Aim: Caudal epidural injection is used for lumbosacral radicular pain but there a risk of vascular injection. An ultrasound-guided catheter-over-needle technique was proposed to reduce this risk. This study compared the incidence injections between and Tuohy needle methods caudal injections. Material Methods: prospective, randomized clinical trial included patients aged ≥19 years with degenerative lumbar disease accompanied by who were unresponsive non-invasive treatments scheduled The...

Abstract Elderly patients with femoral fractures are anticipated to endure the most pain caused by positional changes required for spinal anesthesia. To improve relief, we compared analgesic effects of intravenous dexmedetomidine-ketamine and dexmedetomidine-fentanyl combinations facilitate patient positioning anesthesia in elderly proximal fractures. Forty-six were randomly assigned two groups received either 1 mg/kg ketamine (group K) or μg/kg fentanyl F) concomitant a loading dose...

Abstract Background: Medical researchers have been reluctant to use neuromuscular blocking drugs (NMBD) during the of intraoperative motor evoked potential (MEP) monitoring despite possibility patient movement. In this study, we compared effects no NMBD and continuous rocuronium infusion on incidence involuntary movement MEP monitoring. Methods: 80 patients who underwent neuro intervention with were randomly assigned into 2 groups. After an anesthetic induction, bolus 0.1 mg/kg was injected...

Pathology of the lumbar spine and hip joint can commonly coexist in elderly. Anterior lateral leg pain as symptoms osteoarthritis spinal stenosis closely resemble each other, with only subtle differences both history physical examinations. It is not easy to identify origin this kind pain. The possibility should be underestimated, could lead an incorrect diagnosis inappropriate surgery. We report case a 54-year-old female chronic right anterior who did respond repeated blocks based on MRI,...

Background: Postoperative nausea and vomiting (PONV) is extremely distressing uncomfortable, noted frequently in patients who have undergone gynecologic laparoscopic surgery.In this study, we compared the efficacy of a combination ramosetron plus dexamethasone alone reducing PONV after surgery.Methods: Sixty received surgery were randomly divided into two groups: R group (ramosetron 0.3 mg) RD mg 5 mg).Dexamethasone, mg, or saline, 1 ml, was administered before induction anesthesia each...

Background and objectives: The purpose of this study was to compare analyze contrast spread patterns between the paramedian midline approaches cervical interlaminar epidural injection (CIEI). Materials Methods: We retrospectively enrolled 84 CIEI cases that had been performed for unilateral spinal pain from April 2019 2020. After 3 mL injected into space, fluoroscopic images were obtained. divided a (Group M, n = 42) P, approach by anteroposterior imaging. P Group classified more medial Pm,...

Introduction: Leriche syndrome is an aortoiliac occlusive disease caused by atherosclerotic occlusion. We report a case of with fracture that was suspected as complex regional pain (CRPS), the post-traumatic gradually worsened in form excruciating neuropathic pain. Case Report: A 52-year-old woman history hypertension referred to Department Pain Medicine from local orthopedic clinic because CRPS for one month. She complained gait dysfunction and severe right foot following incident trauma...

Central venous catheterization by anesthesiologists carries risks such as accidental arterial puncture. This case report highlights a rare subclavian artery aneurysm (SAA) detected during ultrasound-guided internal jugular vein (IJV) access, emphasizing the importance of recognizing anatomical variations.

Background/Objectives: The necessity and clinical utility of routine pre-procedural blood tests (PBTs) before neuraxial blockade remain controversial. This study evaluates the effectiveness PBTs in identifying clinically significant conditions an outpatient setting. Methods: single-center retrospective involved patients who received from January 2020 to August 2023. We extracted medical information laboratory data electronic records during period. Through multivariate regression analysis, we...

: The necessity and clinical utility of routine pre-procedural blood tests (PBTs) before neuraxial blockade remain controversial. This study evaluates the effectiveness PBTs in identifying clinically significant conditions an outpatient setting.

Background and Objectives: The harmonization of recovery consciousness muscular function is important in emergence from anesthesia. Even if recovered, tracheal extubation without adequate may increase the risk respiratory complications. In particular, upper airway obstruction one common complications can sometimes be fatal. However, association between timing sugammadex administration that occur during awakening anesthesia has rarely been studied. Materials Methods: medical records 456...

Spontaneous intracranial hypotension (SIH) is not rare, but its diagnosis remains challenging. SIH tends to be misdiagnosed as postdural puncture headache when orthostatic develops subsequent spinal anesthesia because both have similar symptoms. We report the case of a 35-year-old man with following anesthesia, who did respond conventional therapy for headache. was confirmed after epidural fluid collection identified at thoracic spine level on magnetic resonance myelography. Physicians must...

Background and Objectives: Evidence regarding the prevalence of neuropathic pain in patients with cervical radicular is limited. This study aimed to investigate components using established screening tools identify relationship between clinical factors. Materials Methods: Data from 103 (aged ≥ 20 years) who visited our clinic were analyzed retrospectively. Demographic characteristics, history neck surgery, intensity numeric rating score, dominant site, duration symptoms, disability index...

Background and Objectives: This study was conducted to investigate the influence of an ultrasound-guided technique using a catheter-over-needle when intravascular injection occurs in patients undergoing caudal block. Material Methods: We retrospectively investigated 41 cases angiocatheter for These had been performed between November 2019 through August 2020 manage pain lumbosacral origin. Under ultrasound guidance, after advancing introducer needle sacrococcygeal ligament then slowly...

Ultrasound provides direct visualization of blood vessels and soft tissues around the sympathetic chain potentially minimizes injury to these critical anatomic structures when performing stellate ganglion block (SGB). We report an atypical left vertebral artery course detected during ultrasound prescan before a SGB. The inferior thyroid arteries were identified on longus colli muscle's ventral surface at C6 level. This was first demonstrate images vulnerable intravascular injection. study...

BACKGROUND Herpes zoster caused by the reactivation of latent varicella-zoster virus is thought to result from waning specific cell-mediated immunity. Scrub typhus, an acute infectious disease Orientia tsutsugamushi, affects multiple organs and characterized microangiopathies that in significant vascular leakage subsequent end-organ injury. Very few cases following scrub typhus occurrence have been reported. Furthermore, no previous studies directly investigated whether tsutsugamushi...

Sir, Unsuspected difficulty in tracheal intubation is often considered as a dangerous problem for anesthesiologists. We report an unexpected difficult case of 29-year-old female (height 163 cm, weight 55 kg) who had undergone total thyroidectomy with bilateral radical neck dissection. She was diagnosed thyroid cancer metastatic lymph nodes about 46 months ago and received surgery. However, recently, she recurrent node metastasis scheduled central dissection under general anesthesia. On...