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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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A Premature Baby with Severe Oligohydramnios and Hypotension: a Case Report of Renal Tubular Dysgenesis

Min J, Cho MH, Bae SP, Shin SH, Ha IS, Cheong HI, Kang HG

Renal tubular dysgenesis (RTD) is a rare fatal disorder in which there is poor development of proximal tubules, leading to oligohydramnios and the Potter sequences. RTD occurs secondary to renin-angiotensin...
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Anaphylaxis induced by sugammadex and sugammadex-rocuronium complex -a case report-

Choi SC, Han S, Kwak J, Lee JY

Background: In sugammadex-induced anaphylaxis, sugammadex and/or sugammadex-rocuronium complex have possible allergenic epitope. Case: We report a case of sugammadex-induced anaphylaxis during general anesthesia in a 60-year-old male undergoing...
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Heart-Rate-Based Machine-Learning Algorithms for Screening Orthostatic Hypotension

Kim JB, Kim H, Sung JH, Baek SH, Kim BJ

Background and Purpose: Many elderly patients are unable to actively stand up by themselves and have contraindications to performing the head-up tilt test (HUTT). We aimed to develop screening algorithms...
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Treatment-Induced Neuropathy of Diabetes

Kim KH, Leem MJ, Yi TI, Kim JS, Yoon SY

Treatment-induced neuropathy in diabetes (TIND) is a reversible neuropathy that occurs in patients with diabetes, usually after a fast improvement in glycemic control. TIND is defined as the sudden onset...
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Anesthesia-Related Neurally Mediated Syncope in the Perioperative Period: Two Case Reports

Shim JH, Park HJ, Lee CW, Park SH, Hwang YH, Shin WJ, Jeon WJ

The following report describes the occurrence of severe hypotension and bradycardia in a healthy 50-year-old man following placement from supine to the beach chair position during general anesthesia for injured...
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Abducens Nerve Palsy in Patient with Intracranial Hypotension After SpineSurgery

Lee SM, Park SH, Lee JE, Kim SJ

Purpose: We report a case of a patient with sixth cranial nerve palsy due to intracranial hypotension after lumbar disc surgery. Case Summary: A 56-year-old male patient complained of horizontal diplopia...
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Junctional rhythm with severe hypotension followinginfiltration of lidocaine containing epinephrineduring dental surgery

Jeon Y, Shim J, Kim H

We experienced an unusual case of accelerated junctional rhythm with severe hypotension after infiltration of lidocaine containing epinephrine during dental surgery under general anesthesia. The patient’s electrocardiogram exhibited retrograde P-waves following the...
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Hemodynamic effects of carbetocin administered as an intravenous bolus or infusion during cesarean delivery

Kwon K, Kim D, Jo H, Park JE, Kim KO

Background: Postpartum hemorrhage is the leading cause of maternal mortality. Oxytocin being the most popular uterotonic agent, has been routinely administered after both vaginal delivery and cesarean section. Carbetocin is...
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Management of perioperative volume therapy – monitoring and pitfalls

Sander M, Schneck E, Habicher M

Over 300 million surgical procedures are performed every year worldwide. Anesthesiologists play an important role in the perioperative process by assessing the overall risk of surgery and aim to reduce...
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Immediate Post-laparotomy Hypotension in Patients with Severe Traumatic Hemoperitoneum

Lee GJ, Lee MA, Yoo B, Park Y, Jang MJ, Choi KK

Purpose Immediate post-laparotomy hypotension (PLH) is a precipitous drop in blood pressure caused by a sudden release of abdominal tamponade after laparotomy in cases of severe hemoperitoneum. The effect of laparotomy...
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Damage control resuscitation

Leibner E, Andreae M, Galvagno Jr SM, Scalea T

The United States Navy originally utilized the concept of damage control to describe the process of prioritizing the critical repairs needed to return a ship safely to shore during a...
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Delayed Audio-Vestibular Symptoms in Spontaneous Intracranial Hypotension

Choi HS, Kim JM, Kim HC, Cho HH, Lee SH

Intracranial hypotension (IH) is a neurological disorder characterized by orthostatic headache due to cerebrospinal fluid (CSF) volume depletion. IH usually results from CSF leak caused by either spontaneous or traumatic...
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Anesthesia for the patient with a recently diagnosed concussion: think about the brain!

Rasouli MR, Kavin M, Stache S, Mahla ME, Schwenk ES

Some patients require emergent, urgent, or elective surgery in the time period immediately following diagnosis of concussion. However, changes in brain homeostatic mechanisms following a concussion and concern for secondary...
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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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