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Korean Journal of Anesthesiology

Swapnil Y Parab, Prashant Kumar, Jigeeshu V Divatia, Kailash Sharma
Background: With ability of lung ultrasound (LUS) to identify regional lung ventilation and collapse, we hypothesize that LUS can be a better method than auscultation to assess lung isolation in determination of position of double lumen tube (DLT). Methods: A randomized controlled study was conducted in cancer institute from November 2014 to December 2015, in hundred adult patients undergoing elective thoracic surgeries. Patients with tracheostomy, difficult airway and pleural-based pathologies were excluded...
September 12, 2018: Korean Journal of Anesthesiology
Mark Alexander Burbridge
No abstract text is available yet for this article.
September 12, 2018: Korean Journal of Anesthesiology
Gauri Raman Gangakhedkar
No abstract text is available yet for this article.
August 28, 2018: Korean Journal of Anesthesiology
Dong Kyu Lee, Sangseok Lee
Multiple comparisons tests (MCT) are performed several times over mean of experimental conditions. When the null hypothesis is rejected in the validation, MCT are made when certain experimental conditions have a statistically significant mean difference between them, or when there is a specific aspect between the group means. There is a problem that the error rate increases while performing multiple hypothesis tests at once. Consequently, it is necessary to control the error rate to an appropriate level in MCT...
August 28, 2018: Korean Journal of Anesthesiology
Eric S Schwenk, Edward R Mariano
Multimodal analgesia is defined as the use of more than one pharmacological class of analgesic medication targeting different receptors along the pain pathway with the goal of improving analgesia while reducing individual class-related side effects. Evidence today supports the routine use of multimodal analgesia in the perioperative period to eliminate the over-reliance on opioids for pain control and to reduce opioid-related adverse events. A multimodal analgesic protocol should be surgery-specific, functioning more like a checklist than a recipe, with options to tailor to the individual patient...
August 24, 2018: Korean Journal of Anesthesiology
Abdelghafour Elkoundi, Aziza Bentalha, Salma Ech-Cherif El Kettani, Ahlam Mosadik, Alae El Koraichi
The surgical repair of the hip is considered an extremely painful procedure. Managing pain in this surgery is challenging with several options available, each with limitations. Erector spinae plane (ESP) block is a novel technique with promising results that have been reported in different types of surgery. Herein, we describe a case of successful ESP block for pediatric hip surgery which could be in the future an alternative technique for providing effective analgesia.
August 24, 2018: Korean Journal of Anesthesiology
Seung-Taek Oh, Jin Young Park
Delirium can be defined as "Acute Brain Dysfunction". Compared to dementia which is a disease that deteriorates the brain function in chronic course, delirium shows very similar symptoms but mostly ameliorates when the causative factors are normalized. Due to its heterogeneity of etiologies and symptoms, people including health care workers often mistake delirium for dementia or other psychiatric disorders. Delirium has attracted the global interest increasingly enough to gather vast amount of research on its management in various ways...
August 24, 2018: Korean Journal of Anesthesiology
Hae Keum Kil
In infants and small children, ultrasound (US) provides ample anatomical information in combination with neuraxial block. We can measure the distance from the skin to the epidural space in the US image and can refer to it in the needle puncture. And we may detect the needle or a catheter during real-time US-guided epidural catheterization. In cases where direct needle or catheter visualization is difficult, US allows predicting successful puncture and catheterization using surrogate markers, such as dura mater displacement, epidural space widening due to drug injection, or mass movement of the drug within the caudal space...
August 8, 2018: Korean Journal of Anesthesiology
Shu Chung Choi, Ji Seon Chae, Youn Jin Kim, Jin Young Chon, Ho Sik Moon
Peripheral nerve stimulation (PNS) is a useful treatment for chronic pain, but it can cause damage depending on its application site. Here, we describe the case of a 54-year-old man who underwent PNS for brachial plexopathy in 2015. One lead was implanted on the left medial cord to stimulate the medial antebrachial cutaneous nerve, and the other was implanted on the radial nerve to stimulate the posterior antebrachial cutaneous nerve. Both leads were inserted near the shoulder joint but did not cross it. Before PNS, the patient did not move his shoulder and elbow because of severe pain, but the treatment greatly alleviated this pain...
July 24, 2018: Korean Journal of Anesthesiology
Yusuke Asakura, Yuka Nakamichi-Itoh, Kikuko Mori
No abstract text is available yet for this article.
July 24, 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
Bhavna Gupta, Munisha Agarwal, Rohan Sharma, Vandana Saith
No abstract text is available yet for this article.
August 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...
August 2018: Korean Journal of Anesthesiology
Eunsoo Kim
No abstract text is available yet for this article.
August 2018: Korean Journal of Anesthesiology
Jin-Soo Kim, Justin Sangwook Ko, Seunguk Bang, Hyungtae Kim, Sook Young Lee
Cervical plexus blocks (CPBs) have been used in various head and neck surgeries to provide adequate anesthesia and/or analgesia; however, the block is performed in a narrow space in the region of the neck that contains many sensitive structures, multiple fascial layers, and complicated innervation. Since the intermediate CPB was introduced in addition to superficial and deep CPBs in 2004, there has been some confusion regarding the nomenclature and definition of CPBs, particularly the intermediate CPB. Additionally, as the role of ultrasound in the head and neck region has expanded, CPBs can be performed more safely and accurately under ultrasound guidance...
August 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 have 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...
August 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.
August 2018: Korean Journal of Anesthesiology
See Seong Chang, Qian Jun Tong, Zhi Yuen Beh, Kelvin Howyow Quek, Bun Hui Ang
BACKGROUND: The ideal emergency cricothyroidotomy technique remains a topic of ongoing debate. This study aimed to compare the cannula-to-Melker technique with the scalpel-bougie technique and determine whether yearly training in cricothyroidotomy techniques is sufficient for skill retention. METHODS: We conducted an observational crossover bench study to compare the cannula-to-Melker with the scalpel-bougie technique in a porcine tracheal model. Twenty-eight anesthetists participated...
August 2018: Korean Journal of Anesthesiology
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