that positive pressure ventilation could induce cardiopulmonary distress, induction was performed with spontane-ous breathing using sevoflurane without neuromuscular blocking agent. Bronchospasm occurred after intubation and posi-tion change, twice. He was relieved by administration of neuromuscular blocking agents. We discussed induction methods with minimal positive-pressure ventilation and the treatments for bronchospasm.