Anesthesia and pain medicine最新文献_第5页

The effect of 6% hydroxyethyl starch 130/0.4 preloading on the blood glucose levels in diabetic patients undergoing orthopedic surgery with spinal anesthesia: a randomized pilot study. 6%羟乙基淀粉130/0.4预负荷对脊柱麻醉下接受骨科手术的糖尿病患者血糖水平的影响:一项随机先导研究

Anesthesia and pain medicine Pub Date : 2023-04-01 DOI: 10.17085/apm.22246

Soo Yeon Cho, Tae Hun An, Soo Bin Shim, Myungjin Lee, Ki Tae Jung

{"title":"The effect of 6% hydroxyethyl starch 130/0.4 preloading on the blood glucose levels in diabetic patients undergoing orthopedic surgery with spinal anesthesia: a randomized pilot study.","authors":"Soo Yeon Cho, Tae Hun An, Soo Bin Shim, Myungjin Lee, Ki Tae Jung","doi":"10.17085/apm.22246","DOIUrl":"https://doi.org/10.17085/apm.22246","url":null,"abstract":"Background: Perioperative hyperglycemia can occur in surgical patients and may increase postoperative morbidity and mortality, especially in patients with diabetes. Therefore, we conducted the present study to evaluate whether the administration of 6% hydroxyethyl starch (HES)-130/0.4 increases blood glucose levels in patients with diabetes.Methods: Forty patients undergoing lower limb surgery under spinal anesthesia were randomly allocated into two groups according to the fluids administered 20 min before spinal anesthesia (Group L, lactated Ringer's solution; Group H, 6% HES-130/0.4). Patient characteristics, intraoperative variables, blood glucose levels, mean blood pressure (MBP), and heart rate (HR) were recorded at five time-points (0, 20, 60, 120, and 240 min).Results: A total of 39 patients were analyzed (Group L, n = 20; Group H, n = 19). The amount of intraoperative fluid was significantly higher in Group L than in Group H (718.2 ml vs. 530.0 ml, P = 0.010). There were no significant differences in the changes in blood glucose levels, HR, or MBP between the two groups (P = 0.737, P = 0.896, and P = 0.141, respectively). Serial changes in mean blood glucose levels from baseline also showed no significant differences between the groups (P = 0.764).Conclusions: There were no significant changes in blood glucose levels when lactated Ringer's solution or 6% HES-130 was used. When compared to the lactated Ringer's solution, no evidence that 6% HES-130/0.4 produces hyperglycemia in diabetic patients could be found. Further evaluation of larger populations is needed.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 2","pages":"139-147"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/28/b3/apm-22246.PMC10183621.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9479737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Severe pancytopenia and coagulopathy discovered during anesthesia after pre-anesthetic evaluation - A report of two cases. 麻醉前评估后发现严重全血细胞减少和凝血功能障碍——附2例报告。

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22236

Hyun Joo Heo, Yu Yil Kim, Ji Hye Lee, Hyung Gu Cho, Geonbo Kim

{"title":"Severe pancytopenia and coagulopathy discovered during anesthesia after pre-anesthetic evaluation - A report of two cases.","authors":"Hyun Joo Heo, Yu Yil Kim, Ji Hye Lee, Hyung Gu Cho, Geonbo Kim","doi":"10.17085/apm.22236","DOIUrl":"https://doi.org/10.17085/apm.22236","url":null,"abstract":"Background: Pre-anesthetic evaluation is an important aspect of perioperative patient management. However, anesthesiologists often encounter challenges during anesthesia due toconditions that are not detected during pre-anesthetic evaluations.Case: Case 1 involved a 74-year-old female patient scheduled for cranioplasty and meningioma excision. Severe pancytopenia was detected during anesthesia. Cranioplasty was onlyperformed, the surgery was terminated, and drug-induced pancytopenia was diagnosed andtreated. The pre-anesthetic test results were normal, except for anemia. Case 2 involved a71-year-old male patient who discovered large ecchymosis during general anesthesia preparation in the operating room for choledochal cyst surgery. Surgery was canceled to evaluatethe bleeding tendency, and acquired coagulation factor VIII deficiency was diagnosed andtreated. The pre-anesthetic tests were normal, except for prolongation of the activated partial thromboplastin time.Conclusions: Abrupt hematologic and hemostatic changes may occur during anesthesiaeven though pre-anesthetic evaluation findings are normal.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 1","pages":"92-96"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/e5/apm-22236.PMC9902639.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9287262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients. I-gelTM与百思达tm喉罩在麻醉患儿口咽漏压的比较。

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22209

Caren Candace Selvin, Geeta Singariya, Pooja Bihani, Manoj Kamal, Naveen Paliwal, Shobha Ujwal

{"title":"Comparison of oropharyngeal leak pressure of I-gelTM and BlockbusterTM laryngeal mask airway in anaesthetized pediatric patients.","authors":"Caren Candace Selvin, Geeta Singariya, Pooja Bihani, Manoj Kamal, Naveen Paliwal, Shobha Ujwal","doi":"10.17085/apm.22209","DOIUrl":"https://doi.org/10.17085/apm.22209","url":null,"abstract":"Background: Supraglottic airways (SGA) are increasingly used in pediatric anesthesia.Among SGA, I-gelTM is a commonly used device in pediatric patients. The BlockbusterTM laryngeal mask airway (LMA) is latest addition in pediatric airway armamentarium. This studywas conducted to compare the clinical performance of I-gelTM and BlockbusterTM LMA in pediatric patients.Methods: A total of 140 children aged 1-5 years, who were undergoing elective surgery,were randomized into two groups either I-gelTM (Group I) or BlockbusterTM LMA (Group B). Airway was secured with appropriate-sized LMA according to group allocation under generalanesthesia. The primary objective of study was oropharyngeal leak pressures (OPLP), andsecondary objectives were number of attempts of device insertion, success rate, ease ofLMA insertion, hemodynamic parameters, and postoperative pharyngolaryngeal morbidities.Results: The mean OPLP was significantly higher for I-gelTM compared to BlockbusterTM LMA(27.97 ± 1.65 vs. 26.04 ± 2.12; P < 0.001). The devices were successfully inserted on thefirst attempt in 97.14% and 90% of the Group I and Group B respectively. The insertion time,ease of insertion, hemodynamic parameters and postoperative complications were comparable between groups.Conclusions: The I-gelTM was more efficacious device in term of OPLP than BlockbusterTMLMA for positive pressure ventilation in pediatric patients undergoing short surgical procedures under general anesthesia.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 1","pages":"51-56"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/cc/apm-22209.PMC9902638.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10792958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Sugammadex administration in patients with end-stage renal disease: a narrative review with recommendations. 终末期肾病患者服用舒格迈司：叙述性综述与建议。

Anesthesia and pain medicine Pub Date : 2023-01-01 Epub Date: 2023-01-25 DOI: 10.17085/apm.22259

Seok Kyeong Oh, Byung Gun Lim

{"title":"Sugammadex administration in patients with end-stage renal disease: a narrative review with recommendations.","authors":"Seok Kyeong Oh, Byung Gun Lim","doi":"10.17085/apm.22259","DOIUrl":"10.17085/apm.22259","url":null,"abstract":"Due to unknown safety concerns, sugammadex should not be administered to patients withend-stage renal disease (ESRD). However, because the supply of benzylisoquinolinium-typeneuromuscular blocking agents (NMBAs) has been discontinued, rocuronium is the onlynon-depolarizing NMBA that can be used in clinical settings in some countries, includingSouth Korea. The administration of sugammadex cannot be avoided to achieve rapid andcomplete neuromuscular recovery in patients with ESRD or renal transplantation after rocuronium administration. Although there has been a limited number of clinical studies involving the use of sugammadex in patients with ESRD, studies have shown that sugammadexcan effectively and safely reverse rocuronium-induced neuromuscular blockade (NMB) inpatients with ESRD, however recovery of neuromuscular function in patients with ESRD isslower than in patients with normal renal function. Nonetheless, safety-concerns are yet tobe addressed. Considering the small number of clinical studies, high heterogeneity amongstudies, and insufficient safety information, more extensive data on the efficacy and safetyof sugammadex in patients with ESRD are needed. In particular, it is important to securedata on safety, including residual NMB after surgery, recurarization and cardiorespiratorycomplications, anaphylactic reactions, and long-term morbidity and mortality. Furthermore,anesthesiologists should remember that performing proper quantitative neuromuscularmonitoring and neuromuscular management based on the monitoring signs are the mostessential requirements when using sugammadex in patients with ESRD.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 1","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e3/3d/apm-22259.PMC9902629.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9286844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Messages from the new Editor-in-Chief and Editorial Board, journal metrics and statistics, and appreciation to reviewers. 来自新主编和编辑委员会的信息，期刊指标和统计数据，以及对审稿人的感谢。

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.23003

Jun Hyun Kim, Hyun Kang

引用次数: 0

Mortality scoring systems for liver transplant recipients: before and after model for end-stage liver disease score. 肝移植受者死亡率评分系统:终末期肝病评分前后模型

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22258

Yang-Hoon Chung, Jaewoong Jung, Sang Hyun Kim

引用次数: 0

Recent updates on interscalene brachial plexus block for shoulder surgery. 肩关节手术中斜角肌间臂丛阻滞的最新进展。

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22254

RyungA Kang, Justin Sangwook Ko

引用次数: 4

Depth of double-lumen endobronchial tube: a comparison between real practice and clinical recommendations using height-based formulae. 双腔支气管内管的深度:实际应用与临床推荐的基于高度的公式的比较。

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22214

Jae Hee Woo, Sooyoung Cho, Youn Jin Kim, Dong Yeon Kim, Yongju Choi, Jong Wha Lee

{"title":"Depth of double-lumen endobronchial tube: a comparison between real practice and clinical recommendations using height-based formulae.","authors":"Jae Hee Woo, Sooyoung Cho, Youn Jin Kim, Dong Yeon Kim, Yongju Choi, Jong Wha Lee","doi":"10.17085/apm.22214","DOIUrl":"https://doi.org/10.17085/apm.22214","url":null,"abstract":"Background: The depth of double-lumen endobronchial tube (DLT) is reportedly known tobe directly proportional to height and several height-based recommendations have beensuggested. This retrospective study was designed to find out the difference between calculated depths using height-based formulae and realistic depths in clinical practice of DLTplacement by analyzing pooled data from patients intubated with left-sided DLT.Methods: The electronic medical records of adults, intubated with DLT from February 2018to December 2020, were reviewed. Data retrieved included age, sex, height, weight, andsize and depth of DLT. The finally documented DLT depth (depth final, DF) was comparedwith the calculated depths, and the relationship between height and DF was also evaluated.A questionnaire on endobronchial intubation method was sent to anesthesiologists.Results: A total of 503 out of 575 electronic records of consecutive patients were analyzed.Although the relationship between height and DF was shown to have significant correlation(Spearman's rho = 0.63, P < 0.001), DF was shown to be significantly greater than calculated depths (P < 0.001). Despite 57.1% of anesthesiologists have knowledge of clinical recommendations to anticipate size and depth of DLT, no one routinely utilizes those recommendations.Conclusions: Anesthesiologists tend to place DLTs in a deeper position than expected whendepths are calculated using height-based recommendations. Although such discrepanciesmay not be clinically meaningful, efforts are needed to standardize the methods of endobronchial intubation to prevent potential complications associated with malposition.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 1","pages":"37-45"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/4f/apm-22214.PMC9902630.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10792956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of distal skin temperature and tissue oxygen saturation determined by near-infrared spectroscopy for predicting ultrasound-guided lateral infraclavicular block success. 近红外光谱测定远端皮肤温度和组织氧饱和度，预测超声引导下锁骨下外侧阻滞成功。

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22181

Mehmet Sargın, Mehmet Selçuk Uluer

{"title":"Evaluation of distal skin temperature and tissue oxygen saturation determined by near-infrared spectroscopy for predicting ultrasound-guided lateral infraclavicular block success.","authors":"Mehmet Sargın, Mehmet Selçuk Uluer","doi":"10.17085/apm.22181","DOIUrl":"https://doi.org/10.17085/apm.22181","url":null,"abstract":"Background: Changes in tissue oxygen saturation determined by near-infrared spectroscopy (NIRS) may help predict and determine the success of a lateral infraclavicular (LIC) block.We investigated whether evaluation of tissue oxygen saturation determined by NIRS couldbe an indicator of LIC block success.Methods: Forty patients scheduled for hand or forearm surgery under LIC block were studied. NIRS sensors were placed on the ventral aspect of both mid-forearms, and the contralateral hand was used as the control group. NIRS values were recorded before the block andat regular intervals during the following 30 min.Results: NIRS values were significantly higher in the successfully blocked patients whencompared to the complete failure, partial failure, and contralateral hand groups at the 10thmin. In the successfully blocked patients, NIRS values (mean ± SD [change in %]) increasedby 11.09 ± 4.86 (16.03%), 15.00 ± 4.53 (21.76%), 16.35 ± 5.14 (23.77%), 16.38 ± 4.88(23.85%), 16.67 ± 5.04 (24.29%), and 16.96 ± 5.71 (24.78%), respectively, from baselineto 5, 10, 15, 20, 25, and 30 min. ΔTs values were significantly higher in the successfullyblocked patients than in the complete failure patients and contralateral hand at the 30thmin. However, there was no statistically significant difference when comparing ΔTs values ofsuccessful block and partial failure block patients at the 30th min.Conclusions: We conclude that measurement of tissue oxygen saturation by NIRS withinthe scope of evaluation of the lateral infraclavicular block is a rapid, effective, and applicabletechnique.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 1","pages":"75-83"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/30/9e/apm-22181.PMC9902633.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10792955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Herpes zoster after COVID-19 vaccination, aspect of pain medicine: a retrospective, single-center study. COVID-19疫苗接种后带状疱疹，疼痛药物方面:一项回顾性单中心研究

Anesthesia and pain medicine Pub Date : 2023-01-01 DOI: 10.17085/apm.22207

Ji Hye Lee, Yu Yil Kim, Hyun Joo Heo, Ji Hun Park, Hyung Gu Cho, Geonbo Kim

{"title":"Herpes zoster after COVID-19 vaccination, aspect of pain medicine: a retrospective, single-center study.","authors":"Ji Hye Lee, Yu Yil Kim, Hyun Joo Heo, Ji Hun Park, Hyung Gu Cho, Geonbo Kim","doi":"10.17085/apm.22207","DOIUrl":"https://doi.org/10.17085/apm.22207","url":null,"abstract":"Background: Herpes zoster (HZ) is one of the most common cutaneous adverse reactionsassociated with the coronavirus disease 2019 (COVID-19) vaccine and has been widely reported. This study aimed to evaluate HZ following COVID-19 vaccination from the viewpointof pain management.Methods: A retrospective study was conducted on 42 patients with HZ who visited the painclinic between August 2021 and October 2021. Medical records were reviewed to comparepain severity, treatment methods, treatment duration, and incidence rate of postherpeticneuralgia (PHN) in patients who received COVID-19 vaccination within 6 weeks prior to developing symptoms compared with other patients with HZ.Results: Fourteen patients developed HZ within 6 weeks after vaccination and were significantly younger than the other HZ groups. There were no significant differences in the frequency of prodromal pain, location of pain, pain severity, treatment methods, treatmentduration, or incidence of PHN compared with the other HZ groups.Conclusions: COVID-19 vaccination-related HZ showed clinical features similar to those ofthe other HZ.","PeriodicalId":7801,"journal":{"name":"Anesthesia and pain medicine","volume":"18 1","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ba/1e/apm-22207.PMC9902632.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9287266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2