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Goal-Directed Fluid Therapy Based on Pulse-Pressure Variation Compared with Standard Fluid Therapy in Patients Undergoing Complex Spine Surgery: A Randomized Controlled Trial

Wongtangman K, Wilartratsami S, Hemtanon N, Tiviraj S, Raksakietisak M

Study Design: Prospective, randomized, controlled study. Purpose: To determine whether the use of goal-directed fluid therapy (GDT) guided by pulse-pressure variation (PPV) and fluid management protocol can reduce intraoperative hypotension, blood...
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System of integrating biosignals during hemodialysis: the CONTINUAL (Continuous mOnitoriNg viTal sIgN dUring hemodiALysis) registry

Kim S, Yun D, Kwon S, Lee SR, Kim K, Kim YC, Kim DK, Oh KH, Joo KW, Lee HC, Jung CW, Kim YS, Han SS

Background: Appropriate monitoring of intradialytic biosignals is essential to minimize adverse outcomes because intradialytic hypotension and arrhythmia are associated with cardiovascular risk in hemodialysis patients. However, a continuous monitoring system...
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Risk factors associated with repeated epidural blood patches using autologous blood

Oh AR, Park J, Jeong JS, Lee JY, Choi JW, Kim H, Sim WS

Background: An epidural blood patch (EBP) is a procedure to treat intracranial hypotension that does not respond to conservative treatment. EBPs are commonly repeated when the symptoms persist. In this...
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Characterization of hypotensive and vasorelaxant effects of PHAR-DBH-Me a new cannabinoid receptor agonist

López-Canales OA, Pavón N, Ubaldo-Reyes LM, Juárez-Oropeza MA, Torres-Durán PV, Regla I, Paredes-Carbajal MC

The effect of PHAR-DBH-Me, a cannabinoid receptor agonist, on different cardiovascular responses in adult male rats was analyzed. The blood pressure was measured directly and indirectly. The coronary flow was...
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Recent update on epidural blood patch

Shin HY

Epidural blood patch (EBP) is the injection of autologous blood into the epidural space with the intent of sealing off a dural tear and stopping the leakage of cerebrospinal fluid...
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Greater occipital nerve blockade using ultrasound guidance for the headache of spontaneous intracranial hypotension - A case report -

Hong JH, Lee HW, Lee YH

Background Spontaneous intracranial hypotension occurs due to cerebrospinal fluid leakage from the spinal column, and orthostatic headache is the most common clinical presentation. Recent studies showed that bilateral greater occipital nerve...
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Heavily T2-Weighted Magnetic Resonance Myelography as a Safe Cerebrospinal Fluid Leakage Detection Modality for Nontraumatic Subdural Hematoma

An S, Jeong HG, Seo D, Jo H, Lee SU, Bang JS, Oh CW, Kim T

Objective : Nontraumatic subdural hematoma (SDH) is a common disease, and spinal cerebrospinal fluid (CSF) leakage is a possible etiology of unknown significance, which is commonly investigated by several invasive...
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A clinical algorithm to determine target blood pressure in the elderly: evidence and limitations from a clinical perspective

Shin J, Kim Ki

As the elderly population is growing rapidly, management of hypertension in South Korea faces major challenges because the proportion of elderly hypertension patients is also increasing. The characteristics of this...
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Surgical Outcomes in Patients with Simultaneous Traumatic Brain and Torso Injuries in a Single Regional Trauma Center over a 5-Year Period

Yun JH

Purpose: The purpose of the study is to analyze the results of surgical treatment of patients with brain and torso injury for 5 years in a single regional trauma center. Methods:...
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Clinical Outcomes of Emergent Laparotomies in Hypotensive Patients: 9-years Experience at a Single Level 1 Trauma Center

Yoo J, Kang BH

Purpose: The prognosis of an emergent laparotomy in hypotensive patients is poor. This study aimed to review the outcomes of hypotensive patients who had emergent laparotomies and elucidate the risk...
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Autonomic Dysfunction in Patients With Dementia

Lee J, Chang SM

Autonomic dysfunction commonly occurs in patients with dementia and is typically reported in patients with Alzheimer’s disease and Lewy body dementia. The clinical presentation of autonomic dysfunction includes symptoms related...
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Cerebral Venous Thrombosis Caused by Spontaneous Intracranial Hypotension: A Case Report

Lee KJ, Kim ST, Lee WH, Lee KS, Paeng SH, Pyo Sy

This case report presents a rare case of cerebral venous thrombosis (CVT) caused by spontaneous intracranial hypotension (SIH). The cause and prognosis of CVT can vary; CVT caused by SIH is...
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Intracranial Hypotension Leading to Intracranial Hypertension with Ocular Manifestations

Lee J, Chung YW

Purpose: To report a case of a 29-year-old binocular-diplopia patient diagnosed with intracranial hypertension, caused by a subdural hematoma due to intracranial hypotension. Case summary: A 29-year-old male hypertensive patient, diagnosed...
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Shock Thyroid in a Patient with Septic Shock: A Case Report and Literature Review

Kim WH, Kim MS, Kim JH, Lee KH, Lee JH

Shock thyroid is a rare manifestation of the CT hypotension complex and can be diagnosed when thyroid and perithyroidal edemas are observed on CT during the onset of shock. Shock...
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Hemodynamic effects of norepinephrine versus phenylephrine infusion for prophylaxis against spinal anesthesia-induced hypotension in the elderly population undergoing hip fracture surgery: a randomized controlled trial

Mostafa M, Hasanin A, Mostafa M, Taha MY, Elsayad M, Haggag FA, Taalab O, Rady A, Abdelhamid B

Background: Elderly population are at increased risk of spinal anesthesia-induced hypotension increasing their risk for postoperative morbidity and mortality. This study aimed to compare the hemodynamic effects of prophylactic...
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The Analysis of Perfusion Index and Plethysmographic Variability Index During Elective Cesarean Section

Ha NJ, Hong JH

Background: Hypotension following spinal anesthesia of Cesarean section is mainly caused by peripheral vasodilation and venous pooling due to sympathetic blockade. The degree of sympathetic blockade is known to affect...
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The Efficacy of Hypotensive Agents on Intraoperative Bleeding and Recovery Following General Anesthesia for Nasal Surgery: A Network Meta-Analysis

Kim DH, Lee J, Kim SW, Hwang SH

Objectives. A systematic review of the literature was conducted to evaluate hypotensive agents in terms of their adverse effects and associations with perioperative morbidity in patients undergoing nasal surgery. Methods. Two...
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Risk factors associated with hypotensive bradycardic events during open shoulder surgery in the beach chair position

Choi JW, Kim DK, Jeong HJ, Kim YR, Chung YJ, Son YH

Background Shoulder surgery in the beach chair position frequently causes hypotensive bradycardic events (HBEs), which are potentially associated with an increased risk of cerebral hypoperfusion. Here, we aimed to investigate the...
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Retrospective analysis of risk factors of hypotensive bradycardic events during shoulder arthroscopic surgery under interscalene blockade in the sitting position

Ryu T, Kim BJ, Woo SJ, Lee SY, Lim JA, Kwak SG, Roh WS

Background: Hypotensive bradycardic events (HBEs) are a frequent adverse event in patients who underwent shoulder arthroscopic surgery under interscalene block (ISB) in the sitting position. This retrospective study was conducted...
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Diagnostic approach of orthostatic dizziness/vertigo

Lee H, Kim HA

This paper introduces new diagnostic criteria and differential diagnosis of orthostatic dizziness to help clinicians to diagnose hemodynamic orthostatic dizziness. Clinicians need to be able to discriminate hemodynamic orthostatic dizziness...
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