Korean journal of anesthesiology
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Korean J Anesthesiol · Oct 2019
EditorialTeaching an old pain medicine society new tweets: integrating social media into continuing medical education.
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Korean J Anesthesiol · Oct 2019
LetterThe retroclavicular approach to the PECS II (RAP) block: a novel regional technique for breast surgery.
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Korean J Anesthesiol · Oct 2019
Randomized Controlled Trial Comparative StudyProgrammed intermittent epidural bolus (PIEB) as compared to continuous epidural infusion (CEI) for the maintenance of labor analgesia: A prospective randomized single blinded controlled trial.
Programmed intermittent epidural bolus (PIEB) techniques are a new area of interest for maintaining labor analgesia due to the potential to decrease motor block and improve labor analgesia. This study compares continuous epidural infusion (CEI) to 2 PIEB regimens for labor analgesia. ⋯ Our study suggests that high volume PIEB regimens for labor analgesia decrease breakthrough pain and physician-administered boluses.
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Korean J Anesthesiol · Oct 2019
Optimal location of local anesthetic injection into the interspace between the popliteal artery and posterior capsule of the knee (iPACK) for posterior knee pain after total knee arthroplasty: an anatomical and clinical study.
This study aimed to determine the optimal location of local anesthetic injection in the interspace between the popliteal artery and posterior capsule of the knee (iPACK), using the anatomical pattern of the articular branch of tibial nerve (ABTN). We hypothesized that injection at the level of ABTN forming a popliteal plexus would mainly spread throughout the popliteal fossa without contacting the tibial or peroneal nerves. ⋯ We described a modified iPACK technique injection at the level of the ABTN forming the popliteal plexus, and it may constitute an optional anesthetic regimen to promote early ambulation following TKA.
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Korean J Anesthesiol · Oct 2019
Case ReportsAnaphylactic shock after sugammadex administration, induced by formation of a sugammadex-rocuronium complex -a case report.
Sugammadex is a reversal agent for non-depolarizing neuromuscular blockers and widely used worldwide on account of its rapid and effective reversal from neuromuscular blockade, despite its advantages, multiple cases of sugammadex-induced anaphylactic shock have been reported. ⋯ Anesthesiologists and healthcare providers should be aware of the possibility of anaphylaxis from the sugammadex-rocuronium complex, as well as from sugammadex or rocuronium alone.