Anesthesia and pain medicine
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Ultrasonography can be useful to perform a lumbar neuraxial block. It aids in understanding the anatomy of the lumbar spine before the procedure. ⋯ Ultrasonography can facilitate lumbar neuraxial block in difficult cases, such as the elderly, obese patients, and patients with anatomical abnormality of the lumbar spine. This review elucidates the basics of spinal ultrasonography for lumbar neuraxial block and the current evidence regarding ultrasound-guided neuraxial block in adults.
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Anesth Pain Med (Seoul) · Jul 2020
Effects of 10-min prewarming on core body temperature during gynecologic laparoscopic surgery under general anesthesia: a randomized controlled trial.
Previous research has shown a beneficial effect of prewarming for preventing inadvertent perioperative hypothermia. However, there are few studies of the effects of a short prewarming period, especially in gynecologic laparoscopic surgery. ⋯ Forced air warming for 10 min before induction on the operating table combined with intraoperative warming was an effective method to prevent hypothermia in patients undergoing gynecologic laparoscopic surgery.
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Anesth Pain Med (Seoul) · Jul 2020
Analysis of perioperative cardiac arrest in a rural hospital in Korea.
Perioperative cardiac arrest has been studied in many countries but few related studies have been conducted in Korea. Previous studies were not applicable to rural hospitals due to differences in the demographics between the regions. In the present study, the incidence, mortality, and related factors of perioperative cardiac arrest in a hospital in Youngdong province were analyzed and compared with previous research. ⋯ The incidence and mortality of perioperative cardiac arrest in our hospital were higher than those in a recent study in Seoul, demonstrating a regional gap in Korea.
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Anesth Pain Med (Seoul) · Jul 2020
Case ReportsTransversus abdominis plane block as a sole anesthetic technique for evacuation of rectus abdominis muscle hematoma - A case report.
Transversus abdominis plane (TAP) blocks have been used for analgesia in various abdominal surgeries. However, a TAP block as the sole anesthetic method for surgery has rarely been reported. ⋯ The evacuation of an abdominal wall hematoma in a breastfeeding patient was successfully performed under a bilateral TAP block.
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Anesth Pain Med (Seoul) · Oct 2019
Association of preoperative pain in knee and external to knee with postoperative pain outcome after total knee arthroplasty.
Preoperative pain in the symptomatic knee may predict postoperative pain severity in patients undergoing total knee arthroplasty (TKA). However, the effect of preoperative pain external to the knee on postoperative pain is unclear. This study evaluated postoperative pain outcomes in TKA patients according to the presence of preoperative pain in the knee only or in the knee and external to the knee. ⋯ This study showed that there was an increase of morphine equivalent consumption during POD 0-3 in patients with preoperative knee pain with external to knee pain than in patients with preoperative only knee pain.