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Development of severe junctional bradycardia after dexmedetomidine infusion in a polypharmacy patient: a case report and literature review

Jeon S, Kim E, Lee SH, Paek SI, Ri HS, Lee D

The authors report a case of newly manifested severe junctional bradycardia following dexmedetomidine administration during spinal anesthesia in a polypharmacy patient. A 77-year-old woman receiving multiple medications, including a beta-blocker...
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Association between anesthetic method and postpartum hemorrhage in Korea based on National Health Insurance Service data

Jee Y, Lee HJ, Kim YJ, Kim DY, Woo JH

Background: Postpartum hemorrhage (PPH) is a major cause of maternal mortality and the risk factors for PPH differ among studies. In this large-scale study, we investigated whether the anesthetic method...
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Verification of the performance of the Bispectral Index as a hypnotic depth indicator during dexmedetomidine sedation

Ki S, Lee D, Lee W, Cho K, Han Y, Lee J

Background: Differences in the effects of propofol and dexmedetomidine sedation on electroencephalogram patterns have been reported previously. However, the reliability of the Bispectral Index (BIS) value for assessing the sedation...
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Ultrasonography for lumbar neuraxial block

Yoo S, Kim Y, Park SK, Ji SH, Kim JT

Ultrasonography can be useful to perform a lumbar neuraxial block. It aids in understanding the anatomy of the lumbar spine before the procedure. Pre-procedural ultrasound imaging provides information about the...
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Evaluation of changes in anesthetic methods for cesarean delivery: an analysis for 5 years using the big data of the Korean Health Insurance Review and Assessment Service

Park JI, Park SH, Kang MS, Kang GW, Kim ST

Background: As an anesthesia induced during cesarean section, spinal anesthesia is preferred over general and epidural anesthesia. This study aimed to review the trend of anesthetic methods for cesarean section...
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Comparison of preoperative ultrasound guided fascia iliaca block versus femoral nerve block for proximal femur fractures before positioning for spinal anesthesia: an observational study

Gupta M, Kamath SS

Background: Severe pain associated with proximal femur fractures makes the positioning for regional anesthesia a challenge. Systemic administration of analgesics can have adverse effects. Individually, both the fascia iliaca block...
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Anaphylactic reaction with hydroxyethyl starch during anesthesia: A case report

Kim G, Kim G, Kwon M, Koo M, Yun M

BACKGROUND: Hydroxyethyl starch (HES), a class of synthetic colloid solutions, has been widely used to treat perioperative hypovolemia. The use of HES, however, is associated with the risk of allergic...
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Comparison of the immediate hemodynamic changes induced by unilateral and bilateral spinal anesthesia in hypertensive elderly patients

Cho WJ, Yun SH, Oh JH, Lee K, Kim HJ

BACKGROUND: The objective of this study was to compare the frequency of hypotension and immediate hemodynamic changes induced by unilateral and bilateral spinal anesthesia in hypertensive elderly patients. METHODS: Forty hypertensive...
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Retrospective Analysis of Anesthesia for Cesarean Section of the Patients with Hypertensive Disorders in Pregnancy for 15 Years

Lee SY, Bang EC, Yang EA, Lee HS, Kang YI, Cho KS, Kim SY

OBJECTIVES: To compare the clnical data of general and regional anesthesia for cesarean section in patients with systemic hypertension. METHODS: We conducted a retrospective survey with the medical records of the...
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The Effects of Intravenous Ephedrine During Spinal Anesthesia for Cesarean Delivery: A Randomized Controlled Trial

Kol IO, Kaygusuz K, Gursoy S, Cetin A, Kahramanoglu Z, Ozkan F, Mimaroglu

We designed a randomized, double-blinded study to determine the efficacy and safety of 0.5 mg/kg intravenous ephedrine for the prevention of hypotension during spinal anesthesia for cesarean delivery. Patients were...
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Optimal Point and Angle of Needle insertion in Midline Spinal Puncture in Korean Young Adult Male

Jung CW, Ahn WS

BACKGORUND: in spinal anesthesia, we usually walk over the interspinous space with a repetitive insertion-withdrawal-redirection-advance chain, which is annoying and time consuming, let alone the discomfort of patients. The aim...
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Effects of Saline and Bupivacaine for Epidural Top-up on Sensory Blockade Level during Combined Spinal Epidural Anesthesia

Kim DY, Han JI

  • KMID: 2335887
  • J Korean Pain Soc.
  • 2000 Jun;13(1):84-88.
BACKGROUND: An increase in the maximum level of sensory blockade (MLSB) following an epidural top-up in combined spinal epidural anesthesia (CSE) may be achieved by a volume effect as the volume of...
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The Effects of Warming Intravenous Fluids, Sensory Block Level, and Skin Temperature on Postanesthetic Shivering during Spinal Anesthesia

Ahn SW, Kim TH

BACKGROUND: Shivering, which occurs in the postanesthetic period, annoys many patients, so we examined the correlation of postanesthetic shivering (PAS) and warming intravenous fluids, the level of sensory blockade, and...
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The Effects of Volume and Concentration Using the Hyperbaric Bupivacaine in Spinal Anesthesia

Son SC, Ahn MJ, Jo JO

BACKGROUND: The purpose of this study is to investigate the effects of volume and concentration in a constant dose of subarachnoid bupivacaine on the extent and duration of sensory and...
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The Effect of Oral Premedication Using Bethanechol on Bladder Dysfunction Following Spinal Anesthesia

Lim SW, Kwoun SP

BACKGROUND: Urinary retention is one of the most common complications after spinal anesthesia, and its inadequate management can result in serious outcomes. Overdistended bladder due to urinary retention should be...
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The Effects of Ephedrine and Prehydration on the Cardiovascular Response during Spinal Anesthesia

Oh SK, Han YJ, Choe H, Song HS

BACKGROUND: This study was designed to compare the efficacy of an ephedrine intramuscular injection with crystalloid or colloid administration for the prevention of cardiovascular change during spinal anesthesia undergoing Transurethral...
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Pulmonary Thromboembolism Following Spinal Anesthesia: A case report

Lee JJ, Shin BS, Hong JS

Pulmonary thrombo-embolism in operating room is one of the important cause of morbidity and mortality in patients undergoing femur neck fracture surgery. However, the diagnosis of pulmonary thromboembolism may not...
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Spinal Anesthesia with Hyperbaric 1.5% Lidocaine and 1.5% Mepivacaine

Yea KH, Lee SC, Kim JS, Chung CJ

BACKGROUND: Lidocaine has been used for spinal anesthesia in short surgical procedure. However, transient neurologic symptoms (TNS) frequently occur after spinal anesthesia with lidocaine. Mepivacaine which has a silimar...
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The Effect of Injection Direction during Hyperbaric Tetracaine Spinal Anesthesia with Pencil-Point Needle

Lee SC, Choi IH, Kim DK, Ro CJ, Kim SO, Sim WS

BACKGROUND: Pencil-point needle currently are used for spinal anesthesia because of an alleged lowered incidence of postdural puncture headache. Although the direction of the side hole is one of the...
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Pulmonary Function Changes during Spinal Anesthesia - Bupivacaine vs. Tetracaine -

Lee JJ, Joun WJ, Kim CS, Kim GS, Hahm TS, Jo HS, Han TH, Shin BH

BACKGROUND: Although degree of motor blockade during high thoracic spinal anesthesia is difficult to determine, pulmonary function may reflect the level of motor blockade. So we checked pulmonary function during...
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