Korean Journal of Anesthesiology

The effect of ultrasound-guided bilateral thoracic retrolaminar block on analgesia after pediatric open cardiac surgery: a randomized controlled double-blind study: Ibrahim Abdelbaser, Nabil A. Mageed, Sherif I. Elfayoumy, Mohamed Magdy, Mohamed M. Elmorsy, et al.; Korean J Anesthesiol. 2022;75(3):276-282.

Review Article

March 29, 2022

Artificial intelligence in perioperative medicine: a narrative review

Hyun-Kyu Yoon, Hyun-Lim Yang, Chul-Woo Jung, Hyung-Chul Lee

Korean J Anesthesiol. 2022;75(3):202-215.

Recent advancements in artificial intelligence (AI) techniques have enabled the development of accurate prediction models using clinical big data. AI models for perioperative risk stratification, intraoperative event prediction, biosignal analyses, and intensive care medicine have been developed in the field of perioperative medicine. Some of these models have been validated using external datasets and randomized controlled trials. Once these models are implemented in electronic health record systems or software medical devices, they could help anesthesiologists improve clinical outcomes by accurately predicting complications and suggesting optimal treatment strategies in real-time. This review provides an overview of the AI techniques used in perioperative medicine and a summary of the studies that have...

Review Article

March 30, 2022

Therapeutic hypothermia for acute myocardial infarction: a narrative review of evidence from animal and clinical studies

Ki Tae Jung, Aneesh Bapat, Young-Kug Kim, William J. Hucker, Kichang Lee

Korean J Anesthesiol. 2022;75(3):216-230.

Myocardial infarction (MI) is the leading cause of death from coronary heart disease and requires immediate reperfusion therapy with thrombolysis, primary percutaneous coronary intervention, or coronary artery bypass grafting. However, myocardial reperfusion therapy is often accompanied by cardiac ischemia/reperfusion (I/R) injury, which leads to myocardial injury with detrimental consequences. The causes of I/R injury are unclear, but are multifactorial, including free radicals, reactive oxygen species, calcium overload, mitochondria dysfunction, inflammation, and neutrophil-mediated vascular injury. Mild hypothermia has been introduced as one of the potential inhibitors of myocardial I/R injury. Although...

Clinical Research Article

October 13, 2021

Regional analgesia techniques for video-assisted thoracic surgery: a frequentist network meta-analysis

Yumin Jo, Seyeon Park, Chahyun Oh, Yujin Pak, Kuhee Jeong, et al.

Korean J Anesthesiol. 2022;75(3):231-244.

Background: Various regional analgesia techniques are used to reduce postoperative pain in patients undergoing video-assisted thoracic surgery (VATS). This study aimed to determine the relative efficacy of regional analgesic interventions for VATS using a network meta-analysis (NMA). Methods: We searched the Medline, EMBASE, Cochrane Controlled Trial Register, Web of Science, and Google Scholar databases to identify all randomized controlled trials (RCTs) that compared the analgesic effects of the following interventions: control, thoracic paravertebral block (TPVB), erector spinae plane block (ESPB), serratus plane block (SPB), and intercostal nerve block (INB). The primary outcome was opioid consumption during the first 24-h postoperative period. Pain scores were also collected during three different postoperative...

Clinical Research Article

January 12, 2022

Preoperative dexmedetomidine and intraoperative bradycardia in laparoscopic cholecystectomy: a meta-analysis with trial sequential analysis

Alessandro De Cassai, Nicolò Sella, Federico Geraldini, Francesco Zarantonello, Tommaso Pettenuzzo, et al.

Korean J Anesthesiol. 2022;75(3):245-254.

Background: While laparoscopic surgical procedures have various advantages over traditional open techniques, artificial pneumoperitoneum is associated with severe bradycardia and cardiac arrest. Dexmedetomidine, an imidazole derivative that selectively binds to α2-receptors and has sedative and analgesic properties, can cause hypotension and bradycardia. Our primary aim was to assess the association between dexmedetomidine use and intraoperative bradycardia during laparoscopic cholecystectomy. Methods: We performed a systematic review with a meta-analysis and trial sequential analysis using the following PICOS: adult patients undergoing endotracheal intubation for laparoscopic cholecystectomy (P); intravenous dexmedetomidine before tracheal intubation (I); no intervention or placebo administration (C); intraoperative bradycardia (primary outcome), intraoperative hypotension, hemodynamics at intubation (systolic blood pressure, mean...

Clinical Research Article

December 29, 2021

Efficacy of perineural versus intravenous dexamethasone in prolonging the duration of analgesia when administered with peripheral nerve blocks: a systematic review and meta-analysis

Elizabeth Sein Jieh Tan, Yan Ru Tan, Christopher Wei Yang Liu

Korean J Anesthesiol. 2022;75(3):255-265.

Background: Perineural dexamethasone has been regarded as a promising adjunct for prolonging the duration of nerve blocks. However, it is uncertain whether its effects are due to local effects on the nerves or from systemic absorption. This systematic review aimed to compare the duration of postoperative analgesia associated with perineural versus intravenous dexamethasone as an adjunct to peripheral nerve blocks. Methods: A total of 2,216 relevant academic articles were identified after a comprehensive search of PubMed, Embase, Scopus, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov from 1967 until 2020....

Clinical Research Article

December 9, 2021

Standard digit-based versus 90° rotation technique for supraglottic airway device insertion: a meta-analysis of randomized controlled trials

Chang-Hoon Koo, Ah-Young Oh, Young-Tae Jeon, Jung-Won Hwang, Jung-Hee Ryu

Korean J Anesthesiol. 2022;75(3):266-275.

Background: Prompt insertion and placement of supraglottic airway (SGA) devices in the correct position are required to secure the airway. This meta-analysis was performed to validate the usefulness of the 90° rotation technique as compared with the standard digit-based technique for the insertion of SGA devices in anesthetized patients in terms of insertion success rate, insertion time, and postoperative complications. Methods: A literature search of PubMed, EMBASE, CENTRAL, CINAHL, Scopus, and Web of Science was conducted. Randomized controlled trials, without limitations on publication period, language, journal, or region, until July 2021,...

Clinical Research Article

January 12, 2022

The effect of ultrasound-guided bilateral thoracic retrolaminar block on analgesia after pediatric open cardiac surgery: a randomized controlled double-blind study

Ibrahim Abdelbaser, Nabil A. Mageed, Sherif I. Elfayoumy, Mohamed Magdy, Mohamed M. Elmorsy, et al.

Korean J Anesthesiol. 2022;75(3):276-282.

Background: The thoracic retrolaminar block (TRLB) is a relatively new regional analgesia technique that can be used as an alternative to the thoracic paravertebral block. This study aimed to evaluate the postoperative analgesia effects of ultrasound-guided TRLB in children undergoing open cardiac surgery via median sternotomy incision. Methods: Sixty-six patients aged 2–8 years were recruited. In the TRLB group, 0.25% bupivacaine 0.4 ml/kg was injected into the retrolaminar space on both sides at the level of the T4 lamina. Patients in the control group were injected with 0.9% saline. The primary...

On the road to make KJA’s review process robust, transparent, and credible: retracted study in systematic review Geun Joo Choi, Hyun Kang Korean J Anesthesiol. 2022;75(3):197-199. Editorial May 11, 2022 Full text PubReader ePub PDF	Another new kid on the BLOCK for pain control in pediatric cardiac surgery Woosuk Chung Korean J Anesthesiol. 2022;75(3):200-201. Editorial May 19, 2022 Full text PubReader ePub PDF
Artificial intelligence in perioperative medicine: a narrative review Hyun-Kyu Yoon, Hyun-Lim Yang, Chul-Woo Jung, Hyung-Chul Lee Korean J Anesthesiol. 2022;75(3):202-215. Review Article March 29, 2022 Full text PubReader ePub PDF PDF(Korean)	Therapeutic hypothermia for acute myocardial infarction: a narrative review of evidence from animal and clinical studies Ki Tae Jung, Aneesh Bapat, Young-Kug Kim, William J. Hucker, Kichang Lee Korean J Anesthesiol. 2022;75(3):216-230. Review Article March 30, 2022 Full text PubReader ePub PDF PDF(Korean)
Regional analgesia techniques for video-assisted thoracic surgery: a frequentist network meta-analysis Yumin Jo, Seyeon Park, Chahyun Oh, Yujin Pak, Kuhee Jeong, Sangwon Yun, Chan Noh, Woosuk Chung, Yoon-Hee Kim, Young Kwon Ko, et al. Korean J Anesthesiol. 2022;75(3):231-244. Clinical Research Article October 13, 2021 Cited By 1 Full text PubReader ePub PDF PDF(Korean) Supplementary Material	Preoperative dexmedetomidine and intraoperative bradycardia in laparoscopic cholecystectomy: a meta-analysis with trial sequential analysis Alessandro De Cassai, Nicolò Sella, Federico Geraldini, Francesco Zarantonello, Tommaso Pettenuzzo, Laura Pasin, Margherita Iuzzolino, Nicolò Rossini, Elisa Pesenti, Giovanni Zecchino, et al. Korean J Anesthesiol. 2022;75(3):245-254. Clinical Research Article January 12, 2022 Full text PubReader ePub PDF PDF(Korean) Supplementary Material
Efficacy of perineural versus intravenous dexamethasone in prolonging the duration of analgesia when administered with peripheral nerve blocks: a systematic review and meta-analysis Elizabeth Sein Jieh Tan, Yan Ru Tan, Christopher Wei Yang Liu Korean J Anesthesiol. 2022;75(3):255-265. Clinical Research Article December 29, 2021 Cited By 1 Full text PubReader ePub PDF PDF(Korean)	Standard digit-based versus 90° rotation technique for supraglottic airway device insertion: a meta-analysis of randomized controlled trials Chang-Hoon Koo, Ah-Young Oh, Young-Tae Jeon, Jung-Won Hwang, Jung-Hee Ryu Korean J Anesthesiol. 2022;75(3):266-275. Clinical Research Article December 9, 2021 Full text PubReader ePub PDF PDF(Korean) Supplementary Material
The effect of ultrasound-guided bilateral thoracic retrolaminar block on analgesia after pediatric open cardiac surgery: a randomized controlled double-blind study Ibrahim Abdelbaser, Nabil A. Mageed, Sherif I. Elfayoumy, Mohamed Magdy, Mohamed M. Elmorsy, Mahmoud M. ALseoudy Korean J Anesthesiol. 2022;75(3):276-282. Clinical Research Article January 12, 2022 Cited By 2 Full text PubReader ePub PDF PDF(Korean)	Fatal multiorgan dysfunction following repeated iodinated radiocontrast injection in a patient receiving low-dose oral methotrexate -a case report- Balaji Vaithialingam, Radhakrishnan Muthuchellappan, Mouleeswaran Sundaram Korean J Anesthesiol. 2022;75(3):283-285. Case Report March 14, 2022 Cited By 1 Full text PubReader ePub PDF
The novel use of biplane imaging for ultrasound-guided regional anesthesia Nadia Hernandez, Sudipta Sen, Johanna Blair de Haan, Stephen Haskins, Amit Pawa Korean J Anesthesiol. 2022;75(3):286-289. Letter to the Editor July 15, 2021 Full text PubReader ePub PDF	Perioperative analgesia research in pediatric open-heart surgery: the devil is in the details Rohan Magoon, Brajesh Kaushal, Jes Jose Korean J Anesthesiol. 2022;75(3):290-291. Letter to the Editor February 8, 2022 Full text PubReader ePub PDF