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Korean Journal of Anesthesiology

Jiho Park, Woosuk Chung, Seunghyun Song, Yoon-Hee Kim, ChaeSeong Lim, Youngkwon Ko, Sangwon Yun, Hyunwoo Park, Sangil Park, Boohwi Hong
Background: We previously reported that percutaneous dilatational tracheostomy (PDT) can be safely performed 2 cm below the cricothyroid membrane without the aid of a bronchoscope. Although our simplified method is convenient and does not require sophisticated equipment, the precise location of tracheostomy cannot be confirmed. Because it is recommended that tracheostomy be performed at the second tracheal ring, we assessed whether patient characteristics could predict the distance between the cricothyroid membrane and the second tracheal ring...
February 12, 2019: Korean Journal of Anesthesiology
Christopher Ryan Hoffman, Michele Van Hal, Rayhan Tariq, Shelley George
No abstract text is available yet for this article.
February 12, 2019: Korean Journal of Anesthesiology
Zhongliang Sun, Maiko Satomoto, Yushi U Adachi, Koshi Makita
No abstract text is available yet for this article.
February 12, 2019: Korean Journal of Anesthesiology
Marta Ines Berrio Valencia, Joschko Abigayel
No abstract text is available yet for this article.
January 23, 2019: Korean Journal of Anesthesiology
John George Karippacheril
No abstract text is available yet for this article.
January 23, 2019: Korean Journal of Anesthesiology
Abhijit S Nair, Suresh Seelam
No abstract text is available yet for this article.
January 23, 2019: Korean Journal of Anesthesiology
Rania M Hussien, Amal H Rabie
Background: The results of previous studies have shown that using sequential intrathecal injection of fentanyl and hyperbaric bupivacaine for cesarean section (CS) anesthesia provides better quality anesthesia and prolongs postoperative analgesia. The aim of this study was to determine whether rapid intrathecal injection of fentanyl followed by slow injection of hyperbaric bupivacaine affects the duration of postoperative analgesia, the quality of anesthesia and hemodynamic status. Methods: Fifty-six American Society of Anesthesiologists physical status I and II parturients aged 18-40 years old who underwent elective CS were randomly assigned to two groups of 28 patients each...
January 9, 2019: Korean Journal of Anesthesiology
Satya Narayan Seervi, Geeta Singariya, Manoj Kamal, Kamlesh Kumari, Ashwini S, Shobha Ujwal
Background: The transversus abdominis plane (TAP) block is an effective technique to block thoracolumbar nerves supplying anterolateral abdominal wall. This study was conducted to evaluate the analgesic efficacy and opioid consumption with addition of perineural buprenorphine or dexamethasone in TAP block after unilateral inguinal hernioplasty. Methods: This prospective, randomized, double blinded, placebo controlled study, enrolled 93 patients, scheduled for unilateral inguinal hernioplasty, randomly divided into three groups (31 each), to received ultrasound guided TAP block after completion of surgery...
January 9, 2019: Korean Journal of Anesthesiology
Hyeong-Seok Yoon, Byoung-Woo Yu, Young-Mu Kim, Jae-Ho Lee, Won-Uk Koh, Hong-Seuk Yang
In breast surgery, regional anesthesia has been mainly used for postoperative analgesia rather than primary anesthesia. Serratus anterior plane block is a new method for ultrasound-guided thoracic wall block, which is less invasive, and relative safe than conventional regional anesthetic techniques. We report a case of breast surgery under serratus anterior plane block with monitored anesthesia care in a 78-year-old patient with a medical history of cardiopulmonary resuscitation due to stress-induced cardiomyopathy caused by pneumonia...
January 9, 2019: Korean Journal of Anesthesiology
Jae Hong Park, Ji Yeon Kwon, Sang Eun Lee, Yong Han Kim, Se Hun Kim
A 75-year-old female patient with lumbar spinal stenosis underwent posterior lumbar spinal fusion and posterolateral interbody fusion under general anesthesia. When the patient was positioned prone on the Jackson spine table before the surgery, a sudden severe hypotension and hemodynamic collapse developed. This circulatory collapse was refractory to intravascular volume expansion, inotropes and vasopressors. Application of external abdominal support immediately restored hemodynamics. The Jackson spine table allowed the abdomen to hang freely, providing abdominal decompression as well as resulting in the severely sagged abdomen...
December 28, 2018: Korean Journal of Anesthesiology
J Raft, K J Chin, Q Gobert, P Richebé, V Brulotte
No abstract text is available yet for this article.
December 28, 2018: Korean Journal of Anesthesiology
Hyun-Jung Shin, Heijin Lee, Hyo-Seok Na
Background: Irrigation fluid absorption during endoscopic surgery has been known to alter blood coagulation. We investigated the effect of an irrigation fluid on the coagulation according to the hemodilution level using rotational thromboelastometry (ROTEM) tests. Methods: Venous blood was taken from 12 healthy volunteers and divided into four specimen bottles, which were diluted to different levels (0%, 10%, 20%, and 40%) using a mixture of 2.7% sorbitol-0.54% mannitol solution...
December 14, 2018: Korean Journal of Anesthesiology
Jorien M van de Pas, Margaretha Ce van der Woude, Henricus J Belgers, Karel We Hulsewé, Erik R de Loos
No abstract text is available yet for this article.
December 14, 2018: Korean Journal of Anesthesiology
Eun Jin Ahn, Jong Hae Kim, Tae Kyun Kim, Jae Hong Park, Dong Kyu Lee, Sangseok Lee, Junyong In, Hyun Kang
In large number of randomized controlled trials, many of researchers would like to provide P values of demographic data which commonly described in table 1 for the purpose of emphasizing no difference between groups. The authors would intend to demonstrate that statistically insignificant P value in demographic data implicate randomization has been well performed between groups. However, insignificant P value does not necessarily reflect the successful randomization. It is more important to establish a statistical analysis plan thoroughly in the stage of the designing and planning study and to consider if any of the variables included in the demographic data may affect the research results...
December 6, 2018: Korean Journal of Anesthesiology
Bon-Nyeo Koo, Min A Kwon, Sang-Hyun Kim, Jong Yeop Kim, Young-Jin Moon, Sun Young Park, Eun-Ho Lee, Min Suk Chae, Sung Uk Choi, Jeong-Hyun Choi, Jin-Young Hwang
Considering the functional role of red blood cells (RBC) in maintaining a proper supply of oxygen to the tissues, RBC transfusion can be a life-saving intervention in situations of severe bleeding or anemia. RBC transfusion is often inevitable to address intraoperative massive bleeding; it is a key component of safe perioperative patient management. Unlike general medical resources, packed RBCs (pRBCs) have limited availability because their supply relies entirely on voluntary donations. Besides, excessive utilization of pRBCs may aggravate prognosis or increase the risk of developing infectious diseases...
December 5, 2018: Korean Journal of Anesthesiology
Koji Sakata, Kazuhiro Kito, Naokazu Fukuoka, Kiyoshi Nagase, Kumiko Tanabe, Hiroki Iida
Background: Hypercapnia dilates cerebral vessels and increases cerebral blood flow, resulting in increases in intracranial pressure. Sevoflurane is reported to preserve cerebrovascular carbon dioxide reactivity. However, the contribution of inhaled anesthetics to vasodilatory responses to hypercapnia have not been clarified. Moreover, the cerebrovascular response to desflurane under hypercapnia has not been reported. We examined the effects of sevoflurane and desflurane on vasodilatory responses to hypercapnia in rats...
November 27, 2018: Korean Journal of Anesthesiology
Donghee Kang, Changwoo Lim, Dong-Jin Shim, Huiyoung Kim, Ji-Wook Kim, Hyung-Joo Chung, Yusom Shin, Joo-Duck Kim, Sie Jeong Ryu
Background: Sedation by dexmedetomidine is similar to natural sleep and often causes bradycardia. We attempted to determine the relationship of heart rate changes between natural sleep and dexmedetomidine sedation. Methods: The present study included 30 who were scheduled to undergo elective surgery under spinal anesthesia. To assess heart rate (HR) and sedation, pulse oximeter and bispectral index (BIS) monitor were attached to the patient in the ward and the operating room...
November 27, 2018: Korean Journal of Anesthesiology
Gunn Hee Kim, Won Seop Choi, Ji Eun Kim, Mi Jung Yun, Min Seok Koo, Mi Young Kwon, Hyungseok Seo
A 42-year-old man developed anaphylactic shock in the postanesthesia care unit. Initially, sugammadex, a reversal agent for a non-depolarizing neuromuscular blocking agent, was suspected as the causative agent, but an intradermal skin test revealed negative results. A further skin test was performed with sugammadex-rocuronium complex, which yielded positive results. Thus, we concluded that the sugammadex-rocuronium complex had led to anaphylactic shock.
November 27, 2018: Korean Journal of Anesthesiology
Alessandro De Cassai, Daniele Bonvicini, Michele Ruol, Christelle Correale, Maurizio Furnari
Breast innervation consists of intercostal nerves and brachial plexus. Here we propose a technique to execute breast surgery without general anesthesia using erector spinae plane (ESP) block and selective block of four nerves arising from brachial plexus and innervating breast and axilla (from now on SBP block. A 77-year-old male presented for breast cancer with indication to radical mastectomy and axillary clearance. He had a history of myocardial infarction resulting in postinfarction dilated cardiomyopathy with a severe reduction in ejection fraction...
November 27, 2018: Korean Journal of Anesthesiology
Onur Baran, Bünyamin Kır, İrem Ateş, Ayhan Şahin, Ali Üztürk
35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred especially for young patients for optimal functional outcomes while unresolved fractures are usually treated conservatively. A 38-year-old male patient was admitted to the emergency service after falling resulting a left clavicle fracture. During the preoperative evaluation, the patient requested to be awake during the surgery. Combined supraclavicular-superficial cervical plexus block was performed under ultrasound guidance and no complications and pain was seen...
November 27, 2018: Korean Journal of Anesthesiology
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