Interscalene brachial plexus block (ISB) is a common regional technique to manage acute postoperative pain for arthroscopic rotator cuff tear repair. However, rebound may compromise its overall benefit. Our aim was investigate the primary hypothesis that perineural and intravenous dexamethasone have different effects on after resolution of ISB repair.Patients aged ≥ 20 years scheduled elective repair under general anesthesia with preoperative were included. The participants randomized...

BACKGROUND Bedside sonography of the inferior vena cava has been demonstrated to be a reliable tool for assessing intravascular volume status. Subclavian vein (SCV) assessment was proposed as reasonable adjunct measuring cava. OBJECTIVE We examined whether preoperative diameter and collapsibility index SCV or infraclavicular axillary could predict incidence hypotension after induction general anaesthesia in patients undergoing laparoscopic cholecystectomy. DESIGN Prospective, observational...

Complex regional pain syndrome (CRPS) is a condition associated with neuropathic that causes significant impairment of daily activities and functioning. Nuclear factor kappa B (NFκB) thought to play an important role in the mechanism CRPS. Recently, exosomes loaded super-repressor inhibitory (Exo-srIκB, IκB; inhibitor NFκB) have been shown potential anti-inflammatory effects various inflammatory disease models. We investigated therapeutic effect Exo-srIκB on rodent model chronic...

Cerebral vasospasm is the most important cause of morbidity after an aneurysm clipping in early postoperative period. The aim this retrospective study was to evaluate whether incidence vasospasms differs when using propofol or desflurane for emergent clipping. data from 102 patients (50 group, 52 group) were analyzed. occurrence based on daily transcranial Doppler, angiography, and cerebral infarction during 14 days surgery compared by anesthetic agents. Postoperative including Glasgow Coma...

Lumbar transforaminal epidural block (TFEB) is an effective treatment modality for radicular pain due to lumbar disc herniation (LDH). The addition of steroids more than local anesthetic alone in TFEBs patients with LDH. Moreover, the efficacy has been reported be positively correlated volume injectate. We hypothesized that high-volume without effectively alleviate axial back and associated This study compared vs. management caused by LDH.A total 54 were randomly assigned either group L or...

The beach chair position (BCP) is widely used in shoulder surgery; however, it frequently leads to hypotension. Hypotension BCP prevalent among older patients who are at risk of secondary complications such as ischemic injuries. Therefore, this prospective study aimed investigate the association and predictive value frailty, assessed by ultrasound-measured quadriceps depth questionnaire, aged ≥65 years undergoing elective surgery under general anesthesia. A multivariable logistic regression...

Accurate measurement of the hip-knee-ankle (HKA) angle is essential for informed clinical decision-making in management knee osteoarthritis (OA). Knee OA commonly associated with varus deformity, where alignment shifts medially, leading to increased stress and deterioration medial compartment. The HKA angle, which quantifies this alignment, a critical indicator severity deformity helps guide treatment strategies, including corrective surgeries. Current manual methods are labor-intensive,...

This retrospective study aimed to determine the predictive value of radiologically measured psoas muscle area (PMA) for intraoperative hypotension (IOH) using receiver operating characteristic (ROC) curves in older adult patients with hip fractures. The cross-sectional axial was by CT at level 4th lumbar vertebrae and normalized body surface (BSA). modified frailty index (mFI) used assess frailty. IOH defined as an absolute threshold mean arterial blood pressure (MAP) < 65 mmHg or a relative...

Background The beach-chair position (BCP) results in decreases venous return, cardiac output, and cerebral perfusion pressure. In this randomized, prospective study, we investigated whether applying thigh-high compression stockings affected the maintenance of regional tissue oxygen saturation (rSO2) BCP. Methods Patients undergoing orthopedic surgery BCP under general anesthesia were included assigned randomly to control or stocking group. Appropriately sized applied patients All tilted, up...

The incidences of herpes zoster (HZ) and postherpetic neuralgia (PHN) are significantly influenced by age. As individuals age, the occurrence spinal disorders increases, thereby raising likelihood HZ PHN coexistence. Considering this, our study aimed to explore potential impact pre-existing at nerve level where developed, on severity zoster-associated pain (ZAP) incidence PHN. For investigation, we retrospectively analyzed a total 237 patients who presented with ZAP various sensory levels...

A variety of medications are available to manage painful diabetic peripheral neuropathy (DPN), but the proper treatment remains challenging. Accordingly, various neuromodulation modalities have been used. However, no prospective clinical trials evaluated use scrambler therapy (ST) in DPN. This study aimed explore long-term effects ST managing DPN.The patients received 10 consecutive STs 45 minutes every 1 2 days. The primary outcome was pain score. We measured visual analog scale (VAS)...

Peripheral nerve stimulation (PNS) is a useful treatment for chronic pain, but it can cause damage depending on its application site. Here, we describe the case of 54-year-old man who underwent PNS brachial plexopathy in 2015. One lead was implanted left medial cord to stimulate antebrachial cutaneous nerve, and other radial posterior nerve. Both leads were inserted near shoulder joint did not cross it. Before PNS, patient move his elbow because severe greatly alleviated this pain. Twenty...

Background: Ultrasound-guided interscalene brachial plexus block (US-ISB) has been reported to be effective postoperative analgesia for arthroscopic shoulder surgery. Although considered rare, various neurological complications have reported. We retrospectively evaluated 668 patients post operation symptoms including hemidiaphragmatic paresis and post-operative neurologic after US-ISB. Methods: performed a retrospective chart review of undergoing surgery with single-shot US-ISB from January...

Background/Objectives: The psoas: lumbar vertebral index (PLVI) is a simple and convenient measure to assess central sarcopenia. Recent studies have utilized the psoas area indirectly sarcopenia frailty, exploring their associations with various health outcomes. This study aims investigate relationship between PLVI postherpetic neuralgia (PHN) in patients aged 60 years above following herpes zoster (HZ) infection. Methods: We conducted retrospective analysis of data from 351 (≥60 years) who...

Purpose: Monitoring end-tidal carbon dioxide partial pressure (P ET CO 2 ) is a noninvasive, continuous method, but its accuracy reduced by prolonged capnoperitoneum and the steep Trendelenburg position in robot-assisted radical prostatectomy (RARP). Transcutaneous TC monitoring, which not affected ventilator–perfusion mismatch, has been suggested as suitable alternative. We compared agreement of noninvasive measurements with arterial (PaCO over long period capnoperitoneum, investigated...

A cervical transforaminal epidural (TFE) steroid injection is a useful treatment option for radicular pain, but it carries small risk of catastrophic complications. Several studies have reported that facet joint (FJ) can reduce pain through an indirect spread. The aim this retrospective comparative study was to evaluate the scores and functional disability in subjects receiving FJ or TFE due foraminal stenosis (FS).We selected 278 patients 18 years age older who underwent (n = 130) (n= 148)...

Patients with Klippel-Feil syndrome require much attention during anesthesia because of congenital abnormalities in head and neck regions the high probability neurological damage from cervical spine instability endotracheal intubation. We report a case successful intubation using videolaryngoscope patient who experienced difficult transnasal

We present an uncommon case of hypoesthesia in the posterior and upper third superior area on left ear auricle, after arthroscopic surgery shoulder lateral position under general anesthesia with ultrasound guided-interscalene brachial plexus block. A 65-year-old man underwent rotator cuff repair right decubitus position. Two days operation, he complained numbness around auricle; his symptoms persisted until 6 weeks surgery. Audiometry sensory examinations were normal. He recovered naturally...

<h3></h3> <b>Please confirm that an ethics committee approval has been applied for or granted:</b> Yes: I'm uploading the Ethics Committee Approval as a PDF file with this abstract submission <b>Application ESRA Abstract Prizes:</b> I apply Anesthesiologist (Aged 35 years old less) <h3>Background and Aims</h3> The beach-chair position (BCP) is commonly used shoulder surgery but known to increase hypotension incidence. Older age interscalene brachial plexus block (ISB) have also identified...

Objective Interlaminar cervical epidural steroid injections (ICESIs) are commonly used to treat axial neck pain and radicular pain. However, local anesthetics can spread block the phrenic nerve upper segments of thoracic spinal cord where sympathetic innervation lungs emerges. Therefore, changes in lung function may occur following ICESIs. Methods The primary outcome measure was pulmonary test (PFT) result 30 minutes before after ICESI with ropivacaine (0.1875% or 0.25%). secondary...