journal
https://read.qxmd.com/read/38185619/comparison-of-the-analgesic-efficacy-of-the-ultrasound-guided-transversalis-fascia-plane-block-and-erector-spinae-plane-block-in-patients-undergoing-open-inguinal-hernia-repair-under-spinal-anesthesia
#21
JOURNAL ARTICLE
Hale Kefeli Çelik, Serkan Tulgar, Ömer Faruk Bük, Kadem Koç, Murat Ünal, Caner Genç, Mustafa Süren
BACKGROUND: Open inguinal hernia repair surgery (OIHR) is a common surgical procedure, and ultrasound guided interfascial plane blocks can also be included in current approaches to postoperative multimodal analgesia regimens. This study aimed to compare the postoperative analgesic efficacy of the erector spinae plane block (ESPB) and transversalis fascia plane block (TFPB) in patients undergoing OIHR. METHODS: This prospective, randomized, assessor-blinded comparative study was conducted in the postoperative recovery room and ward of a tertiary hospital...
January 8, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38176698/machine-learning-model-of-facial-expression-outperforms-models-using-analgesia-nociception-index-and-vital-signs-to-predict-postoperative-pain-intensity-a-pilot-study
#22
JOURNAL ARTICLE
Insun Park, Jae Hyon Park, Jongjin Yoon, Hyo-Seok Na, Ah-Young Oh, Jung-Hee Ryu, Bon-Wook Koo
BACKGROUND: Few studies have evaluated the use of automated artificial intelligence (AI)-based pain recognition in postoperative settings or the correlation with pain intensity. In this study, various machine learning (ML)-based models using facial expressions, the analgesia nociception index (ANI), and vital signs were developed to predict postoperative pain intensity, and their performances for predicting severe postoperative pain were compared. METHODS: In total, 155 facial expressions from patients who underwent gastrectomy were recorded postoperatively; one blinded anesthesiologist simultaneously recorded the ANI score, vital signs, and patient self-assessed pain intensity based on the 11-point numerical rating scale (NRS)...
January 5, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38171594/association-of-preoperative-blood-glucose-level-with-delirium-after-non-cardiac-surgery-in-diabetic-patients
#23
JOURNAL ARTICLE
Soo Jung Park, Ah Ran Oh, Jong-Hwan Lee, Kwangmo Yang, Jungchan Park
BACKGROUND: Hyperglycemia has shown a negative association with cognitive dysfunction. We analyzed patients with high preoperative blood glucose level and hemoglobin A1c (HbA1c) level to determine the prevalence of postoperative delirium. METHODS: We reviewed a database of 23,532 patients with diabetes who underwent non-cardiac surgery. Acute hyperglycemia was defined as fasting blood glucose > 140 mg/dl or random glucose > 180 mg/dl within 24 h before surgery...
January 4, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38171593/intraoperative-tourniquet-induced-hyperthermia-in-a-pediatric-patient-a-forgotten-association
#24
Tarek Tageldin, Muhammad Jaffar Khan, Temur Baykuziyev, Haitham Ahmed
BACKGROUND: The intraoperative use of tourniquets is associated with several complications, including hyperthermia. We present the first documented case of tourniquet-induced hyperthermia in a pediatric patient at our institution. CASE: A 5-year-old female with no past medical history underwent tendon release surgery for congenital talipes equinovarus under general anesthesia. Following inflation of a pneumatic tourniquet to a pressure of 250 mmHg on her left thigh, the patient experienced a gradual increase in body temperature...
January 4, 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38302289/comment-on-single-shot-regional-anesthesia-for-laparoscopic-cholecystectomies-a-systematic-review-and-network-meta-analysis
#25
COMMENT
Raghuraman M Sethuraman
No abstract text is available yet for this article.
February 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37679899/effect-of-local-anesthetic-volume-20-vs-40-ml-on-the-analgesic-efficacy-of-costoclavicular-block-in-arthroscopic-shoulder-surgery-a-randomized-controlled-trial
#26
JOURNAL ARTICLE
Yumin Jo, Chahyun Oh, Woo-Yong Lee, Hyung-Jin Chung, Hanmi Park, Juyeon Park, Jieun Lee, Yoon-Hee Kim, Youngkwon Ko, Woosuk Chung, Boohwi Hong
BACKGROUND: Among the various diaphragm-sparing alternatives to interscalene block, costoclavicular block (CCB) demonstrated a low hemidiaphragmatic paresis (HDP) occurrence but an inconsistent analgesic effect in arthroscopic shoulder surgery. We hypothesized that a larger volume of local anesthetic for CCB could provide sufficient analgesia by achieving sufficient supraclavicular spreading. METHODS: Sixty patients scheduled for arthroscopic rotator cuff repair were randomly assigned to receive CCB using one of two volumes of local anesthetic (CCB20, 0...
February 2024: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38087649/european-anesthesiologists-experiences-with-gender-based-mistreatment-in-the-workplace-a-secondary-multilevel-regression-analysis
#27
JOURNAL ARTICLE
Joana Berger-Estilita, Luana Fritsche, Kariem El-Boghdadly, Claudia Camila Dias, Marko Zdravkovic
BACKGROUND: Workplace gender-based mistreatment (GBM) refers to negative or harmful behaviors directed towards employees. In healthcare settings, this can lead to job dissatisfaction and underperformance and potentially compromise patient outcomes. The aim of this study was to examine workplace GBM among European anesthesiologists and produce the first European Gender-based Mistreatment Rank in Anesthesiology. METHODS: We conducted a secondary analysis from a worldwide cross-sectional survey database consisting of a 46-item questionnaire exploring, among other outcomes, gender bias attributable to workplace attitudes...
December 13, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38031328/intention-to-treat-versus-as-treated-versus-per-protocol-approaches-to-analysis
#28
JOURNAL ARTICLE
EunJin Ahn, Hyun Kang
Randomized controlled trials (RCTs) are considered the most rigorous study design for testing hypotheses and the gold standard for evaluating intervention effectiveness. However, RCTs are often conducted under the assumption of ideal conditions that may differ from real-world scenarios in which various issues, such as loss to follow-up, mistakes in participant enrollment or intervention, and low subject compliance or adherence, may occur. There are various group-defining strategies for analyzing RCT data, including the intention-to-treat (ITT), as-treated, and per-protocol (PP) approaches...
December 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38031327/what-are-the-best-approaches-to-postoperative-pain-management-after-total-hip-replacement-surgery
#29
EDITORIAL
Ji Seon Jeong
No abstract text is available yet for this article.
December 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37073521/pediatric-perioperative-fluid-management
#30
JOURNAL ARTICLE
Hyungmook Lee, Jin Tae Kim
The purpose of perioperative fluid management in children is to maintain adequate volume status, electrolyte level, and endocrine system homeostasis during the perioperative period. Although hypotonic solutions containing glucose have traditionally been used as pediatric maintenance fluids, recent studies have shown that isotonic balanced crystalloid solutions lower the risk of hyponatremia and metabolic acidosis perioperatively. Isotonic balanced solutions have been found to exhibit safer and more physiologically appropriate characteristics for perioperative fluid maintenance and replacement...
December 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38029795/venous-air-emboli-during-esophagoscopy-confirmed-by-computed-tomographic-pulmonary-angiography-a-case-report
#31
Thadakorn Tantisarasart, Thara Tantichamnankul, Chanatthee Kitsiripant, Panjai Choochuen
BACKGROUND: Esophagogastroduodenoscopy (EGD) is vital for the diagnosis and treatment of various gastrointestinal conditions but carries a low risk of venous air embolism (VAE). We report a case of VAE during EGD, confirmed by computed tomographic pulmonary angiography (CTPA). CASE: A 56-year-old male with a history of hypopharyngeal cancer underwent EGD for dysphagia-related esophageal dilation. Signs of VAE were noted, prompting swift interventions, including oxygen therapy, positional changes, and CTPA...
November 29, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/38029794/lipophilicity-of-drugs-including-local-anesthetics-and-its-association-with-lipid-emulsion-resuscitation
#32
JOURNAL ARTICLE
Susanne K Wiedmer, Ju-Tae Sohn
No abstract text is available yet for this article.
November 29, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37985949/han-scale-and-difficult-facemask-ventilation-time-to-add-an-r
#33
JOURNAL ARTICLE
David Lopez-Lopez, Adrian Garcia-Romar, Patricia Neira-Somoza, Pablo Casas-Reza, Rocio Mato-Bua
No abstract text is available yet for this article.
November 21, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37972588/korean-clinical-practice-guidelines-for-diagnostic-and-procedural-sedation
#34
JOURNAL ARTICLE
Sang-Hyun Kim, Young-Jin Moon, Min Suk Chae, Yea-Ji Lee, Myong-Hwan Karm, Eun-Young Joo, Jeong-Jin Min, Bon-Nyeo Koo, Jeong-Hyun Choi, Jin-Young Hwang, Yeonmi Yang, Min A Kwon, Hyun Jung Koh, Jong Yeop Kim, Sun Young Park, Hyunjee Kim, Yang-Hoon Chung, Na Young Kim, Sung Uk Choi
Safe and effective sedation depends on various factors, such as the choice of sedatives, sedation techniques used, experience of the sedation provider, degree of sedation-related education and training, equipment and healthcare worker availability, the patient's underlying diseases, and the procedure being performed. The purpose of these evidence-based multidisciplinary clinical practice guidelines is to ensure the safety and efficacy of sedation, thereby contributing to patient safety and ultimately improving public health...
November 16, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37964515/comparison-of-the-median-and-intermediate-approach-to-the-ultrasound-guided-sacral-erector-spinae-plane-block-a-cadaveric-and-radiologic-study
#35
JOURNAL ARTICLE
Bilge Olgun Keleş, Necati Salman, Elvan Tekir Yılmaz, Habip Resul Birinci, Alparslan Apan, Selami İnce, Ali Faruk Özyaşar, Aysun Uz
BACKGROUND: Erector spinae plane block (ESPB) is a well-established method for managing postoperative and chronic pain. ESPB applications for the sacral area procedures are called sacral ESPBs (SESPBs). This cadaveric study aimed to determine the distribution of local anesthesia using the median and intermediate approaches to the SESPB. METHODS: Four cadavers were categorized into the median and intermediate approach groups. Ultrasound-guided SESPBs were performed using a mixture of radiopaque agents and dye...
November 15, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37956998/association-between-de-ritis-ratio-and-intraoperative-blood-transfusion-in-patients-undergoing-surgical-clipping-of-unruptured-intracranial-aneurysms-a-single-center-retrospective-propensity-score-matched-study
#36
JOURNAL ARTICLE
Ji-Hoon Sim, Chan-Sik Kim, Seungil Ha, Hyunkook Kim, Yong-Seok Park, Joung Uk Kim
BACKGROUND: Although elective surgery for unruptured intracranial aneurysms (UIA) has increased, few studies have evaluated the risk factors for transfusion during UIA surgery. We evaluated the association between the preoperative De Ritis ratio (aspartate transaminase/alanine transaminase) and the incidence of intraoperative transfusion in patients who had undergone surgical UIA clipping. METHODS: Patients who underwent surgical clipping of UIA were stratified into two groups according to the preoperative De Ritis ratio cutoff levels (< 1...
November 13, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37935575/the-singhealth-perioperative-and-anesthesia-subject-area-registry-pasar-a-large-scale-perioperative-data-mart-and-registry
#37
JOURNAL ARTICLE
Hairil Rizal Abdullah, Daniel Yan Zheng Lim, Yuhe Ke, Nur Nasyitah Mohamed Salim, Xiang Lan, Yizhi Dong, Mengling Feng
BACKGROUND: To enhance perioperative outcomes, a perioperative registry that integrates high-quality real-world data throughout the perioperative period is essential. Singapore General Hospital (SGH) established the Perioperative and Anesthesia Subject Area Registry (PASAR) to unify data from the preoperative, intraoperative, and postoperative stages. This study presents the methodology employed to create this database. METHODS: Since 2016, data from surgical patients have been collected (CIRB 2021/2547) from the hospital electronic medical record systems, de-identified, and stored securely in compliance with privacy and data protection laws...
November 8, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37876045/response-to-the-novel-diagonal-suprascapular-canal-block-for-shoulder-surgery-analgesia-a-comprehensive-technical-report
#38
JOURNAL ARTICLE
Carlos Rodrigues Almeida
No abstract text is available yet for this article.
October 25, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37852626/serratus-posterior-superior-intercostal-plane-block-novel-block-for-minimal-invasive-cardiac-surgery-a-report-of-three-cases
#39
JOURNAL ARTICLE
Bora Bilal, Bahadir Ciftci, Selcuk Alver, Ali Ahiskalioglu, Serkan Tulgar
No abstract text is available yet for this article.
October 18, 2023: Korean Journal of Anesthesiology
https://read.qxmd.com/read/37852625/comment-on-the-novel-diagonal-suprascapular-canal-block-for-shoulder-surgery-analgesia
#40
JOURNAL ARTICLE
Raghuraman M Sethuraman
No abstract text is available yet for this article.
October 18, 2023: Korean Journal of Anesthesiology
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