Korean Journal of Anesthesiology最新文献_第9页

Extended reality in anesthesia: a narrative review. 麻醉中的延伸现实：叙事回顾。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-04-01 Epub Date: 2025-01-15 DOI: 10.4097/kja.24687

Sung Hee Han, Kristen L Kiroff, Sakura Kinjo

{"title":"Extended reality in anesthesia: a narrative review.","authors":"Sung Hee Han, Kristen L Kiroff, Sakura Kinjo","doi":"10.4097/kja.24687","DOIUrl":"10.4097/kja.24687","url":null,"abstract":"The application of extended reality (XR) technology is rapidly expanding in the medical field, including anesthesia. This review aims to introduce the current literature on XR utilization to help anesthesiologists adopt this technology in education and clinical practice. XR is useful for both knowledge acquisition and skill training in a wide range of settings, from students to medical professionals. One of its major benefits is harm reduction through simulation scenarios that allow for immersion in clinical situations and opportunities to practice procedures and tasks. These scenarios often involve both technical and non-technical skills, enabling clinicians to enhance their capabilities without risking patient safety. In clinical settings, XR can also be used with patients to increase familiarity with medical procedures, provide education, and reduce anxiety. XR can also serve as a distraction technique, diverting the patient's attention from medical procedures and enhancing comfort, which may contribute to reduced opioid use. Although the potential benefits of XR in anesthesia have been reported in various educational and clinical contexts, challenges, such as limited financial reimbursement and restricted technical accessibility, remain. With further research and technological advancements, XR technology has the potential for widespread adoption in anesthesia practice.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"105-117"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983567","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 remimazolam on intraoperative hemodynamic stability in patients undergoing cerebrovascular bypass surgery: a prospective randomized controlled trial. 雷马唑仑对脑血管搭桥手术患者术中血流动力学稳定性的影响：一项前瞻性随机对照试验。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.4097/kja.24538

Chang-Hoon Koo, Si Un Lee, Hyeong-Geun Kim, Soowon Lee, Yu Kyung Bae, Ah-Young Oh, Young-Tae Jeon, Jung-Hee Ryu

{"title":"Effect of remimazolam on intraoperative hemodynamic stability in patients undergoing cerebrovascular bypass surgery: a prospective randomized controlled trial.","authors":"Chang-Hoon Koo, Si Un Lee, Hyeong-Geun Kim, Soowon Lee, Yu Kyung Bae, Ah-Young Oh, Young-Tae Jeon, Jung-Hee Ryu","doi":"10.4097/kja.24538","DOIUrl":"10.4097/kja.24538","url":null,"abstract":"Background: Maintenance of stable blood pressure (BP) during cerebrovascular bypass surgery is crucial to prevent cerebral ischemia. We compared the effect of remimazolam anesthesia with that of propofol-induced and desflurane-maintained anesthesia on intraoperative hemodynamic stability and the need for vasoactive agents in patients undergoing cerebrovascular bypass surgery.Methods: Sixty-five patients were randomized into remimazolam (n = 31, remimazolam-based intravenous anesthesia) and control groups (n = 34, propofol-induced and desflurane-maintained anesthesia). The primary outcome was the occurrence of intraoperative hypotension. The secondary outcomes included hypotension duration, lowest mean BP (MBP), generalized average real variability (ARV) of MBP, and consumption of phenylephrine, norepinephrine, or remifentanil.Results: Occurrence rate and duration of hypotension were significantly lower in the remimazolam group (38.7% vs. 73.5%, P = 0.005; 0 [0, 10] vs. 7.5 [1.25, 25] min, P = 0.008). Remimazolam also showed better outcomes for lowest MBP (78 [73, 84] vs. 69.5 [66.25, 75.8] mmHg, P < 0.001) and generalized ARV of MBP (1.42 ± 0.49 vs. 1.66 ± 0.52 mmHg/min, P = 0.036). The remimazolam group required less phenylephrine (20 [0, 65] vs. 100 [60, 130] μg, P < 0.001), less norepinephrine (162 [0, 365.5] vs. 1335 [998.5, 1637.5] μg, P < 0.001), and more remifentanil (1750 [1454.5, 2184.5] vs. 531 [431, 746.5] μg, P < 0.001) than the control group.Conclusions: Remimazolam anesthesia may provide better hemodynamic stability during cerebrovascular bypass surgery than propofol-induced and desflurane-maintained anesthesia.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"148-158"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143023804","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

A comprehensive analysis of propofol abuse, addiction and neuropharmacological aspects: an updated review. 异丙酚滥用和成瘾以及神经药理学方面的全面分析：最新综述。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-04-01 Epub Date: 2024-12-16 DOI: 10.4097/kja.24707

Tayfun Uzbay, Andleeb Shahzadi

{"title":"A comprehensive analysis of propofol abuse, addiction and neuropharmacological aspects: an updated review.","authors":"Tayfun Uzbay, Andleeb Shahzadi","doi":"10.4097/kja.24707","DOIUrl":"10.4097/kja.24707","url":null,"abstract":"This review aims to assess the existing studies on propofol, a relatively new intravenous anesthetic, related to its abuse and addictive potential and to explain the neurobiological and neuropharmacological aspects of propofol addiction. Several neurobiological factors related to complex processes in the brain influence propofol abuse and addiction. In this review, we assessed the literature regarding propofol abuse and addiction, including both experimental and clinical studies. We selected articles from animal studies, case reports, clinical trials, meta-analyses, narrative reviews, and systematic reviews to extract all relevant crucial quantitative data with a measure of neurobiological and neuropharmacological aspects. Thus, the main goal of this study was to investigate the current literature and discuss the association between the central nervous system and propofol abuse and addiction in the context of addictive behavior. Current data suggest that propofol has a strong addictive potential and produces prominent addiction in both animals and humans. Thus, medical practitioners should exercise caution with propofol use, and we argue that this drug should be added to the list of controlled substances.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"91-104"},"PeriodicalIF":4.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12013994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829265","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

Efficacy of Pectoral Nerve II Block for Flap Dissection-Related Pain Following Robot-Assisted Transaxillary Thyroidectomy: A Prospective, Randomized Controlled Trial. 胸神经II阻滞治疗机器人辅助腋窝甲状腺切除术后皮瓣剥离相关疼痛的疗效：一项前瞻性、随机对照试验。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-24 DOI: 10.4097/kja.24914

Min Suk Chae, Kwangsoon Kim

{"title":"Efficacy of Pectoral Nerve II Block for Flap Dissection-Related Pain Following Robot-Assisted Transaxillary Thyroidectomy: A Prospective, Randomized Controlled Trial.","authors":"Min Suk Chae, Kwangsoon Kim","doi":"10.4097/kja.24914","DOIUrl":"https://doi.org/10.4097/kja.24914","url":null,"abstract":"Background: Robot-assisted transaxillary thyroidectomy (RATT) involves extensive flap dissection, leading to significant postoperative pain. This study evaluated the efficacy of pectoral nerve II (PECS II) block in pain relief, opioid reduction, and recovery enhancement.Methods: This prospective, randomized controlled trial included 83 patients undergoing elective RATT for thyroid conditions. Patients were assigned to the block group (n = 42) or non-block group (n = 41). Pain was assessed using the visual analog scale (VAS) at 1, 4, 24, and 48 hours postoperatively. Secondary outcomes included opioid consumption and Quality of Recovery-15 (QoR-15K) scores at discharge.Results: The PECS II block group had significantly lower VAS scores at 1 h (3.6 ± 2.5 vs. 6.3 ± 2.3, P < 0.001), 4 h (2.6 ± 2.1 vs. 4.3 ± 2.5, P = 0.002), and 24 h (2.0 ± 1.6 vs. 3.2 ± 2.0, P = 0.002). Opioid consumption was significantly lower in the block group (median: 1 [0.75, 3] vs. 3 [2, 3.5], P = 0.001). QoR-15K pain subdimension scores were higher in the block group (14.5 [12, 17] vs. 10 [8, 14], P < 0.001), while other recovery aspects were comparable.Conclusions: The PECS II block significantly reduces pain and opioid use in RATT patients, enhancing recovery quality. This opioid-sparing approach supports multimodal pain management, ensuring safer and more comfortable postoperative recovery.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of psychological factors on the benefit from interpectoral and pectoserratus plane block for recovery after partial mastectomy: a randomized controlled trial. 心理因素对胸间和胸锯肌平面阻滞治疗乳房部分切除术后恢复效果的影响：一项随机对照试验。

IF 6.3 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-17 DOI: 10.4097/kja.24469

Sung Yeon Ham, Jooyoung Oh, Ji Yeong Kim, Juyeong Park, Hye Sun Lee, Soong June Bae, Seung Ho Baek, Yoonwon Kook, Joon Jeong, Sung Gwe Ahn, Young Song

{"title":"Influence of psychological factors on the benefit from interpectoral and pectoserratus plane block for recovery after partial mastectomy: a randomized controlled trial.","authors":"Sung Yeon Ham, Jooyoung Oh, Ji Yeong Kim, Juyeong Park, Hye Sun Lee, Soong June Bae, Seung Ho Baek, Yoonwon Kook, Joon Jeong, Sung Gwe Ahn, Young Song","doi":"10.4097/kja.24469","DOIUrl":"https://doi.org/10.4097/kja.24469","url":null,"abstract":"Background: The interpectoral and pectoserratus plane (PECs) blocks have been reported to provide favorable postoperative analgesia after mastectomy. However, studies have reported controversial data regarding its effect on the quality of recovery (QoR). We aimed to evaluate the effect of the PECs block in light of baseline psychological factors and pain sensitivity.Methods: Patients undergoing partial mastectomy were randomly assigned to receive either a PECs block (PECs group, n = 69) or no block (control group, n = 70). We assessed the preoperative psychosocial factors and pain recognition using the Hospital Anxiety Depression Scale (HADS), Pain Catastrophizing Scale (PCS), Breast Cancer Pain Questionnaire (BCPQ), temporal pain summation (TPS), and pressure pain threshold and tolerance; we then conducted the interaction test to evaluate the moderating role of these factors on the efficacy of the PECs block.Results: The global QoR-15 score 1 d after surgery did not differ between the groups (136.50 [124.00, 144.00] vs. 141.00 [127.00, 148.00], P = 0.061); however, the score was enhanced in patients who were depressed, did not ruminate pain aberrantly, and did not have pre-existing pain. The pain Verbal Numeric Rating Scale (VNRS) 1 d after surgery was not different between the groups; however, the TPS score showed an interaction, indicating that the PECs block could reduce pain intensity in patients with high pain sensitivity.Conclusions: The PECs block did not enhance the QoR-15 score or pain intensity after mastectomy, but its efficacy was pronounced in patients with several specific emotional traits and pain perception.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":""},"PeriodicalIF":6.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145015777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to "Comment on Effects of remimazolam versus dexmedetomidine on recovery after transcatheter aortic valve replacement under monitored anesthesia care: a propensity score-matched, non-inferiority study". 对 "关于'经导管主动脉瓣置换术后在监测麻醉护理下瑞马唑仑与右美托咪定对恢复的影响：倾向得分匹配、非劣效性研究'的评论 "的回应。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-01 Epub Date: 2024-11-12 DOI: 10.4097/kja.24740

Ji-Hyeon Kim, Jae-Sik Nam

引用次数: 0

High-flow nasal oxygenation: a transformative tool in airway management. 高流量鼻氧合：气道管理的变革性工具。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-01 DOI: 10.4097/kja.25038

Hye-Mee Kwon

引用次数: 0

Comment on "Effects of remimazolam versus dexmedetomidine on recovery after transcatheter aortic valve replacement under monitored anesthesia care: a propensity score-matched, non-inferiority study". 关于 "经导管主动脉瓣置换术后在监测麻醉护理下瑞马唑仑与右美托咪定对恢复的影响：倾向得分匹配、非劣效性研究 "的评论

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-01 Epub Date: 2024-11-11 DOI: 10.4097/kja.24716

Jo-Hsin Wu, Hui-Zen Hee, Cheng-Wei Lu

引用次数: 0

Current evidence on the use of sugammadex for neuromuscular blockade antagonism during electroconvulsive therapy: a narrative review. 在电休克治疗中使用苏加麦司拮抗神经肌肉阻滞的现有证据--叙述性综述。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-01 Epub Date: 2024-10-07 DOI: 10.4097/kja.24234

Vivek Arora, Laurence Henson, Sandeep Kataria

{"title":"Current evidence on the use of sugammadex for neuromuscular blockade antagonism during electroconvulsive therapy: a narrative review.","authors":"Vivek Arora, Laurence Henson, Sandeep Kataria","doi":"10.4097/kja.24234","DOIUrl":"10.4097/kja.24234","url":null,"abstract":"Depression is a common mental health problem that is associated with significant disability and mortality. Electroconvulsive therapy (ECT) has been demonstrated to be effective at resolving expression of suicidal intent in patients with depression. In less acute situations, patients are usually referred for ECT after several medication trials. Neuromuscular blocking agents (NMBAs) are used to block tonic-clonic motor activity and associated physical harm during the delivery of ECT. Succinylcholine (Sch), with its rapid onset of muscle relaxation, short self-terminating duration of action, and rapid subsequent return of spontaneous ventilation, is the NMBA of choice for ECT. However, the use of Sch is problematic or contraindicated is some situations. Although non-depolarizing NMBAs can be used, the variable time to onset of adequate muscle relaxation and prolonged duration of action have limited their widespread acceptance as alternatives to Sch. Recently, however, with the widespread availability of sugammadex, a chemically modified γ-cyclodextrin that rapidly and predictably reverses the effect of non-depolarizing NMBAs, the muscle relaxation achieved by rocuronium can predictably and effectively be reversed. In situations where Sch is contraindicated or otherwise problematic, rocuronium, followed by pharmacological antagonism with sugammadex, can provide a safe and effective muscle relaxation approach comparable to that of Sch in terms of duration of action. This review provides a summary of the current state of evidence for the use of sugammadex during ECT, which should lend support to further acceptance and future studies of sugammadex in the context of ECT.","PeriodicalId":17855,"journal":{"name":"Korean Journal of Anesthesiology","volume":" ","pages":"3-15"},"PeriodicalIF":4.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11834888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142391597","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

Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report. 脑动静脉畸形患者在快速心室起搏技术下的可控性低血压：病例报告。

IF 4.2 4区医学

Korean Journal of Anesthesiology Pub Date : 2025-02-01 Epub Date: 2024-10-28 DOI: 10.4097/kja.24508

Zijian Zhao, Hang Wang, Xinxu Min, Zheng Li, Feng Feng

引用次数: 0