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Anesthesia and autonomic nervous system: is measurement of heart rate variability, blood pressure variability and baroreflex sensitivity useful in anesthesiology specialty?

Hwang GS

The autonomic nervous system (ANS) contributes importantly to the short-term regulation of blood pressure and cardiovascular variability. Evidence from numerous studies indicates a strong association among compromised ANS, sudden cardiac...
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Anaphylaxis by atracurium on a cardiac surgery patient: A case report

Kim JK, Jeon YS, Hong DM, Lim TW, Bahk JH, Ahn H

Effective treatment of hypotension during induction of general anesthesia depends onhow well the many causes of the hypotension are understood. However, differential diagnosis of hypotension is by no means easy,...
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Use of the Airtraq(R) optical laryngoscope as a rescue airway device following failed awake flexible fiberoptic nasotracheal intubation of a patient with severe microsomia: A case report

Song JG, Kwon MA

We report here the successful use of the Airtraq(R) optical laryngoscope (AOL) as a rescue device following failed awake flexible fiberoptic nasotracheal intubation of a patient with severe mandibular microsomia....
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Pneumocephalus after an autologous blood patch procedure to treat a postdural puncture headache: A case report

Lee SS, Lee SG, Min BW, Ban JS, Lee JH, Kim EJ

Postdural puncture headache is the most common complication of unintentional dural puncture with an epidural needle. We present here the case of a 44-year-old woman who developed a severe headache...
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The effect of injection rate on etomidate-induced myoclonus

Do SH, Han SH, Park SH, Kim JH, Hwang JY, Son IS, Kim MS

BACKGROUND: Etomidate frequently causes myoclonus. Since the myoclonus is caused by a transient disequilibrium due to etomidate exposure in the CNS, we hypothesized that a slow rate of injection of...
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Intraoperative anaphylaxis after local infiltration of lidocaine for dental treatment under general anesthesia: A case report

In JH, Choi JW, Joo JD, Kim DW, Jung HS, Park HJ

Anaphylaxis or anaphylactoid reactions rarely occur during the perioperative period but can be a devastating complication of general anesthesia. We experienced a patient with an unexpected anaphylaxis. A 11-yr-old boy...
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Difficult intubation due to interarytenoid adhesion: A case report

Park SJ, Song SO, Hwang CJ

Interarytenoid adhesion of the vocal cords, with a triangular anterior opening and a smaller posterior rounded opening, is one of the complications of intubation. The vocal cords are tethered to...
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Anesthetic management for a patient with aberrant right subclavian artery: A case report

Yang SM, Kim JT, Bae JY, Kim HJ, Kim HS, Kim CS, Kim SD

Aberrant right subclavian artery (ARSA) is a congenital anomaly that usually does not produce symptoms. However, patients with symptoms may require surgical intervention. Surgical procedures consist of division of ARSA...
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The preventive effect on postanesthetic shivering according to the dosages of ketamine

Cheong YK, Kim TY, Lee SW

BACKGROUND: Postanesthetic shivering affects up to 65% of patients after general anesthesia, and it can be very distressing. Various drugs have been used to treat or prevent postanesthetic shivering, but...
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Anesthetic management of a patient with amyotrophic lateral sclerosis (ALS): A case report

Lee SS, Lee JH, Kim EJ, Lee SG, Ban JS, Min BW

Amyotrophic lateral sclerosis (ALS) is a progressive, neurodegenerative disorder involving primarily motor neurons in the cerebral cortex, brain stem and spinal cord, which leads to respiratory failure and death. The...
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Propriospinal myoclonus after cervical epidural blockade: A case report

Ryu HK, Lee SG, Min BW, Ban JS, Lee JH, Kim EJ

Myoclonus is one of the rare complications after the neuroaxial blockade. We report a patient who developed propriospinal myoclonus following cervical epidural steroid injection. An outpatient, 73-years-old man, complaining of...
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Intra-operative refractory hypotension in patient chronically treated with renin-angiotensin system antagonists: A case report

Kim ES, Kwon OK, No HC, Kim JE

Chronic treatment with renin-angiotensin system antagonists frequently causes deleterious hypotension during anesthesia. We present a case of marked intra-operative refractory hypotension in a 61-year-old male patient undergoing elective total thyroidectomy....
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Anesthesia for noncardiac surgery in a neonate with interrupted aortic arch: A case report

Kwon WK, Kim DK, Yoon TG, Kim SH, Kang JE

Interrupted aortic arch (IAA) is a rare congenital cardiovascular anomaly in which there is no direct continuity between the aortic arch and the descending aorta. A patent ductus arteriosus (PDA)...
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Manipulation of frozen shoulder under monitored anesthesia care with propofol and remifentanil

Ryu CG, Gil NS, Kim YC, Lee SC, Ro YJ, Kim JS, Sim SE

BACKGROUND: Manual manipulation under anesthesia in primary frozen shoulder is recommended for restoring range of motion and improving function. Usually, manipulation is performed briefly under general anesthesia, which accompanies some...
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The optimal dosage of alfentanil pretreatment for prevention of myoclonus after injection of etomidate

Cho SY, Jeon WJ, Nam YM, Yeom JH, Kim KH

BACKGROUND: Myoclonus is a common problem during induction of general anesthesia with etomidate. We investigated the optimal dosage of alfentanil pretreatment for prevention of myoclonus after injection of etomidate. METHODS: In...
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The effect of magnesium sulfate on postoperative pain in patients undergoing major abdominal surgery under remifentanil-based anesthesia

Lee C, Jang MS, Song YK, O S, Moon SY, Kang DB, Kim BR, Byun SJ

BACKGROUND: Opioid tolerance may involve activation of the N-methyl-D-aspartate (NMDA) system. The possible involvement of the NMDA system suggests that one of the NMDA receptor antagonists, magnesium may be a...
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A comparison of hemodynamics in elderly patients that were administered thiopental sodium or propofol to induce general anesthesia

Kim MH, Kim DK, Lee JW, Lim HS, Han YJ, Kim DC

BACKGROUND: Thiopental sodium and propofol are commonly used to induce anesthesia. This study was conducted to compare the hemodynamic effects of propofol and thiopental sodium during the induction of general...
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Effect of early oral intake on postoperative bowel function in patients undergoing lower extremities surgery under epidural anesthesia

Lee C, Lee HS, Song YK, O S, Byun SJ, Kang DB, Hwang JH, Kim BR, Moon SY, Han DY

BACKGROUND: Early oral intake (EOI) associated with early recovery of normal bowel function has been shown to be an important determinant for improving patients' satisfaction. We investigated the tolerability of...
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Comparison of various tests designed to assess the recovery of cognitive and psychomotor function after ambulatory anesthesia

Kim CJ, Hong SH, Kim BS, Cheon JP, Lee Y, Koh HJ, Lee J

BACKGROUND: Few studies have been conducted to evaluate the reliability of the various tools used to assess cognitive and psychomotor recovery after ambulatory anesthesia. Therefore, this study was conducted to...
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Factors associated with the outcome of transforaminal epidural steroid injections

Park TK, Hong JH, Kim JM, Bae JI, Kim AR, Kim HM, Lee YC

BACKGROUND: This study was undertaken to assaythe effectiveness of transforaminal epidural steroid injections (TFESIs) for sciatica and to identify potential predictors related to treatment outcome. METHODS: TFESIs were performed in 150...
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