Is irrational use of intralipid emulsion justified in amlodipine toxicity.
Authors: Gupta B, Kerai S PMID: 29969886 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - July 6, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Amitriptyline inhibits MAPK/ERK, CREB pathway and proinflammatory cytokines through A3AR activation in rat neuropathic pain models.
Conclusions: The results of this study suggest that the anti-nociceptive effect of amitriptyline is in the suppression of ERK 1/2 and CREB signaling proteins, and in the alleviation of the inflammatory response through the activation of A3AR. PMID: 29969887 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - July 6, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Association between perioperative cholesterol level and analgesia after video-assisted thoracoscopic surgery.
Conclusions: Our results indicated that no significant association was observed between pre- and postoperative TSC level and postoperative pain outcome (opioid consumption on POD 0-2, NRS pain score on POD 0, 1 and 2) after VATS lobectomy of the lung. PMID: 29969888 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - July 6, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Does pediatric anesthesia cause brain damage? - Addressing parental and provider concerns in light of compelling animal studies and seemingly ambivalent human data.
Authors: Lee JR, Loepke AW Abstract 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. The prevalence of abnormalitie...
Source: Korean Journal of Anesthesiology - July 6, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Cervical plexus block.
Authors: Kim JS, Ko JS, Bang S, Kim H, Lee SY Abstract 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 perf...
Source: Korean Journal of Anesthesiology - July 6, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Malignant hyperthermia and Dantrolene sodium.
Authors: Kim HJ, Koh WU, Choi JM, Ro YJ, Yang HS PMID: 29921086 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 23, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Negative association between previous allergy and intradermal tests for Rocuronium and cisatracurium: what about additional tests?
Authors: Kounis NG, Koniari I, Chourdakis E, Davlouros P, Hahalis G PMID: 29921087 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 23, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Comparison of displacement of polyvinyl chloride and silicone left-sided double-lumen tubes during lateral positioning.
Conclusion: Left-sided PVC and silicone DLTs produced comparable incidences of clinically significant displacement and, consequently, required similar rates of repositioning for successful lung separation after lateral positioning. PMID: 29921088 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 23, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

For the peace of postanesthesia care unit.
Authors: Hwang SM PMID: 29860790 [PubMed] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 7, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

The effect of magnesium sulfate concentration on the effective concentration of rocuronium, and sugammadex-mediated reversal, in isolated left phrenic nerve hemi-diaphragm preparations from the rat.
Conclusions: Increases in the magnesium concentration in rat PNHD preparations proportionally enhanced the NMB induced by rocuronium but did not affect reversal by equimolar amounts of sugammadex. PMID: 29843202 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Comparison of priming versus slow injection for reducing etomidate-induced myoclonus: a randomized controlled study.
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. Priming group (Group P, n = 63) received pretreatment with 0.03 mg/kg etomidate, followed after 1 min by an etomidate induction dose over 20 s. Slow injection group (Group S, n = 63) received etomidate (2 mg/ml) induction dose over 2 min. The patients were...
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Amlodipine toxicity and lipid emulsion.
Authors: Ok SH, Sohn JT PMID: 29843503 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Initial experience with the unrestricted introduction of sugammadex at a large academic medical center: a retrospective observational study examining postoperative mechanical ventilation and efficiency outcomes.
Conclusion: We identified rNMB as an important contributor to PACU MV utilization and observed a significant decrease after sugammadex was introduced. The selected efficiency measures may not have been sufficiently granular to identify improvements following introduction. PMID: 29843504 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Significance of outer diameter of endotracheal tube: a parameter less known.
Authors: Gupta B PMID: 29843505 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

A bench study comparing Scalpel-Bougie technique versus Cannula-to-Melker technique for emergency cricothyroidotomy in a porcine model.
Conclusion: This study supports the use of a Scalpel-Bougie technique for cricothyroidotomy by anesthetists and advocates a yearly training program for skill retention. PMID: 29843506 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Evaluation of efficacy of valsalva maneuver for attenuating propofol injection pain: a prospective, randomised, single blind, placebo controlled study.
Authors: Kumar S, Khuba S, Agarwal A, Gautam S, Yadav M, Dixit A Abstract 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. Group I (Valsalva): blew into sphygmomanometer tu...
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Dexmedetomidine and propofol sedation requirements in an autistic rat model.
Authors: Elmorsy SA, Soliman GF, Rashed LA, Elgendy H Abstract 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. On post-natal day 28 the newborn male rats were subjected...
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Aprepitant in combination with palonosetron for the prevention of postoperative nausea and vomiting in female patients using intravenous patient-controlled analgesia.
Conclusions: : Aprepitant combined with palonosetron did not reduce the incidence of PONV as compared to palonosetron alone within 24 h of surgery in women receiving fentanyl-based IV-PCA. PMID: 29843509 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - June 1, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Analysis for time to event - Survival Analysis: Part I.
Authors: Lee DK, In J Abstract Length of time is a variable often encountered during data analysis. Survival analysis provides simple, intuitive results concerning time-to-event for events of interest, which are not confined to death. This review introduces methods of analyzing time-to-event. The Kaplan-Meier survival analysis, log-rank test, and Cox proportional hazards regression modeling method are described with examples of hypothetical data. PMID: 29768911 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 19, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Digitizing the direct laryngoscopy experience: the economic way!!
Authors: Hasija N, Kale S, Girdhar KK PMID: 29760368 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 17, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Ketamine with Propofol for Endoscopic Procedures.
Authors: Bhalotra AR PMID: 29760369 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 17, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Using eye tracking technology to compare the effectiveness of malignant hyperthermia cognitive aid design.
Authors: King R, Hanhan J, Harrison TK, Kou A, Howard SK, Borg LK, Shum C, Udani AD, Mariano ER Abstract 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 hyp...
Source: Korean Journal of Anesthesiology - May 17, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Anesthetic considerations during surgical intervention in Woake's syndrome: A case report.
We report on caveats, such as pulmonary dysfunction during the anesthetic management, and nasal structural problems encountered in WS patients. Given that conventional inhaled anesthesia reduces ciliary movement and that local anesthesia with sedative has several disadvantages, perioperative control and precautions against respiratory infections by using antibiotics, and preventing cilio-depressant actions, are important for anesthetic management. PMID: 29764007 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 17, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Unusual false passage formation during nasogastric tube insertion in an anesthetized patient.
Authors: Goswami U PMID: 29764008 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 17, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Perioperative stroke and hyperhomocysteinemia: a possible pathogenic link.
Authors: Acampa M, Lazzerini PE, Martini G PMID: 29739176 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Anesthesia management in a case of Turner syndrome with anti-NMDA limbic encephalitis and multiple co-morbidities for repair of fracture femur.
Authors: Gupta B, Agarwal M, Sharma R, Saith V PMID: 29739177 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Closed-loop monitoring by anesthesiologists-a comprehensive approach to patient monitoring during anesthesia.
Authors: Manohar M, Gupta B, Gupta L PMID: 29739178 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

The effect of sugammadex on the vascular tone of isolated rat aorta.
Authors: Lee SH, Kim JY, Kim S, Sohn JT PMID: 29739179 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Should ondansetron be used as a routine prophylaxis agent for postoperative nausea and vomiting?
Authors: Kendall MC, Castro-Alves LJ PMID: 29739180 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Accidental intracerebral injection and seizure during scalp nerve blocks for awake craniotomy in a previously craniotomized patient.
This report documents the first case of generalized seizure that was caused by the accidental intracerebral injection of local anesthetics. Although the patient recovered completely, the clinical implications regarding the scalp infiltration technique in a patient with skull defects are discussed. PMID: 29739181 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Combining extracorporeal membrane oxygenation and in-line hemofiltration for acute hyperkalemic cardiac arrest in a patient with Duchenne muscular dystrophy following orthopedic surgery.
Authors: Kim SH, Song JH, Jung KT Abstract Duchenne muscular dystrophy (DMD) is the most common childhood muscular dystrophy that anesthesiologists can encounter in the operation room, and patients with DMD are susceptible to complications such as rhabdomyolysis, hyperkalemic cardiac arrest, and hyperthermia during the perioperative period. Acute onset of hyperkalemic cardiac arrest is a crisis because of the difficulty in achieving satisfactory resuscitation owing to the sustained hyperkalemia accompanied by rhabdomyolysis. We here report a case of a 13-year-old boy who had multiple leg fractures and other trauma ...
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Comparison between cerebral state index and bispectral index during desflurane anesthesia.
Conclusions: CSI showed an equivalent degree of overall performance compared to BIS in desflurane anesthesia. Therefore, CSI can be used as a good substitute for BIS regardless of the kind of common anesthetics used. PMID: 29739183 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Moving anesthesiology educational resources to the point of care: experience with a pediatric anesthesia mobile app.
We examined the use of an anesthesia app by two groups of learners (residents and anesthesiologist assistant students [AAs]) during a pediatric anesthesiology rotation. The app calculates age and weight-based information for clinical decision support and contains didactic materials for self-directed learning. The app transmitted detailed usage information to our research team. Results: Over a 12-month period, 39 participants consented; 30 completed primary study procedures (18 residents, 12 AAs). AAs used the app more frequently than residents (P = 0.025) but spent less time in the app (P
Source: Korean Journal of Anesthesiology - May 11, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Intrathecal levobupivacaine versus bupivacaine for inguinal hernia surgery: a randomized controlled trial.
This study was designed to compare isobaric levobupivacaine with hyperbaric racemic bupivacaine with respect to intraoperative quality of anesthesia and the postoperative recovery profile in patients undergoing inguinal hernia surgery. Methods: A total of 100 ASA 1 and 2 patients, aged 18-60 years, undergoing elective daycare unilateral inguinal hernia surgery, were randomized into two groups. Group L received spinal anesthesia with 3 ml of 0.5% plain levobupivacaine. Group B received 3 ml of 0.5% hyperbaric racemic bupivacaine. Quality of anesthesia, sensory and motor block characteristics, duration of effective analg...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Hemodynamic effects of different types of pneumatic compression of the lower extremities during anesthesia induction: a prospective randomized controlled trial.
Conclusions: Sustained pneumatic compression of the lower extremities has more hemodynamic stabilizing effects compared to sequential compression during anesthesia induction in patients aged 65 years or younger. However, no difference between methods of compression was observed in patients older than 65 years. PMID: 29684983 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Effects of preoperative oral carbohydrate administration on patient well-being and satisfaction in thyroid surgery.
Conclusions: Preoperative oral carbohydrate administration does not appear to improve patient well-being and satisfaction compared with midnight fasting in patients undergoing thyroidectomy in first schedule in the morning. PMID: 29684984 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Is irrational use of tranexamic acid justified in anesthesia practice?
Authors: Gupta B PMID: 29684985 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Simplified equation for determining proper depth of peripherally inserted central catheter in relation to anatomical landmarks.
Conclusions: The formula proposed for proper depth of the adult, 25.0 + 0.5 * (clavicle length) + 0.6 * (sternum length) for PICC insertion can be used to place the tip at the carina bifurcation level. The distance from elbow crease to catheter insertion point should be added to the length generated by this formula. PMID: 29684986 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Effects of nefopam on catheter-related bladder discomfort in patients undergoing ureteroscopic litholapaxy.
Authors: Cheon YW, Kim SH, Paek JH, Kim JA, Lee YK, Min JH, Cho HR Abstract Background: Patients who undergo urinary catheterization may experience postoperative catheter-related bladder discomfort (CRBD). Previous studies have indicated that drugs with antimuscarinic effects could reduce the incidence and severity of CRBD. Accordingly, this study was carried out to investigate whether nefopam, a centrally acting analgesic with concomitant antimuscarinic effect, reduces the incidence and severity of CRBD. Methods: Sixty patients with American Society of Anesthesiologists physical status I and II and aged 18-70 ...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Influence of electrocautery-induced electromagnetic interference on quantitative electroencephalographic monitoring of hypnosis during general anesthesia: comparison between the ADMS ® and the BIS VISTATM.
Conclusions: Prolonged ECT intervention might lead to spurious estimations of quantitative EEG indexes. Therefore, hypnosis should be clinically assessed in combination with scrutinized judgment of relevant clinical symptoms and signs for hypnosis. PMID: 29684988 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Intradermal skin tests for rocuronium and cisatracurium in patients with a history of allergy: a retrospective study.
Conclusions: We found no association between allergy history and positive skin test for NMBAs. Therefore, a systematic screening test for NMBAs or other anesthetic agents before anesthesia is not considered necessary even in patients with an allergy history. PMID: 29684989 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Acid/base alterations during major abdominal surgery: 6% hydroxyethyl starch infusion versus 5% albumin.
Authors: Kwak HJ, Lim OK, Baik JM, Jo YY Abstract Background: To compare the effects of intraoperative infusions of balanced electrolyte solution (BES)-based hydroxyethyl starch (HES) and saline-based albumin on metabolic acidosis and acid/base changes during major abdominal surgery conducted using Stewart's approach. Methods: Forty patients, aged 20-65 years, undergoing major abdominal surgery, were randomly assigned to the HES group (n = 20; received 500 ml of BES-based 6% HES 130/0.4) or the albumin group (n = 20; received 500 ml of normal saline-based 5% albumin). Acid-base parameters were measured and calc...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Postoperative delirium in elderly patients with critical limb ischemia undergoing major leg amputation: a retrospective study.
Conclusions: Approximately 40% of the elderly patients suffered from postoperative delirium in major leg amputation. Identifying those with risk factors for postoperative delirium and intervening at the early stage will be of great benefit in major leg amputations for the elderly population. PMID: 29684991 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Validity and reliability of the Korean version of the Quality of Recovery-40 questionnaire.
Authors: Lee JH, Kim D, Seo D, Son JS, Kim DC Abstract Background: The Quality of Recovery-40 (QoR-40) is a widely-used, self-rated, and self-completed questionnaire for postoperative patients. The questionnaire is intended to elicit information from each patient regarding the quality of recovery during the postoperative period. It is noteworthy, however, that an official Korean version of the QoR-40 (QoR-40K) has not been established. The purpose of this study was to develop the QoR-40K by translation and cultural adaptation process and to evaluate the validity and reliability of the QoR-40K. Methods: After pr...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

The effects of adjuvant intrathecal fentanyl on postoperative pain and rebound pain for anorectal surgery under saddle anesthesia.
Authors: Shim SM, Park JH, Hyun DM, Jeong EK, Kim SS, Lee HM Abstract Background: Intrathecal opioid has been known to enhance the quality and prolong the duration of spinal anesthesia, as well as to reduce postoperative pain. The purpose of this study was to evaluate postoperative analgesic characteristics of intrathecal fentanyl for the first 48 hours after anorectal surgery under saddle anesthesia. Methods: Eighty patients were recruited in our study. Forty patients were randomly allocated to group B that received 0.5% bupivacaine 5 mg with 0.3 ml normal saline. The other 40 patients were assigned to group B...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Postoperative infusion of a low dose of dexmedetomidine reduces intravenous consumption of sufentanil in patient-controlled analgesia.
Conclusions: In conclusion, a postoperatively administered sub-sedative dose of dexmedetomidine reduces PCA sufentanil consumption and decreases nausea. PMID: 29684994 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Successful airway management with combined use of McGrath ® MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report.
Successful airway management with combined use of McGrath® MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report. Korean J Anesthesiol. 2018 Apr 24;: Authors: Chung MY, Park B, Seo J, Kim CJ Abstract Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combination of different rescue techniques may increase the ...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Let us not discard a preexisting epidural catheter for intrapartum cesarean section yet!
Authors: Bhalotra AR PMID: 29690751 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Effect of two- or four-hour oral intake restriction on intraoperative intravascular volume optimization using stroke volume variation analysis: a single-blinded randomized controlled trial.
Authors: Hoshika M, Fujita Y, Yoshizawa S, Harima M, Sobue K PMID: 29690752 [PubMed - as supplied by publisher] (Source: Korean Journal of Anesthesiology)
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research

Correlation between regional tissue perfusion saturation and lactate level during cardiopulmonary bypass.
In this study, we tried to evaluate whether regional tissue perfusion saturation reflects systemic hypoperfusion during CPB. Methods: This retrospective study included 29 patients with American Society of Anesthesiologists physical status II-III, who required cardiac surgery with CPB. We evaluated the correlations of serum lactate and delivery oxygen with organ perfusion values of peripheral tissue oxygen saturation and cerebral oxygen saturation. Data were recorded at different stages of CPB: T1 (pre-CPB), T2 (cooling), T3 (hypothermia), T4 (rewarming), and T5 (post-CPB). Results: Lactate levels were elevated afte...
Source: Korean Journal of Anesthesiology - April 27, 2018 Category: Anesthesiology Tags: Korean J Anesthesiol Source Type: research