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Retrospective analysis of the incidence and predictors of postoperative nausea and vomiting after orthopedic surgery under spinal anesthesia
Jae-Woo Ju, Jina Kwon, Seokha Yoo, Ho-Jin Lee
Korean J Anesthesiol. 2023;76(2):99-106.

Review Article

December 5, 2022


Mechanisms and implications in gene polymorphism mediated diverse reponses to sedatives, analgesics and muscle relaxants
Yan Sun, Hongyu Zhu, Elham Esmaeili, Xue Tang, Zhilin Wu
Korean J Anesthesiol. 2023;76(2):89-98.
Responses to sedatives, analgesics and muscle relaxants vary among patients under general anesthesia, which could be ascribed to the disparities of clinical characteristics and genetic factors of individuals. Accumulating researches have indicated that gene polymorphisms of the receptors, transporters and metabolizing enzymes associated with anesthetics play a considerable role in their efficacy. However, a systematically summarized study on the mechanisms of gene polymorphisms on pharmacodynamics and pharmacokinetics of anesthetics is still lacking. In this paper, the recent researches on pharmacogenomics of sedatives, analgesics and muscle relaxants are comprehensively reviewed, and the contributions and mechanisms of polymorphisms to the differences of individual efficacy of these drugs are discussed, so as to...

Clinical Research Article

July 13, 2022


Retrospective analysis of the incidence and predictors of postoperative nausea and vomiting after orthopedic surgery under spinal anesthesia
Jae-Woo Ju, Jina Kwon, Seokha Yoo, Ho-Jin Lee
Korean J Anesthesiol. 2023;76(2):99-106.

Background: Postoperative nausea and vomiting (PONV) commonly occurs after spinal anesthesia; however, its incidence rate and predictors have been scarcely studied. Therefore, we aimed to investigate its incidence rate and potential predictors. Methods: The electronic medical records of 6,610 consecutive patients undergoing orthopedic surgery under spinal anesthesia were reviewed between January 2016 and December 2020. The primary outcome was PONV incidence within 24 h after spinal anesthesia. Along with its incidence rate, we investigated its predictors using multivariable logistic regression analysis. Results: Among the 5,691 patients included in the analysis, 1,298 (22.8%)...

Clinical Research Article

September 7, 2022


Impact of transient decrease in mixed venous oxygen saturation on prognosis in off-pump coronary artery bypass surgery: a retrospective cohort study
Kyuho Lee, Kwang-Sub Kim, Jong-Kwang Park, Jun Hyug Choi, Young-Lan Kwak, et al.
Korean J Anesthesiol. 2023;76(2):107-115.

Background: The prognostic consequences of transient hemodynamic deterioration due to cardiac displacement, which is most severe during left circumflex artery (LCX) grafting in off-pump coronary artery bypass surgery (OPCAB) are unknown. This study aimed to investigate the association between mixed venous oxygen saturation (SvO2) < 60% during LCX grafting and the occurrence of composite of morbidity endpoints. Methods: Data of patients who underwent elective OPCAB between January 2010 and December 2019 were reviewed. Logistic regression analysis was performed to detect risk factors for the composite of morbidity endpoints, defined as 30-day...

Clinical Research Article

October 24, 2022


Assessment of the changes in cardiac sympathetic nervous activity using the pupil size changes measured in seated patients whose stellate ganglion is blocked by interscalene brachial plexus block
Eugene Kim, Jung A Lim, Chang Hyuk Choi, So Young Lee, Seongmi Kwak, et al.
Korean J Anesthesiol. 2023;76(2):116-127.

Background: As a side effect of interscalene brachial plexus block (ISBPB), stellate ganglion block (SGB) causes reductions in pupil size (Horner’s syndrome) and cardiac sympathetic nervous activity (CSNA). Reduced CSNA is associated with hemodynamic instability when patients are seated. Therefore, instantaneous measurements of CSNA are important in seated patients presenting with Horner’s syndrome. However, there are no effective tools to measure real-time CSNA intraoperatively. To evaluate the usefulness of pupillometry in measuring CSNA, we investigated the relationship between pupil size and CSNA. Methods: Forty-two patients undergoing right arthroscopic shoulder surgery under...

Clinical Research Article

October 24, 2022


Ultrasound assessment of residual gastric volume in older adults undergoing staged-bilateral total knee arthroplasty after consuming carbohydrate-containing fluids: a prospective observational study
Hyun-Jung Shin, Heeyeon Kim, Sung-Hee Han, Sang-Hwan Do, Hyo-Seok Na
Korean J Anesthesiol. 2023;76(2):128-134.

Background: We compared preoperative residual gastric volume (GV) between the first and second stages of total knee arthroplasty (TKA) in older adults after drinking carbohydrate-containing fluid 2 h prior to surgery. Methods: In this study, 36 patients, aged > 65 years, scheduled for staged bilateral TKA with one-week interval, were enrolled. The patients consumed 400 ml of carbohydrate-containing fluid 2 h prior to surgery. Before the induction of spinal anesthesia, the gastric antral cross-sectional area was measured at the first and second TKA using ultrasound, and the residual GV was calculated....

Clinical Research Article

August 4, 2022


Application of competency-based education in the Korean anesthesiology residency program and survey analysis
Kyung Woo Kim, Won Joo Choe, Jun Hyun Kim
Korean J Anesthesiol. 2023;76(2):135-142.

Background: Although competency-based education (CBE) is becoming a popular form of medical education, it has not been used to train residents. Recently, the Korean Society of Anesthesiologists completed a pilot implementation and evaluation of a CBE program.This study aims to outline the experience. Methods: The chief training faculty from each hospital took a one-hour online course about CBE. Emails on the seven core competencies and their evaluation were sent ahead of a pilot core competency evaluation (CCE) to residents and faculty. The pilot CCE took place in late 2021, followed by a survey. Results: A total of 68 out of 84 hospitals participated in the pilot CCE. The survey response rate was...

Clinical Research Article

October 17, 2022


Comparison of postoperative nausea and vomiting between remimazolam and propofol: a propensity score-matched, retrospective, observational, single-center cohort study
Yuji Suzuki, Shingo Kawashima, Hiroshi Makino, Matsuyuki Doi, Yoshiki Nakajima
Korean J Anesthesiol. 2023;76(2):143-151.

Background: Remimazolam is a novel ultrashort-acting benzodiazepine that has recently become available for general anesthesia. However, the incidence of postoperative nausea and vomiting (PONV) associated with remimazolam remains unknown. In this propensity score-matched, retrospective, observational study, we compared the rates of PONV between remimazolam and propofol. Methods: In this retrospective observational study, propensity score-matching was performed to minimize selection bias. Patients who received total intravenous anesthesia with remimazolam or propofol at the Hamamatsu University Hospital between August 2020 and July 2021 were enrolled in the study. Data on patient demographics, anesthetic...

Experimental Research Article

November 15, 2022


Evaluation of the effects of bupivacaine combined with sugammadex on the duration of the nociceptive blockade in sciatic nerve blocks: a controlled, double-blind animal study
Omer Tasargol, Isfendiyar Darbaz, Osman Ergene, Feride Zabitler, Aziz Deniz, et al.
Korean J Anesthesiol. 2023;76(2):152-159.

Background: Animal and other experimental studies have demonstrated increased block time and quality when α- and β-cyclodextrin drugs are combined with local anesthetics. However, to our knowledge, no study has utilized γ-cyclodextrins in such a combination. In the present study, we used an animal model to evaluate the effects of different doses of the combined administration of γ-cyclodextrin (sugammadex) and bupivacaine on the duration of sciatic nerve blocks in rats. Methods: Sciatic nerve blocks were performed with a 0.20 ml mixture in all groups. For the non-experimental groups, this mixture...
Peripherally inserted central catheters inserted by anesthesiologists: an analysis of 146 insertions for complications
Mark A Burbridge, Richard A Jaffe
[Epub ahead of print]

Letter to the Editor

May 26, 2023
Dexpanthenol protects against lipopolysaccharide-induced acute kidney injury by restoring AQP-2 levels via regulating SIRT-1 signaling pathway
Eyyup S. Ozden, Halil Asci, Halil I. Buyukbayram, Mehmet A. Sevuk, Orhan B. Imeci, Hatice K. Dogan, Ozlem Ozmen
[Epub ahead of print]

Experimental Research Article

May 26, 2023
The effects of early postoperative neurocognitive disorders on clinically relevant outcomes: a meta-analysis
Valery V Likhvantsev, Giovanni Landoni, Levan B Berikashvili, Nadezhda V Ermokhina, Mikhail Ya Yadgarov, Yuki Kotani, Kristina K Kadantseva, Dmitry M Makarevich, Andrey V Grechko
[Epub ahead of print]

Clinical Research Article

May 26, 2023
Randomized controlled trial of the effect of general anesthetics on postoperative recovery after minimally invasive nephrectomy
Hyun-Kyu Yoon, Somin Joo, Susie Yoon, Jeong-Hwa Seo, Won Ho Kim, Ho-Jin Lee
[Epub ahead of print]

Clinical Research Article

May 26, 2023
Comparison of the effect of open and closed aspiration on end-expiratory lung volume in ARDS
Süleyman Yıldırım, Saba Mukaddes Saygılı, Onur Süneçli, Cenk Kirakli
[Epub ahead of print]

Clinical Research Article

May 22, 2023
Breathing circuit leak – An unexpected finding
Deepak Nandwana, Saurav Singh, Gyaninder Pal Singh, Srinivasan R
[Epub ahead of print]

Letter to the Editor

May 22, 2023
Electroencephalographic Spectrogram–Guided Total Intravenous Anesthesia Using Dexmedetomidine and Propofol Prevents Unnecessary Anesthetic Dosing During Craniotomy: A Propensity Score–Matched Analysis
Feng-Sheng Lin, Po-Yuan Shih, Chao-Hsien Sung, Wei-Han Chou, Chun-Yu Wu
[Epub ahead of print]

Clinical Research Article

May 22, 2023
Quality of Recovery in Hospital and Disability-free Survival at 3 Months After Major Abdominal Surgery
Yuki Kinugasa, Mitsuru Ida, Shohei Nakatani, Kayo Uyama, Masahiko Kawaguchi
[Epub ahead of print]

Clinical Research Article

May 10, 2023
Perioperative adverse cardiac events and mortality after non-cardiac surgery: a multicenter study
Byungjin Choi, Ah Ran Oh, Jungchan Park, Jong-Hwan Lee, Kwangmo Yang, Dong Yun Lee, Sang Youl Rhee, Sang-Soo Kang, Seung Do Lee, Sun Hack Lee, et al.
[Epub ahead of print]

Clinical Research Article

May 10, 2023
How to prevent opioid abuse and addiction
Sung Mi Hwang
[Epub ahead of print]

Editorial

May 2, 2023
Comparison of Dexmedetomidine vs Opioids as Local Anesthetic Adjuvants in Patient Controlled Epidural Analgesia: A Meta-Analysis
Yafen Gao, Zhixian Chen, Yu Huang, Shujun Sun, Dong Yang
[Epub ahead of print]

Clinical Research Article

May 2, 2023
Hemidiaphragmatic paralysis after costoclavicular approach versus other brachial plexus blocks in upper limb surgery: a meta-analysis
Chang-Hoon Koo, Insung Hwang, Hyun-Jung Shin, Jung-Hee Ryu
[Epub ahead of print]

Clinical Research Article

May 2, 2023
An increased total postoperative opiate dose is an independent risk factor for prolonged postoperative ileus after laparoscopic colorectal surgery: a case–control study
Hui Ju, Kai Shen, Jiaxin Li, Yi Feng
[Epub ahead of print]

Clinical Research Article

April 25, 2023
Does intra-venous patient-controlled analgesia or continuous block prevent rebound pain following infraclavicular brachial plexus block after distal radius fracture fixation? A prospective randomized controlled trial
Jong-hyuk Lee, Ha-jung Kim, Jae Kwang Kim, Sungjoo Cheon, Young Ho Shin
[Epub ahead of print]

Clinical Research Article

April 24, 2023
Pediatric perioperative fluid management
Hyungmook Lee, Jin Tae Kim
[Epub ahead of print]

Review Article

April 19, 2023
Comparison of different nonsteroidal anti-inflammatory drugs for cesarean section: a systematic review and network meta-analysis
I. Murdoch, A. Carver, P. Sultan, J. O’Carroll, L. Blake, B. Carvalho, D.N. Onwochei, N. Desai
[Epub ahead of print]

Clinical Research Article

April 17, 2023
Comment on "Psychogenic coma after general anesthesia with remimazolam and remifentanil”
Saecheol Oh, Dal-ah Kim
[Epub ahead of print]

Letter to the Editor

April 6, 2023
The novel continuous sub-splenius plane block for analgesia of the shoulder region and upper rib fractures: a comprehensive technical report
Carlos Rodrigues Almeida
[Epub ahead of print]

Letter to the Editor

April 6, 2023
Effects of remote ischemic postconditioning on hepatic injury in lipopolysaccharide-induced endotoxemic rats
Jin Duck Cho, Hoon Jung, Jeong Eun Lee, Eun Kyung Choi, Hyun Ah Kim, Hyun-Su Ri, Hyunjee Kim, Ji Young Park, Kyung-Hwa Kwak, Dong Gun Lim
[Epub ahead of print]

Experimental Research Article

April 4, 2023
Comparison of pericapsular nerve group (peng) block with intra-articular and quadratus lumborum block in primary total hip arthroplasty: a randomized controlled trial
Tayfun ET, Muhammet Korkusuz
[Epub ahead of print]

Clinical Research Article

April 4, 2023
General anesthesia using remimazolam and remifentanil without neuromuscular blocking agents in a patient with myotonic dystrophy
Yukihide Koyama, Haruko Nishikawa, Yoriko Murase, Kei Morita, Koichi Tsuzaki
[Epub ahead of print]

Letter to the Editor

March 28, 2023
Ultrasound-guided radiofrequency denervation and pericapsular nerve group block application for chronic hip joint pain in a patient diagnosed with Duchenne muscular dystrophy
Gokhan Yildiz, Muge Baran, Saziye Sahin, Erkan Yavuz Akcaboy, Seref Celik
[Epub ahead of print]

Letter to the Editor

March 21, 2023
Surgical pleth index monitoring in perioperative pain management: usefulness and limitations
Seok Kyeong Oh, Young Ju Won, Byung Gun Lim
[Epub ahead of print]

Review Article

March 17, 2023
Effects of dexmedetomidine on pulmonary function in patients receiving one-lung ventilation: a meta-analysis of randomized controlled trials
Lin Yang, Yongheng Cai, Lin Dan, He Huang, Bing Chen
[Epub ahead of print]

Clinical Research Article

March 16, 2023
Catatonia associated with prolonged stupor after general anesthesia in a patient with multiple neuropsychiatric disorders - a case report-
Sungwon Baek, Min Hee Heo, Kyung Woo Kim, Sang Il Lee, Kyung-Tae Kim, Jang Su Park, Won Joo Choe, Jun Hyun Kim, Ji Yeon Kim
[Epub ahead of print]

Case Report

March 14, 2023
The modified pectoral nerve block versus bi-level erector spinae plane block for postoperative analgesia after radical mastectomy surgery: A prospective, randomized, controlled trial
Sevim Cesur, Can Aksu, Sertaç Ata Güler, Alparslan Kuş
[Epub ahead of print]

Clinical Research Article

March 14, 2023
The Analgesic Effect of Regional Blocks for Modified Radical Mastectomy: A Network Meta-analysis
Junheng Chen, Chao Chen, Sufang Chen, Yinzhou Zhan, Chuzhou Ma, Xuezhu Ma, Ziqing Hei, Chunming Guo, Weifeng Yao
[Epub ahead of print]

Clinical Research Article

March 13, 2023
A novel technique of handling the blade for videolaryngoscopy intubation in patients with a semi-rigid neck collar: a prospective randomized controlled trial
Myoung Hwa Kim, Ji Young Kim, Jong Seok Lee, Arim Jo, Do-Hyeong Kim
[Epub ahead of print]

Clinical Research Article

March 13, 2023
Anesthetic Management for Non-Cardiac Surgery in the Patient with Left Ventricular Assistance Device
Jeong-Jin Min, Yang Hyun Cho, Sangmin M. Lee, Jong-Hwan Lee
[Epub ahead of print]

Review Article

March 10, 2023
Safety considerations with the current ambulatory trends: More complicated procedures and more complicated patients
Steven Young, Brian Osman, Fred E. Shapiro
[Epub ahead of print]

Review Article

March 10, 2023
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  • Hydrolocation assisted subclavian venous catheterization -two case reports-. Korean J Anesthesiol. 2022;75:445-448
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