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Comparison of high-flow nasal oxygenation and standard low-flow nasal oxygenation during rigid bronchoscopy: a randomized controlled trial
Hye Jin Kim, Chang Young Lee, Kyuho Lee, Namo Kim, Seungyeon Lee, et al.
Korean J Anesthesiol. 2025;78(1):39-47.

Review Article

October 7, 2024


Current evidence on the use of sugammadex for neuromuscular blockade antagonism during electroconvulsive therapy: a narrative review
Vivek Arora, Laurence Henson, Sandeep Kataria
Korean J Anesthesiol. 2025;78(1):3-15.

Depression is a common mental health problem that is associated with significant disability and mortality. Electroconvulsive therapy (ECT) has been demonstrated to be effective at resolving expression of suicidal intent in patients with depression. In less acute situations, patients are usually referred for ECT after several medication trials. Neuromuscular blocking agents (NMBAs) are used to block tonic-clonic motor activity and associated physical harm during the delivery of ECT. Succinylcholine (Sch), with its rapid onset of muscle relaxation, short self-terminating duration of action, and rapid subsequent return of spontaneous ventilation, is...

Clinical Research Article

November 12, 2024


Comparison of intraoperative neurophysiological monitoring between propofol and remimazolam during total intravenous anesthesia in the cervical spine surgery: a prospective, double-blind, randomized controlled trial
Myoung Hwa Kim, Jinyoung Park, Yoon Ghil Park, Yong Eun Cho, Dawoon Kim, et al.
Korean J Anesthesiol. 2025;78(1):16-29.

Background: Although total intravenous anesthesia (TIVA) with propofol and remifentanil is frequently used to optimize intraoperative neurophysiological monitoring (IONM), the exact effect of remimazolam on IONM remains unknown. Here, we compared the effects of propofol and remimazolam along with remifentanil on IONM during TIVA. Methods: In this prospective, double-blind, randomized controlled trial, 64 patients requiring IONM during cervical spine surgery were administered either propofol (Group P) or remimazolam (Group R). The preoperative latencies of the somatosensory-evoked potentials (SEP; N20 for the median nerve and P37 for the tibial nerve) were measured....

Clinical Research Article

December 10, 2024


Costoclavicular block as a diaphragm-sparing nerve block for shoulder surgery: a randomized controlled trial
Youngin Lee, Seunguk Bang, Jihyun Chung, Min Suk Chae, Jungwon Shin
Korean J Anesthesiol. 2025;78(1):30-38.

Background: Distal nerve block approaches have been explored to reduce hemidiaphragmatic paresis (HDP) more effectively than interscalene block (ISB). However, these approaches are associated with a high incidence of HDP. The costoclavicular block (CCB) provides effective analgesia while reducing HDP. Here, we hypothesized that CCB would decrease the incidence of HDP compared to ISB while still providing effective pain relief after surgery. Methods: Seventy patients who underwent arthroscopic rotator cuff repair were randomly allocated to receive either ultrasound-guided CCB (n = 35) or ISB (n = 35). Each group received 0.2% ropivacaine (20 ml CCB, 10 ml ISB). The primary outcome was the incidence of HDP, as measured using M-mode ultrasound....

Clinical Research Article

December 12, 2024


Comparison of high-flow nasal oxygenation and standard low-flow nasal oxygenation during rigid bronchoscopy: a randomized controlled trial
Hye Jin Kim, Chang Young Lee, Kyuho Lee, Namo Kim, Seungyeon Lee, et al.
Korean J Anesthesiol. 2025;78(1):39-47.

Background: The efficacy of high-flow nasal oxygenation (HFNO) in improving oxygenation is influenced by several factors, and its effectiveness is not always guaranteed. Therefore, we aimed to compare the effects of HFNO and standard low-flow nasal oxygenation during rigid bronchoscopy in the apneic patients. Methods: All patients were administered general anesthesia with full muscle relaxation and were randomly assigned to receive either HFNO (HFNO group) or standard low-flow oxygenation (Standard group). The study endpoints included the lowest peripheral oxygen saturation (SpO2), hypoxemia-related surgical interruptions (SpO2 ≤ 94%), and changes in arterial...

Clinical Research Article

December 12, 2024


Comparing the safety and efficacy of remimazolam-based total intravenous anesthesia versus volatile agent-based anesthesia: a meta-analysis of randomized controlled trials
Ji-In Park, Hyo-Seok Na, Keum-O Lee, Jung-Hee Ryu, Hyun-Jung Shin
Korean J Anesthesiol. 2025;78(1):48-60.

Background: Remimazolam is a novel short-acting benzodiazepine that has recently been used for general anesthesia. This study compared the safety and efficacy of remimazolam-based total intravenous anesthesia (TIVA) and volatile agent-based anesthesia in adults undergoing general anesthesia. Methods: We searched electronic databases including PubMed, Embase, CENTRAL, and Scopus for relevant studies. The primary outcome was the proportion of patients who experienced hypotension during surgery. Secondary outcomes included incidence of bradycardia, extubation time, duration in the post-anesthesia care unit hospital stay, and incidence of postoperative nausea and/or vomiting (PONV). We estimated the...

Experimental Research Article

September 27, 2024


Transcatheter ventilation with a modified Rapid-O2 oxygen insufflation device
Jaewon Jang, Hye Jin Kim, Hyun Joo Kim, Wyun Kon Park
Korean J Anesthesiol. 2025;78(1):61-72.

Background: The Rapid-O2 oxygen insufflation device® (Rapid-O2) was designed primarily for rescue oxygenation in cannot intubate, cannot oxygenate (CICO) events; thus, hypercapnia is inevitable. Rapid-O2 was modified to enhance ventilation using the Venturi effect during expiration. Methods: To determine the most effective combination of inner catheters (20 gauge [G], 18 G, 16 G, 14 G, and 2-mm inner diameter [ID] transtracheal catheter [TTC]) and insufflation catheters (16 G, 14 G, and 2-mm ID TTC) for achieving optimum ventilation, insufflating and expiratory flows were measured at an oxygen flow rate of 15 L/min. The insufflating and expiratory pressures were measured at 6–15 L/min. The flows and pressures were measured using a...
Current Issue
Volume 78(1); Feb 2025
High-flow nasal oxygenation: a transformative tool in airway management
Hye-Mee Kwon
Korean J Anesthesiol. 2025;78(1):1-2.

Editorial

February 1, 2025
Current evidence on the use of sugammadex for neuromuscular blockade antagonism during electroconvulsive therapy: a narrative review
Vivek Arora, Laurence Henson, Sandeep Kataria
Korean J Anesthesiol. 2025;78(1):3-15.

Review Article

October 7, 2024
Comparison of intraoperative neurophysiological monitoring between propofol and remimazolam during total intravenous anesthesia in the cervical spine surgery: a prospective, double-blind, randomized controlled trial
Myoung Hwa Kim, Jinyoung Park, Yoon Ghil Park, Yong Eun Cho, Dawoon Kim, Dong Jun Lee, Kyu Wan Kwak, Jongyun Lee, Dong Woo Han
Korean J Anesthesiol. 2025;78(1):16-29.

Clinical Research Article

November 12, 2024
Costoclavicular block as a diaphragm-sparing nerve block for shoulder surgery: a randomized controlled trial
Youngin Lee, Seunguk Bang, Jihyun Chung, Min Suk Chae, Jungwon Shin
Korean J Anesthesiol. 2025;78(1):30-38.

Clinical Research Article

December 10, 2024
Comparison of high-flow nasal oxygenation and standard low-flow nasal oxygenation during rigid bronchoscopy: a randomized controlled trial
Hye Jin Kim, Chang Young Lee, Kyuho Lee, Namo Kim, Seungyeon Lee, Young Jun Oh
Korean J Anesthesiol. 2025;78(1):39-47.

Clinical Research Article

December 12, 2024
Comparing the safety and efficacy of remimazolam-based total intravenous anesthesia versus volatile agent-based anesthesia: a meta-analysis of randomized controlled trials
Ji-In Park, Hyo-Seok Na, Keum-O Lee, Jung-Hee Ryu, Hyun-Jung Shin
Korean J Anesthesiol. 2025;78(1):48-60.

Clinical Research Article

December 12, 2024
Transcatheter ventilation with a modified Rapid-O2 oxygen insufflation device
Jaewon Jang, Hye Jin Kim, Hyun Joo Kim, Wyun Kon Park
Korean J Anesthesiol. 2025;78(1):61-72.

Experimental Research Article

September 27, 2024
A discussion of anesthesiologically relevant aspects of Klinefelter syndrome -a case report-
Christine Gaik, Katharina Politt
Korean J Anesthesiol. 2025;78(1):73-78.

Case Report

November 11, 2024
Controlled hypotension under rapid ventricular pacing technique in patients with cerebral arteriovenous malformation -a case report-
Zijian Zhao, Hang Wang, Xinxu Min, Zheng Li, Feng Feng