Korean Journal of Anesthesiology最新文献_第9页

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. 在脊髓麻醉下进行开放性腹股沟疝修补术的患者在超声引导下进行横筋膜平面阻滞和竖脊肌平面阻滞的镇痛效果比较。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-08 DOI: 10.4097/kja.23404

Hale Kefeli Çelik, Serkan Tulgar, Ömer Faruk Bük, Kadem Koç, Murat Ünal, Caner Genç, Mustafa Süren

{"title":"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.","authors":"Hale Kefeli Çelik, Serkan Tulgar, Ömer Faruk Bük, Kadem Koç, Murat Ünal, Caner Genç, Mustafa Süren","doi":"10.4097/kja.23404","DOIUrl":"10.4097/kja.23404","url":null,"abstract":"Background: Open inguinal hernia repair (OIHR) surgery 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. A total of 80 patients with American Society of Anesthesiologists physical status I-III were enrolled and allocated equally to either the ESPB or TFPB group. The patients received standard multimodal analgesia in addition to an ultrasound-guided ESPB or TFPB. During the first 24 h postoperatively, tramadol consumption was assessed and pain levels at rest and during movement were compared using numeric rating scale (NRS) scores at 1, 3, 6, 9, 12, 18, and 24 h postoperatively.Results: The results showed no difference in NRS scores at any time point between the groups, except for NRS at rest in the third hour. However, tramadol consumption was lower in the TFPB group than in the ESPB group overall (88 ± 75.2 vs. 131 ± 93.7 mg, respectively; P = 0.027, mean difference: -43, 95% CI [-80.82, -5.18]).Conclusions: The TFPB leads to lower tramadol requirements in the first 24 h postoperatively than the ESPB in patients undergoing OIHR.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"255-264"},"PeriodicalIF":2.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139377938","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

Postoperative alterations in ventriculoarterial coupling are an indicator of cardiovascular outcomes in liver transplant recipients. 肝移植受者术后心室-动脉耦合的改变是心血管结果的指标

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2023-07-12 DOI: 10.4097/kja.23266

Ji Yeon Kim, Young-Jin Moon, Changjin Lee, Jin Ho Kim, Junghyun Park, Jung-Won Kim

{"title":"Postoperative alterations in ventriculoarterial coupling are an indicator of cardiovascular outcomes in liver transplant recipients.","authors":"Ji Yeon Kim, Young-Jin Moon, Changjin Lee, Jin Ho Kim, Junghyun Park, Jung-Won Kim","doi":"10.4097/kja.23266","DOIUrl":"10.4097/kja.23266","url":null,"abstract":"Background: Liver transplantation (LT) increases the heart and vessel workload in patients with cirrhotic cardiomyopathy. While the interaction of the left ventricle (LV) with the arterial system (ventriculoarterial coupling, VAC) is a key determinant of cardiovascular performance, little is known about changes in VAC after LT. Therefore, we evaluated the relationship between VAC after LT and cardiovascular outcomes.Methods: 344 consecutive patients underwent echocardiographic assessments before and within 30 days after LT. Non-invasive arterial elastance (Ea), LV end-systolic elastance (Ees), and LV end-diastolic elastance (Eed) were calculated. The postoperative outcomes included the development of major adverse cardiovascular events (MACE) and the length of stay in the intensive care unit and hospital.Results: A total of 240 patients were included in the analyses. After LT, Ea increased by 16% (P < 0.001), and Ees and contractility index of systolic velocity (S') increased by 18% (P < 0.001) and 7% (P < 0.001), respectively. The Eed increased by 6% (P < 0.001). The VAC remained unchanged (0.56 to 0.56, P = 0.912). Of these patients, 29 had MACE, and those with MACE had significantly higher postoperative VAC. Additionally, a higher postoperative VAC was an independent risk factor for a longer postoperative hospital stay (P = 0.038).Conclusions: These data suggest that ventriculoarterial decoupling is associated with poor postoperative outcomes after LT.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"217-225"},"PeriodicalIF":2.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10147562","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

The impact of preoperative coronavirus disease 19 infection on early postoperative mortality during the vaccination era: a nationwide retrospective cohort study. 疫苗接种时代，术前冠状病毒疾病 19 感染对术后早期死亡率的影响：一项全国范围的回顾性队列研究。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-26 DOI: 10.4097/kja.23761

Jae-Woo Ju, Taeyup Kim, Soo-Hyuk Yoon, Won Ho Kim, Ho-Jin Lee

{"title":"The impact of preoperative coronavirus disease 19 infection on early postoperative mortality during the vaccination era: a nationwide retrospective cohort study.","authors":"Jae-Woo Ju, Taeyup Kim, Soo-Hyuk Yoon, Won Ho Kim, Ho-Jin Lee","doi":"10.4097/kja.23761","DOIUrl":"10.4097/kja.23761","url":null,"abstract":"Background: We aimed to investigate the optimal surgical timing in patients with preoperative coronavirus disease 2019 (COVID-19) infection to minimize postoperative morbidity and mortality during the COVID-19 vaccination era.Methods: The Korean nationwide data on patients who underwent standard surgery under general anesthesia in 2021 were analyzed. Patients were categorized based on the time from COVID-19 diagnosis to surgery: 0-4, 5-8, > 8 weeks, and those without preoperative COVID-19 infection. Multivariable logistic regression analysis, considering preoperative COVID-19 vaccination status (fully vaccinated vs. unvaccinated or partially vaccinated), was performed to associate the preoperative COVID-19 infection timing with 30- and 90-day postoperative mortality and 30-day respiratory complications.Results: Among the 750,175 included patients, 28.2% were preoperatively fully vaccinated. Compared with patients without prior COVID-19 infection, those who had surgery 0-4 weeks (adjusted odds ratio [OR]: 4.28, 95% CI [1.81, 10.13], P = 0.001) and 5-8 weeks (adjusted OR: 3.38, 95% CI [1.54, 7.44], P = 0.002) after COVID-19 infection had a significantly increased risk of 30-day mortality. Preoperative full vaccination was significantly associated with a decrease in 90-day mortality (adjusted OR: 0.93, 95% CI [0.89, 0.98], P = 0.007) and 30-day respiratory complications (adjusted OR: 0.85, 95% CI [0.82, 0.87], P < 0.001), but not with 30-day mortality (P = 0.916).Conclusions: COVID-19 infection eight weeks preoperatively was associated with an increased 30-day postoperative mortality. Preoperative full vaccination was not associated with 30-day mortality but was related to lower risk of 90-day mortality and 30-day respiratory complications.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"185-194"},"PeriodicalIF":2.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139564288","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

Response to "Comment on Usefulness of C-curved stylet for intubation with the C-MAC® Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial". 回应 "儿科患者气管插管的形状"。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-26 DOI: 10.4097/kja.23842

Jung-Bin Park, Ji-Hyun Lee

引用次数: 0

Comment on "Usefulness of C-curved stylet for intubation with the C-MAC® Miller videolaryngoscope in neonates and infants: a prospective randomized controlled trial". 儿科病人气管插管的形状。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2024-01-26 DOI: 10.4097/kja.23791

Dong Ho Park, Jong Dal Chung, Chang Young Jeong, Hong-Seuk Yang

引用次数: 0

Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report. 支气管镜球囊扩张治疗左心室辅助装置植入患者声门下狭窄时氧储备指数的应用：一例报告。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2023-10-06 DOI: 10.4097/kja.23568

Jimin Lee, Minwoo Chung, Eui-Suk Sung, Jung-Pil Yoon, Yeong Min Yoo, Jaesang Bae, Hee Young Kim

{"title":"Use of oxygen reserve index during bronchoscopic balloon dilation for subglottic stenosis in a patient with left ventricular assist device implantation -a case report.","authors":"Jimin Lee, Minwoo Chung, Eui-Suk Sung, Jung-Pil Yoon, Yeong Min Yoo, Jaesang Bae, Hee Young Kim","doi":"10.4097/kja.23568","DOIUrl":"10.4097/kja.23568","url":null,"abstract":"Background: Monitoring the oxygenation status is crucial during general anesthesia to ensure patient safety. Although noninvasive pulse oximetry is commonly used to monitor percutaneous oxygen saturation (SpO2), it may not accurately reflect changes in oxygen partial pressure when the latter is excessively high or low. The oxygen reserve index (ORi) provides real-time information about the oxygen reserve status.Case: We present a case of successful management of subglottic stenosis using balloon bronchoscopy in an infant with a left ventricular assist device implantation under ORi monitoring to predict hypoxemia during the surgical procedure.Conclusions: Utilizing ORi monitoring during anesthesia for procedures involving apnea in critically ill infants can help predict impending desaturation before a drop in SpO2 occurs, allowing anesthesiologists to effectively anticipate and manage the apnea period. Continuous ORi monitoring offers valuable insights during surgical procedures, especially in infants with compromised respiratory and cardiovascular functions.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"273-277"},"PeriodicalIF":2.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10982534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41182916","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

Anesthetic management for non-cardiac surgery in patients with left ventricular assist devices. 左心室辅助装置患者非心脏手术的麻醉管理。

IF 2.9 4区医学

Korean Journal of Anesthesiology Pub Date : 2024-04-01 Epub Date: 2023-03-10 DOI: 10.4097/kja.23169

Jeong-Jin Min, Yang Hyun Cho, Sangmin M Lee, Jong-Hwan Lee

引用次数: 0

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