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Korean Journal of Anesthesiology

Jin-Soo Kim, Justin Sangwook Ko, Seunguk Bang, Hyungtae Kim, Sook Young Lee
Cervical plexus block (CPB) has been used in various head and neck surgeries to provide adequate anesthesia and/or analgesia. However, it is performed in narrow space of neck area containing many sensitive structures, multiple fascial layers, and complicated nerve innervation. Since intermediate CPB was introduced in addition to superficial and deep CPBs in 2004, there has been some confusion in nomenclature and definition of CPB, particularly the intermediate CPB. Additionally, as the role of ultrasound in the head and neck region has expanded, CPB can be performed more safely and accurately under ultrasound guidance...
July 4, 2018: Korean Journal of Anesthesiology
Jeong-Rim Lee, Andreas W Loepke
Anesthesia facilitates surgery in millions of young children every year. Structural brain abnormalities and functional impairment observed in animals has created substantial concerns among clinicians, parents, and government regulators. Clinical studies seemed ambivalent; it remains unclear whether differential species effects exist towards anesthetic exposure. The current literature search and analysis attempts to unify the available clinical and animal studies, which currently comprise of > 530 in vivo animal studies and > 30 clinical studies...
July 4, 2018: Korean Journal of Anesthesiology
Tak Kyu Oh, Kwanmien Kim, Sanghoon Jheon, Hei-Jin Lee, Sang-Hwan Do
Background: Cholesterol plays an important role in the action of opioid analgesics, but its association with postoperative pain has not been clarified. Our study examined the association of pre- and postoperative total serum cholesterol (TSC) level changes with postoperative pain outcomes in patients with non-small cell lung cancer (NSCLC) who underwent lobectomy via video-assisted thoracoscopic surgery (VATS). Methods: We retrospectively reviewed medical records of patients with NSCLC who underwent VATS lobectomy at a single tertiary care hospital...
July 4, 2018: Korean Journal of Anesthesiology
Yumi Kim, So Young Kwon, Hong Soo Jung, Yoo Jung Park, Yong Shin Kim, Jang Hyeok In, Jin Woo Choi, Jin A Kim, Jin Deok Joo
Background: The pain relief properties of tricyclic antidepressants can be attributed to several actions. Recent observations suggest that adenosine is involved in the antinociceptive effect of amitriptyline. The A3 adenosine receptor (A3AR) is the only adenosine subtype to be overexpressed in inflammatory and cancer cells. This study was carried out to investigate the role of A3AR in the anti-nociceptive effect of amitriptyline. Methods: Spinal nerve-ligated neuropathic pain was induced by ligating the L5 and L6 spinal nerves of male Sprague Dawley rat...
July 4, 2018: Korean Journal of Anesthesiology
Bhavna Gupta, Sukhyanti Kerai
No abstract text is available yet for this article.
July 4, 2018: Korean Journal of Anesthesiology
Nyeong Keon Kwon, Sung Mee Jung, Sang-Jin Park, Yonghee Han
Background: Compared to an equivalent sized polyvinyl chloride (PVC) double-lumen tube (DLT), a silicone DLT has a shorter endobronchial segment. The aim of this study was to compare the incidence of clinically significant displacement of left-sided PVC and silicone DLTs after a positional change to a lateral position from a supine position and determine its effect on the need for DLT repositioning for successful lung separation in patients undergoing thoracic surgery. Methods: One hundred eight adult patients requiring one-lung ventilation were randomly divided into group P (PVC DLT, n = 54) and group S (Silicone DLT, n = 54)...
June 20, 2018: Korean Journal of Anesthesiology
Nicholas G Kounis, Ioanna Koniari, Emmanouil Chourdakis, Periklis Davlouros, George Hahalis
No abstract text is available yet for this article.
June 20, 2018: Korean Journal of Anesthesiology
Ha J Kim, Won U Koh, Jae M Choi, Young J Ro, Hong S Yang
No abstract text is available yet for this article.
June 20, 2018: Korean Journal of Anesthesiology
Jae Hwa Yoo, Soon Im Kim, Ji Won Chung, Mi Roung Jun, Yoo Mi Han, Yong Jik Kim
Background: The aim of this study was to evaluate aprepitant in combination with palonosetron as compared to palonosetron alone for the prevention of postoperative nausea and vomiting PONV) in female patients receiving fentanyl-based intravenous (i.v.) patient-controlled analgesia (IV-PCA). Methods: In this randomized single-blinded study, 100 female patients scheduled for elective surgery under general anesthesia were randomized to two groups: Group AP (80 mg aprepitant [Emend®, MSD Korea] plus 0...
May 30, 2018: Korean Journal of Anesthesiology
Soha A Elmorsy, Ghada F Soliman, Laila A Rashed, Hamed Elgendy
Background: Autism is a challenging neurodevelopmental disorder. Previous clinical observations suggest altered sedation requirements for autistic children. Our study aimed to test this observation experimentally with an animal model and, to explore its possible mechanisms. Methods: Eight adult pregnant female Sprague Dawley rats were randomly selected into two groups. Four were injected with intraperitoneal sodium valproate on the gestational day 12 and four were injected with normal saline...
May 30, 2018: Korean Journal of Anesthesiology
Sanjay Kumar, Sandeep Khuba, Anil Agarwal, Sujeet Gautam, Madhulika Yadav, Aanchal Dixit
Background: Pain on propofol injection is a limitation of propofol. So far, there has been no study about valsalva to reduce pain on propofol injection. Valsalva reduces pain via sinoaortic baroreceptor reflex arc and distraction both. We planned this study for assessing efficacy of Valsalva maneuver to reduce pain on propofol injection. Methods: Eighty American Society of Anesthesiologists grade I enrolled adult patients undergoing general anesthesia were divided into 2 groups of 40 each...
May 30, 2018: Korean Journal of Anesthesiology
See Seong Chang, Qian Jun Tong, Zhi Yuen Beh, Kelvin How Yow Quek, Bun Hui Ang
Background: The ideal emergency cricothyroidotomy technique remains a topic of ongoing debate. This study aims to compare the Cannula-to-Melker technique with the Scalpel-Bougie technique, and to determine if yearly training in cricothyroidotomy techniques is sufficient for skill retention. Methods: We conducted an observational crossover bench study, comparing the Cannula-to-Melker with the Scalpel-Bougie technique on a porcine model. Twenty-eight anesthetists participated...
May 30, 2018: Korean Journal of Anesthesiology
Bhavna Gupta
No abstract text is available yet for this article.
May 30, 2018: Korean Journal of Anesthesiology
Vikas N O' Reilly-Shah, Grant C Lynde, Matthew L Mitchell, Carla L Maffeo, Craig S Jabaley, Francis A Wolf
Background: Sugammadex can rapidly reverse deep neuromuscular blockade, but due to cost questions remain as to its optimal utilization. After introduction for unrestricted use at an academic medical center, we hypothesized that reductions would be demonstrated in the primary outcome of post-anesthesia care unit (PACU) mechanical ventilation (MV) and secondary outcomes of PACU length of stay (LOS), and emergence time (surgery end to anesthesia end time in PACU). Methods: We conducted a retrospective observational study of patients undergoing general anesthesia over a 12-month period...
May 30, 2018: Korean Journal of Anesthesiology
Seong-Ho Ok, Ju-Tae Sohn
No abstract text is available yet for this article.
May 30, 2018: Korean Journal of Anesthesiology
Parul Mullick, Vandana Talwar, Shipra Aggarwal, Smita Prakash, Mridula Pawar
Background: Etomidate injection is often associated with myoclonus. Etomidate injection technique influences the incidence of myoclonus. This study was designed to clarify which of the two injection techniques-slow injection or priming with etomidate-is more effective in reducing myoclonus. Methods: This prospective randomized controlled study was conducted on 189 surgical patients allocated to three study groups. Control group (Group C, n = 63) received 0.3 mg/kg etomidate (induction dose) over 20 s...
May 30, 2018: Korean Journal of Anesthesiology
Choon-Kyu Cho, Tae-Yun Sung, Seok-Jun Choi, Hey-Ran Choi, Yong Beom Kim, Jung-Un Lee, Hong-Seuk Yang
Background: Perioperative magnesium sulfate (MgSO4) is used for analgesic, anti-arrhythmic, and obstetric purposes. The effects of MgSO4 on the neuromuscular blockade (NMB) induced by rocuronium, and the sugammadex reversal thereof, have not been clearly quantified. We investigated the effect increase concentrations of MgSO4 on the NMB by rocuronium, and sugammadex reversal, in isolated left phrenic nerve hemi-diaphragm (PNHD) preparations from the rat. Methods: Rat PNHD preparations were randomly allocated to one of four groups varying in terms of MgSO4 concentration (1, 2, 3, and 4 mM, each n = 10, in Krebs solution)...
May 30, 2018: Korean Journal of Anesthesiology
Upasana Goswami
No abstract text is available yet for this article.
May 15, 2018: Korean Journal of Anesthesiology
So Ron Choi, Jeong Ho Kim, Kyoung Lin Chae, Seung Cheol Lee, Sang Yoong Park
Woake's syndrome (WS) is a recurrent nasal polyposis, accompanied by broadening of the nose, frontal sinus aplasia, dyscrinia, and bronchiectasis. There has been no previous report on anesthetic management in patients with WS. We describe a case involving a 13-year-old male patient with WS who was scheduled for septorhinoplasty for necrotic ethmoiditis. Anesthesia was induced and maintained with propofol and remifentanil using a target-controlled infusion device. The anesthetic considerations of this rare syndrome and the advantages of an intravenous infusion method over local and volatile anesthesia for these patients are discussed...
May 15, 2018: Korean Journal of Anesthesiology
Roderick King, Jaber Hanhan, T Kyle Harrison, Alex Kou, Steven K Howard, Lindsay K Borg, Cynthia Shum, Ankeet D Udani, Edward R Mariano
Background: Malignant hyperthermia is a rare but potentially fatal complication of anesthesia, and several different cognitive aids designed to facilitate a timely and accurate response to this crisis currently exist. Eye tracking technology can measure voluntary and involuntary eye movements, gaze fixation within an area of interest, and speed of visual response and has been used to a limited extent in anesthesiology. Methods: With eye tracking technology, we compared the accessibility of five malignant hyperthermia cognitive aids by collecting gaze data from twelve volunteer participants...
May 15, 2018: Korean Journal of Anesthesiology
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