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Outcomes of Carotid Endarterectomy according to the Anesthetic Method: General versus Regional Anesthesia

Kim JW, Huh U, Song S, Sung SM, Hong JM, Cho A

BACKGROUND: The surgical strategies for carotid endarterectomy (CEA) vary in terms of the anesthesia method, neurological monitoring, shunt usage, and closure technique, and no gold-standard procedure has been established yet....
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Serratus anterior plane block combined with monitored anesthesia care for surgery of lateral side of breast: a case report

Yoon HS, Yu BW, Kim YM, Lee JH, Koh WU, Yang HS

BACKGROUND: In breast surgery, regional anesthesia rather than primary anesthesia has been mainly used for postoperative analgesia. Serratus anterior plane block is a new method for ultrasound-guided thoracic wall block....
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Coagulation abnormalities and bleeding in pregnancy: an anesthesiologist's perspective

Yoon HJ

During pregnancy, the procoagulant activity increases (manifested by elevation in factor VII, factor VIII, factor X, and fibrinogen levels), while the anticoagulant activity decreases (characterized by reduction in fibrinolysis and...
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PECS II block is associated with lower incidence of chronic pain after breast surgery

De Cassai , Bonanno C, Sandei L, Finozzi F, Carron M, Marchet A

BACKGROUND: Breast cancer is complicated by a high incidence of chronic postoperative pain (25%–60%). Regional anesthesia might play an important role in lowering the incidence of chronic pain; however it...
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Spinal anesthesia and postoperative epidural analgesia in a patient with congenital central hypoventilation syndrome: a case report

Choi Y, Lee S, Lee J, Woo S

BACKGROUND: Congenital central hypoventilation syndrome (CCHS) is a rare disorder characterized by alveolar hypoventilation and autonomic dysregulation. Patients with CCHS have adequate ventilation while awake but exhibit hypoventilation while asleep....
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Multimodal analgesia with multiple intermittent doses of erector spinae plane block through a catheter after total mastectomy: a retrospective observational study

Hong B, Bang S, Chung W, Yoo S, Chung J, Kim S

BACKGROUND: Although case reports have suggested that the erector spinae plane block (ESPB) may help analgesia for patients after breast surgery, no study to date has assessed its effectiveness. This...
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Erector spinae plane block combined with a novel technique for selective brachial plexus block in breast cancer surgery: a case report

De Cassai , Bonvicini , Ruol M, Correale C, Furnari M

BACKGROUND: The breast is innervated by the intercostal nerves and the brachial plexus. We propose a technique to perform breast surgery without general anesthesia using the erector spinae plane (ESP)...
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The erector spinae plane block: a narrative review

Kot P, Rodriguez , Granell M, Cano B, Rovira L, Morales J, Broseta A, Andrés JD

Regional anesthesia and pain management have experienced advances in recent years, especially with the advent of fascial plane blocks. The erector spinae plane block is one of the newest techniques...
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A Comparison of Combined Superficial Cervical Plexus Block and Interscalene Brachial Plexus Block with General Anesthesia for Clavicle Surgery: Pilot Trial

Yoo JH, Ryoo JH, You GW

OBJECTIVE: Recently, the cases about successful regional anesthesia using combined superficial cervical plexus block and interscalene brachial plexus block for clavicle surgery have been reported. The aim of this study...
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Advantages of Using Ultrasound in Regional Anesthesia for a Super-Super Obese Patient

Yim WJ, Yoon KS, Hong JI, Park SY, Choi SR, Lee JH

In this case report, we describe the use of ultrasound in the administration regional anesthesia for a super-super obese patient. A 23-year-old female patient (height 167.2 cm, weight 191.5 kg,...
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Efficacy of rhomboid intercostal block for analgesia after thoracotomy

Okmen K

Regional anesthesia, including central and plane blocks (serratus anterior plane block and erector spinae block), are used for post-thoracotomy pain. The rhomboid intercostal block (RIB) is mainly performed by injection...
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Simulation-based ultrasound-guided regional anesthesia curriculum for anesthesiology residents

Kim TE, Tsui BC

Proficiency in ultrasound-guided regional anesthesia (UGRA) requires the practitioner to acquire cognitive and technical skills. For anesthesiology residents, an assortment of challenges has been identified in learning UGRA skills. Currently,...
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Epidural hematoma after total knee arthroplasty in a patient receiving rivaroxaban: A case report

Shin S, Kang H, Lee JW, Kim HG, Choi ES

Rivaroxaban, a factor Xa inhibitor, is one of the newly developed direct oral anticoagulants (DOAC). In recent times, it has been increasingly used in the prevention of pulmonary embolism in...
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A working paradigm for managing mandibular fractures under regional anesthesia

Chellappa , Meshram V, Kende P, Landge J, Aggarwal N, Tiwari M

OBJECTIVES: Isolated mandibular fractures contribute to approximately 45% of maxillofacial traumas. Improper management of mandibular fractures can cause myriad potential complications and can lead to serious functional and aesthetic sequelae....
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Real-time ultrasound-guided spinal anesthesia for cesarean section in patient with severe kyphoscoliosis and Duchenne's muscular dystrophy: A case report

Kim H, Shin SI

Most elective cesarean sections are conducted under spinal anesthesia. Regional anesthesia has become the preferred technique, because general anesthesia is associated with a greater risk of maternal morbidity and mortality....
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Derivation of pharmacokinetic equations

Noh GJ

A variety of drugs are continuously or intermittently administered to patients during general or regional anesthesia. Pharmacotherapy should also receive priority compared with several treatment modalities including nerve blocks for...
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Designing the ideal perioperative pain management plan starts with multimodal analgesia

Schwenk ES, Mariano ER

Multimodal analgesia is defined as the use of more than one pharmacological class of analgesic medication targeting different receptors along the pain pathway with the goal of improving analgesia while...
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“Spray-as-you-go” medical technique for awake intubation using a combination of an epidural catheter and the OptiScope in a patient with Ludwig's angina: A case report

Nam DJ, Cho JG, Kang SH, Kang S

A 73-year-old woman presented to the emergency department with submandibular pain and swelling. The patient was diagnosed to have Ludwig's angina, and she was planned to undergo urgent incision and...
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Ultrasound-guided superficial cervical plexus block under dexmedetomidine sedation versus general anesthesia for carotid endarterectomy: a retrospective pilot study

Do W, Cho AR, Kim EJ, Kim HJ, Kim E, Lee HJ

BACKGROUND: Carotid endarterectomy (CEA) has been performed under regional and general anesthesia (GA). The general anesthesia versus local anesthesia for carotid surgery study compared the two techniques and concluded that...
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Coronary artery spasm as the probable cause of cardiac arrest immediately after the induction of spinal anesthesia: A case report

Kim JA, Chung CJ, Yoon KS, Hong JI, Lee SC, Park SY, Choi SR, Lee DH, Jeong JH

A 72-year-old man underwent spinal anesthesia for artificial urinary sphincter placement for urinary incontinence. After the block level was confirmed below T6, 1 g of cefotetan, which had not shown...
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