We evaluated the usefulness of hyomental distance (HMD) ratio (HMDR), defined as HMD at extreme head extension to that in neutral position, predicting difficult visualization larynx (DVL) apparently normal patients, by examining following preoperative airway predictors, alone and combination: modified Mallampati test, thyromental HMDR.Preoperatively, we assessed five predictors 213 adult patients undergoing general anesthesia with tracheal intubation. A single experienced anesthesiologist,...

Abstract Ischiofemoral impingement syndrome is an uncommon disorder defined by hip pain caused the narrowing of space between ischial tuberosity and lesser trochanter with associated entrapment quadratus femoris muscle. We effectively treated two male patients using ultrasound‐guided prolotherapy polydeoxyribonucleotide sodium mixed local anesthetics. A 24‐year‐old patient no history trauma or surgery complained bilateral groin pain; magnetic resonance imaging demonstrated slight...

Ginseng saponin has long been used as a traditional Asian medicine and is known to be effective in treating various kinds of pain. Ginsenoside Rf one the biologically active saponins found ginseng. We evaluated ginsenoside Rf's antinociceptive anti-inflammatory effects, its mechanism action on adrenergic serotonergic receptors, an incisional pain model. Mechanical hyperalgesia was induced via plantar incision rats followed by intraperitoneal administration increasing doses (vehicle, 0.5...

Postoperative nausea and vomiting (PONV) is one of the most common postsurgical complications. Palonosetron, a 5-hydroxytryptamine receptor antagonist, effective for PONV prevention. Herein, we compared palonosetron aprepitant (a neurokinin-1 antagonist) prevention in patients indicated laparoscopic gynaecologic surgery. Ninety-three who were scheduled to undergo surgery under general anaesthesia assigned receive either single intravenous injection 0.075-mg or 40-mg oral double-blind...

The success of stellate ganglion block (SGB) is traditionally determined on the basis findings such as Horner's syndrome, temperature rise in face, hyperemia tympanic membrane, and nasal congestion. However, decreases vascular resistance increases blood flow arm may be more meaningful findings. To date, effect SGB regional hemodynamics has not been evaluated using pulsed-wave Doppler ultrasound.A total 52 patients who were to undergo orthopedic surgery forearm randomly assigned either...

Seung Mo Lim, MD, Hae Lang Park, Hyong Yong Moon, Kyung Ho Kang, Hyun Chong Hwa Baek, Hun Jung, Jin Yun Kim, Gill Hoi Koo, and Shin, MD. Korean J Pain 2013;26:84-8. https://doi.org/10.3344/kjp.2013.26.1.84

Background This study aimed to compare emergence agitation following sevoflurane and desflurane anaesthesia in adults undergoing orthognathic surgery. The hypothesis was that there might be a difference the incidence of considering blood solubility speed recovery between two. Methods In this prospective randomised double‐blind study, 144 surgery were randomly allocated either or anaesthesia. possible causative factors then compared groups. Results lower group than (24% vs. 71%, P <...

Nucleoplasty is a minimally invasive spinal surgery using Coblation® technique that creates small voids within the disc. The purpose of this study was to evaluate efficacy cervical nucleoplasty in patients with disc disorder.Between March 2008 and December 2009, 22 disorders were treated after failed conservative treatment. All procedures performed under local anesthesia, fluoroscopic guidance created Perc™ DC Spine Wand™. Clinical outcomes evaluated by Modified Macnab criteria VAS score at...

We hypothesized that induction of general anesthesia using sevoflurane improves the accuracy non-invasive hemoglobin (SpHb) measurement Masimo Radical-7® Pulse CO-Oximetry by inducing peripheral vasodilation and increasing perfusion index (PI). The aim this study is to investigate change in SpHb PI measured Rad7 during sevoflurane.The laboratory (Hblab) was before surgery venous blood sampling. twice; after sevoflurane. changes SpHb, Hbbias (Hbbias = - Hblab), were analyzed a paired t-test....

Background This study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on respiratory mechanics during laparoscopy assisted colectomy. Methods Peak inspiratory pressure, plateau lung compliance, airway resistance were recorded in PP 10 mmHg 15 mmHg, with position change 5 steps: head-down at 20°, 10°, neutral position, head-up 10° 20°. Results When patient placed head-down, accentuated pneumoperitoneum mechanics. However, when a results showed no...

Optiscope™ is a newly developed video stylet device. This study evaluated and compared the hemodynamic changes observed after endotracheal intubation with conventional laryngoscopic intubation.Fifty-eight adult patients American Society of Anesthesiologists (ASA) physical status class 1 or 2, undergoing general anesthesia, were randomized into two groups: one group intubated using (n = 29) other direct laryngoscope 29). Systolic blood pressure (SBP), mean arterial (MAP), diastolic (DBP),...

Postherpetic neuralgia (PHN) is one of the most difficult pain syndromes to treat. Invasive treatments may be considered when patients fail obtain adequate relief from noninvasive treatment approaches. Here, we present three cases PHN in mandibular branch treated with ultrasound-assisted mental nerve block and pulsed radiofrequency treatment. None had medical therapy, so performed on affected side under ultrasound assistance. Two showed satisfactory continuously over 12 months without any...

Objective To compare the efficacy of ramosetron, midazolam, and combination ramosetron midazolam in prevention postoperative nausea vomiting (PONV) female patients undergoing thyroidectomy. Methods Patients were randomized to receive 0.3 mg (Group R), 75 µg/kg M) or combined with RM) before induction anaesthesia. PONV, use rescue antiemetics, pain severity fentanyl consumption assessed for 24 h after Results A total 100 enrolled; 94 completed study. The was statistically significantly...

In the midthoracic region, a fluroscope guided epidural block has been proposed by using pedicle as landmark to show height of interlaminar space (Nagaro's method). However, clinical implication this method was not fully evaluated. We studied usefulness fluoroscope thoracic in region.Twenty four patients were scheduled receive an at T6-7 intervertebral space. The placed prone position. needle entry point located junction between midline paralleled T7 vertebral body (VB) and lower border VB...

Although sedation is often performed during spinal anesthesia, the details of intraoperative dreaming have not been reported. We designed this prospective study to compare 2 different IV protocols (propofol and midazolam infusion) with respect sedation.Two hundred twenty adult patients were randomly assigned groups received infusion propofol or for deep anesthesia. Patients interviewed on emergence 30 minutes later determine incidence, content, nature their dreams. Postoperatively, patient...

Background and Objectives: The interspace between the popliteal artery posterior capsule of knee (iPACK) block has been widely used in perioperative settings to control pain can additionally be for chronic pain. In this cadaveric study, we aimed investigate needle tip position its proximity articular branch tibial nerve (ABTN) during an iPACK-targeted radiofrequency procedure. Materials Methods: An ultrasound-guided iPACK was performed on 20 knees 10 cadavers. We injected 0.1 mL each blue...

Summary Background: There are insufficient data as to the influence of head and neck flexion, extension, rotation on ventilation with laryngeal tube suction II ® (LTS II). The purpose this study was investigate position oropharyngeal sealing pressure (primary outcome) score (secondary during LTS in children. Methods: We studied 33 children scheduled for elective surgery. Oropharyngeal were measured a neutral position, flexed, extended rotated right. scored from 0 3 based three items (no...

Central venous catheters are usually inserted to measure the central pressure or use as an administration route for fluid medication. There reports that complications, such arterial puncture, pneumothorax, occur in approximately 15% of cases when inserting it [1,2]. Phrenic nerve palsy is a very rare complication attributed catheter insertion. It can be caused into subclavian vein internal jugular vein, well venal puncture attempted several times with thick needle, and also needle too...