Korean Journal of Anesthesiology最新文献_第9页

Association of the perfusion index with postoperative acute kidney injury: a retrospective study. 灌注指数与术后急性肾损伤的关系：一项回顾性研究。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI: 10.4097/kja.22620.e1

Pyoyoon Kang, Jung-Bin Park, Hyun-Kyu Yoon, Sang-Hwan Ji, Young-Eun Jang, Eun-Hee Kim, Ji-Hyun Lee, Hyung Chul Lee, Jin-Tae Kim, Hee-Soo Kim

引用次数: 0

Effect of ultrafiltration on whole blood coagulation profile during cardiopulmonary bypass in cardiac surgery: a retrospective analysis. 超滤对心脏手术心肺旁路期间全血凝血功能的影响：回顾性分析

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-30 DOI: 10.4097/kja.23698

Jaemoon Lee, Dong-Kyu Lee, Won-Kyoung Kwon, Sookyung Lee, Chung-Sik Oh, Klaus Görlinger, Tae-Yop Kim

{"title":"Effect of ultrafiltration on whole blood coagulation profile during cardiopulmonary bypass in cardiac surgery: a retrospective analysis.","authors":"Jaemoon Lee, Dong-Kyu Lee, Won-Kyoung Kwon, Sookyung Lee, Chung-Sik Oh, Klaus Görlinger, Tae-Yop Kim","doi":"10.4097/kja.23698","DOIUrl":"10.4097/kja.23698","url":null,"abstract":"Background: Ultrafiltration (UF) would enhance coagulation profiles by concentrating coagulation elements during cardiopulmonary bypass (CPB) for cardiac surgery.Methods: We retrospectively reviewed electronic medical records of 75 patients who had undergone cardiac surgery with rotational thromboelastometry-based coagulation management in a university hospital and analyzed the UF-induced changes in the maximum clot firmness (MCF) of extrinsically activated test with tissue factor (EXTEM) during CPB in 30 patients.Results: The median volume of filtered-free water was 1,350 ml, and median hematocrit was significantly increased from 22.5% to 25.5%. As the primary measure, UF significantly increased the median MCF-EXTEM from 48.0 mm to 50.5 mm (P = 0.015, effect size r = 0.44). The area under the receiver operating characteristic curve pre-UF MCF-EXTEM for discrimination of any increase of MCF-EXTEM after applying UF was 0.89 (95% CI [0.77, 1.00], P < 0.001), and its cut-off value was 50.5 mm (specificity of 81.8% and sensitivity of 84.2% in Youden's J statistic). In the secondary analyses using the cut-off value, UF significantly increased the median MCF-EXTEM from 40.5 mm to 42.5 mm in 18 patients with pre-UF MCF-EXTEM ≤ 50.5 mm. However, it did not increase MCF-EXTEM in 12 patients with pre-UF MCF-EXTEM > 50.5 mm. There was a significant interaction between pre-UF MCF-EXTEM values and applying UF (P < 0.001 for the subgroup, P = 0.046 for UF, P = 0.003 for interaction).Conclusions: Applying UF improved clot firmness, and the improvement was more pronounced when pre-UF MCF-EXTEM had been reduced during CPB.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"236-245"},"PeriodicalIF":2.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139575566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Venous air emboli during esophagoscopy confirmed by computed tomographic pulmonary angiography -a case report. 食管镜检查中经计算机断层肺血管造影证实的静脉空气栓塞1例。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2023-11-29 DOI: 10.4097/kja.23722

Thadakorn Tantisarasart, Thara Tantichamnankul, Chanatthee Kitsiripant, Panjai Choochuen

引用次数: 0

Association of preoperative blood glucose level with delirium after non-cardiac surgery in diabetic patients. 糖尿病患者术前血糖水平与非心脏手术后谵妄的关系。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-04 DOI: 10.4097/kja.23301

Soo Jung Park, Ah Ran Oh, Jong-Hwan Lee, Kwangmo Yang, Jungchan Park

{"title":"Association of preoperative blood glucose level with delirium after non-cardiac surgery in diabetic patients.","authors":"Soo Jung Park, Ah Ran Oh, Jong-Hwan Lee, Kwangmo Yang, Jungchan Park","doi":"10.4097/kja.23301","DOIUrl":"10.4097/kja.23301","url":null,"abstract":"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. Chronic hyperglycemia was defined as HbA1c level above 6.5% within three months before surgery. The incidence of delirium was compared according to the presence of acute and chronic hyperglycemia.Results: Of the 23,532 diabetic patients, 21,585 had available preoperative blood glucose level within 24 h before surgery, and 18,452 patients reported levels indicating acute hyperglycemia. Of the 8,927 patients with available HbA1c level within three months before surgery, 5,522 had levels indicating chronic hyperglycemia. After adjustment with inverse probability weighting, acute hyperglycemia was related to higher incidence of delirium (hazard ratio: 1.33, 95% CI [1.10,1.62], P = 0.004 for delirium) compared with controls without acute hyperglycemia. On the other hand, chronic hyperglycemia did not correlate with postoperative delirium.Conclusions: Preoperative acute hyperglycemia was associated with postoperative delirium, whereas chronic hyperglycemia was not significantly associated with postoperative delirium. Irrespective of chronic hyperglycemia, acute glycemic control in surgical patients could be crucial for preventing postoperative delirium.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"226-235"},"PeriodicalIF":2.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139087417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of local anesthetic volume (20 vs. 40 ml) on the analgesic efficacy of costoclavicular block in arthroscopic shoulder surgery: a randomized controlled trial. 局部麻醉剂量（20 毫升与 40 毫升）对肩关节镜手术中肋锁关节阻滞镇痛效果的影响：随机对照试验。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-02-01 Epub Date: 2023-09-08 DOI: 10.4097/kja.23260

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

{"title":"Effect of local anesthetic volume (20 vs. 40 ml) on the analgesic efficacy of costoclavicular block in arthroscopic shoulder surgery: a randomized controlled trial.","authors":"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","doi":"10.4097/kja.23260","DOIUrl":"10.4097/kja.23260","url":null,"abstract":"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, 0.75% ropivacaine 20 ml; CCB40, 0.375% ropivacaine 40 ml). The primary outcome was the rate of complete analgesia (0 on the numeric rating scale of pain) at 1 h postoperatively. The secondary outcomes included a sonographic assessment of local anesthetic spread, diaphragmatic function, pulmonary function, postoperative opioid use, and other pain-related experiences within 24 h postoperatively.Results: The rates of complete analgesia were not significantly different (23.3% [7/30] and 33.3% [10/30] in the CCB20 and CCB40 groups, respectively; risk difference 10%, 95% CI [-13, 32], P = 0.567). There were no significant differences in other pain-related outcomes. Among the clinical factors considered, the only factor significantly associated with postoperative pain was the sonographic observation of supraclavicular spreading. There were no significant differences in the incidence of HDP and the change in pulmonary function between the two groups.Conclusions: Using 40 ml of local anesthetic does not guarantee supraclavicular spread during CCB. Moreover, it does not result in a higher rate of complete analgesia compared to using 20 ml of local anesthetic in arthroscopic shoulder surgery.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"85-94"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10553328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on "The novel diagonal suprascapular canal block for shoulder surgery analgesia: a comprehensive technical report". 评论：“新型肩胛上斜管阻滞用于肩部手术镇痛”。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-02-01 Epub Date: 2023-10-18 DOI: 10.4097/kja.23677

Raghuraman M Sethuraman

引用次数: 0

Han scale and difficult facemask ventilation: time to add an "R"? 汉标和困难口罩通风:该加个“R”了吗?

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-02-01 Epub Date: 2023-11-21 DOI: 10.4097/kja.23493

David Lopez-Lopez, Adrian Garcia-Romar, Patricia Neira-Somoza, Pablo Casas-Reza, Rocio Mato-Bua

引用次数: 0

Comparison of the median and intermediate approaches to the ultrasound-guided sacral erector spinae plane block: a cadaveric and radiologic study. 超声引导下骶骨竖肌脊柱平面阻滞正中入路和中间入路的比较:一项尸体和放射学研究。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-02-01 Epub Date: 2023-11-15 DOI: 10.4097/kja.23604

Bilge Olgun Keleş, Necati Salman, Elvan Tekir Yılmaz, Habip Resul Birinci, Alparslan Apan, Selami İnce, Ali Faruk Özyaşar, Aysun Uz

{"title":"Comparison of the median and intermediate approaches to the ultrasound-guided sacral erector spinae plane block: a cadaveric and radiologic study.","authors":"Bilge Olgun Keleş, Necati Salman, Elvan Tekir Yılmaz, Habip Resul Birinci, Alparslan Apan, Selami İnce, Ali Faruk Özyaşar, Aysun Uz","doi":"10.4097/kja.23604","DOIUrl":"10.4097/kja.23604","url":null,"abstract":"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. Following confirmation of the solution distribution through computed tomography (CT), the cadavers were dissected to observe the solution distribution.Results: CT images of the median group demonstrated subcutaneous pooling of the radiopaque solution between the S1 and S5 horizontal planes. Radiopaque solution also passed from the sacral foramina to the anterior sacrum via the spinal nerves between S2 and S5. In the intermediate group, the solution distribution was observed along the bilateral erector spinae muscle between the L2 and S3 horizontal planes; no anterior transition was detected. Dissection in the median group revealed blue solution distribution in subcutaneous tissue between horizontal planes S1 and S5, but no distribution in superficial fascia or muscle. In the intermediate group, red solution was detected in the erector spinae muscle between the L2 and S3 intervertebral levels.Conclusions: Radiologic and anatomic findings revealed the presence of radiopaque dye in the superficial and erector spinae compartments in both the median and intermediate groups. However, anterior transition of the radiopaque dye was detected only in the median group.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"156-163"},"PeriodicalIF":2.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10834713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107591612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serratus posterior superior intercostal plane block: novel block for minimal invasive cardiac surgery -A report of three cases. 肋间肌后上平面阻滞：微创心脏手术的新型阻滞；三个案例的报告。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-02-01 Epub Date: 2023-10-18 DOI: 10.4097/kja.23542

Bora Bilal, Bahadir Ciftci, Selcuk Alver, Ali Ahiskalioglu, Serkan Tulgar

引用次数: 0

Perioperative cardiovascular assessment for noncardiac surgery in elderly patients. 老年患者非心脏手术的围手术期心血管评估。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-02-01 Epub Date: 2024-01-25 DOI: 10.4097/kja.24038

Eunsoo Kim

引用次数: 0