Article
Veterinary Sciences
Caterina Di Bella, Caterina Vicenti, Joaquin Araos, Luca Lacitignola, Laura Fracassi, Marzia Stabile, Salvatore Grasso, Alberto Crovace, Francesco Staffieri
Summary: This study compared the effects of a sustained inflation alveolar recruiting maneuver (ARM) and a stepwise ARM in dogs undergoing laparoscopic surgery. The results showed that the group with sustained inflation ARM had higher static compliance and PaO2/FiO(2) values.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Article
Anesthesiology
Mathilde Severac, Walid Chiali, Francois Severac, Olivier Perus, Jean-Christophe Orban, Antonio Iannelli, Tarek Debs, Jean Gugenheim, Marc Raucoules-Aime
Summary: In obese patients undergoing laparoscopic bariatric surgery, systematic alveolar recruitment manoeuvre can significantly reduce the occurrence of early pulmonary dysfunction.
ANAESTHESIA CRITICAL CARE & PAIN MEDICINE
(2021)
Article
Anesthesiology
Sun-Kyung Park, Hyojun Yang, Seokha Yoo, Won Ho Kim, Young-Jin Lim, Jae-Hyon Bahk, Jin-Tae Kim
Summary: The study aimed to investigate whether lung ultrasound-guided alveolar recruitment manoeuvres could reduce peri-operative atelectasis during laparoscopic gynaecological surgery. The results showed that using ultrasound-guided recruitment manoeuvres can improve lung aeration during surgery and have persistent effects in the postanaesthesia care unit.
EUROPEAN JOURNAL OF ANAESTHESIOLOGY
(2021)
Article
Medicine, General & Internal
Jolanta Cylwik, Natalia Buda
Summary: This study aimed to optimize recruitment maneuvers using chest ultrasonography in mechanically ventilated patients undergoing general anesthesia. The results showed a significant reduction in atelectasis and improvement in lung compliance and saturation, with the PEEP necessary to reverse atelectasis averaging 17cmH(2)O. Ultrasound-guided recruitment maneuvers facilitate patient-based adjustments, reducing ventilation pressures and the risk of complications.
Article
Anesthesiology
Yi Liu, Jingyu Wang, Yuan Geng, Yiran Zhang, Hang Su, Yujiao Yang
Summary: This study demonstrated that the combination of recruitment maneuvers and positive end-expiratory pressure can reduce the incidence of atelectasis in patients with healthy lungs within 15 minutes of arrival in the post-anesthesia care unit (PACU) during gynecologic laparoscopic surgery. However, this effect disappeared after 24 hours of surgery.
BMC ANESTHESIOLOGY
(2022)
Article
Veterinary Sciences
Felipe Silveira Rego Monteiro Andrade, Aline Magalhaes Ambrosio, Renata Ramos Rodrigues, Lara Lopes Facco, Lucas Alaiao Goncalves, Sergio Grandisoli Garcia Filho, Rosana Thurler dos Santos, Thais Colombo Rossetto, Marco Aurelio Amador Pereira, Denise Tabacchi Fantoni
Summary: This study evaluated the distribution of regional ventilation during alveolar recruitment maneuver (ARM) using electrical impedance tomography (EIT) in horses. The results showed that ARM with appropriate positive end-expiratory pressure (PEEP) titration can improve lung ventilation and aeration without causing lung overdistension. However, ARM had a temporary impact on arterial blood pressure and cardiac index, which should be considered before routine clinical use.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Article
Veterinary Sciences
Rocio Navarrete-Calvo, Pablo Parra, Irene Magdalena Rodriguez-Gomez, Juan Morgaz, Juan Manuel Dominguez, Rafael Jesus Gomez-Villamandos, Setefilla Quiros-Carmona, Carmen Pineda, Maria del Mar Granados
Summary: The aim of this study was to evaluate the effects of two types of alveolar recruitment manoeuvres on atelectasis caused by general anesthesia. The results indicated that the application of a stepwise alveolar recruitment manoeuvre followed by positive end-expiratory pressure improved atelectasis caused by isoflurane anesthesia in healthy sheep.
RESEARCH IN VETERINARY SCIENCE
(2022)
Article
Cardiac & Cardiovascular Systems
Ming-Chi Hu, You-Lan Yang, Tzu-Tao Chen, Chuin- Lee, Ka-Wai Tam
Summary: Recruitment maneuvers can effectively relieve pulmonary atelectasis in patients undergoing cardiac surgery, improve oxygenation, and reduce the incidence of hypoxic events and pneumonia.
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
(2022)
Article
Pediatrics
Anna Camporesi, Ugo Maria Pierucci, Giuseppe Paladini, Andrea Gentile, Danilo Buonsenso, Gloria Pelizzo
Summary: Lung ultrasound (LUS) can be used intraoperatively to evaluate and recognize atelectatic lung areas. This randomized controlled trial (RCT) aims to demonstrate that LUS-guided choice of best PEEP during neonatal anesthesia can lead to a reduction of inspired fractions of oxygen to maintain the same peripheral saturations (SpO2).
PEDIATRIC RESEARCH
(2023)
Article
Medicine, General & Internal
Youn Young Lee, Jong In Han, Bo Kyung Kang, Kyungah Jeong, Jong Wha Lee, Dong Yeon Kim
Summary: This study found no evidence that PCV-VG ventilation was superior to VCV in reducing perioperative atelectasis when using a low tidal volume of 6 mL/kg during pneumoperitoneum surgery in the Trendelenburg position. Both ventilation modes showed similar effects on perioperative atelectasis.
JOURNAL OF KOREAN MEDICAL SCIENCE
(2021)
Article
Medicine, General & Internal
Kangha Jung, Sojin Kim, Byung Jun Kim, MiHye Park
Summary: In the study, it was found that ventilator-driven alveolar recruitment maneuver using the incrementally increasing positive end-expiratory pressure method during robotic prostatectomy led to greater improvements in lung function compared to using the incrementally increasing tidal volume method.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Pediatrics
Pan He, Chi Wu, Yanyan Yang, Jijian Zheng, Wei Dong, Junzheng Wu, Ying Sun, Mazhong Zhang
Summary: Postural lung recruitment maneuvers were more effective in improving lung reaeration than supine position recruitment maneuvers in children undergoing right lateral thoracotomy cardiac surgery with cardiopulmonary bypass. The incidence of significant atelectasis was lower in the postural lung recruitment group compared to the control group, and there was a more significant reduction in left lung consolidation and atelectatic areas in the postural lung recruitment group.
PEDIATRIC PULMONOLOGY
(2021)
Article
Anesthesiology
Julie Girard, Cedrick Zaouter, Alex Moore, Francois M. Carrier, Martin Girard
Summary: This pilot trial investigated the feasibility of comparing the effects of an open lung extubation strategy with a conventional one on the occurrence of postoperative pulmonary complications (PPCs). A total of 69 adult patients participated in the study. The results showed higher protocol adherence and fewer PPCs in the open lung extubation group, as well as better lung aeration.
CANADIAN JOURNAL OF ANESTHESIA-JOURNAL CANADIEN D ANESTHESIE
(2023)
Article
Respiratory System
Eito Niman, Kentaroh Miyoshi, Toshio Shiotani, Tomohiro Toji, Takuro Igawa, Shinji Otani, Mikio Okazaki, Seiichiro Sugimoto, Masaomi Yamane, Shinichi Toyooka
Summary: In brain-dead donors, lung recruitment without circulation after cardiac arrest can be more protective for atelectatic donor lungs and reduce graft injury.
JOURNAL OF THORACIC DISEASE
(2022)
Article
Multidisciplinary Sciences
Azman Rashid, Congli Zeng, Gabriel Motta-Ribeiro, Simon T. Dillon, Towia A. Libermann, Marcos Adriano Lessa, Aranya Bagchi, John Hutchinson, Marcos F. Vidal Melo
Summary: Atelectasis is a common clinical condition, but knowledge about its biological contribution to lung injury is limited and controversial. Proteomics analysis revealed that atelectasis decreases immune, endothelial, and epithelial functions, as well as the Hippo signaling pathway, and this effect is enhanced in the presence of LPS inflammation. Regardless of LPS, atelectasis down-regulates the proteomics response related to alveolar-capillary barrier function. The study also identified potential biological mechanisms and therapeutic targets for atelectasis-associated lung injury.
SCIENTIFIC REPORTS
(2022)
Article
Gastroenterology & Hepatology
Jae-Woo Ju, So Jung Park, Susie Yoon, Ho-Jin Lee, Hongbeom Kim, Hyung-Chul Lee, Won Ho Kim, Jin-Young Jang
Summary: Severe intraoperative hypothermia is significantly associated with the occurrence of clinically relevant postoperative pancreatic fistula following pancreaticoduodenectomy, while mild hypothermia does not show significant associations.
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES
(2021)
Article
Oncology
Bo Rim Kim, Eun Jin Jang, Junwoo Jo, Hannah Lee, Dong Yeon Jang, Ho Geol Ryu
Summary: The study found that hospitals with low case-volume in esophageal cancer surgery in Korea showed higher in-hospital mortality and long-term mortality. Patients who underwent surgery in low or medium case-volume centers had higher mortality rates at 1, 3, and 5 year follow-ups compared to those in high case-volume centers.
Article
Anesthesiology
MiHye Park, Susie Yoon, Jae-Sik Nam, Hyun Joo Ahn, Heezoo Kim, Hye Jin Kim, Hoon Choi, Hong Kwan Kim, Randal S. Blank, Sung-Cheol Yun, Dong Kyu Lee, Mikyung Yang, Jie Ae Kim, Insun Song, Bo Rim Kim, Jae-Hyon Bahk, Juyoun Kim, Sangho Lee, In-Cheol Choi, Young Jun Oh, Wonjung Hwang, Byung Gun Lim, Burn Young Heo
Summary: Driving pressure-guided ventilation improves intraoperative pulmonary mechanics, but does not reduce the incidence of postoperative pulmonary complications in lung resection surgery.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Obstetrics & Gynecology
Bo Rim Kim, Heewon Kim, Se-gyeong Joo, Eun Jin Jang, Junwoo Jo, Hannah Lee, Ho Geol Ryu
Summary: This study reassessed the association between surgical case-volume and mortality after ovarian cancer surgery. The results showed that case-volume had an effect on in-hospital and 1-year mortality, but not on 3 or 5-year mortality. The dilution of the case-volume effect may be attributed to the high accessibility to care.
GYNECOLOGIC AND OBSTETRIC INVESTIGATION
(2023)
Article
Anesthesiology
Seohee Lee, Jin Young Sohn, In Eob Hwang, Ho-Jin Lee, Susie Yoon, Jae-Hyon Bahk, Bo Rim Kim
Summary: Using a repeated verbal orientation strategy during emergence from general anesthesia can reduce emergence agitation and improve recovery profiles. The incidence of agitation was significantly lower in the orientation group, along with lower rates of dangerous agitation and lower maximal sedation agitation scores. Other recovery-related outcomes did not differ between the two groups.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Medicine, Research & Experimental
Bo Rim Kim, Leerang Lim, YoungRok Choi, Nam-Joon Yi, Kwang-Woong Lee, Kyung-Suk Suh, Kyung-Sang Yu, Jin Young Sohn, Raewon Jeong, Jaeseong Oh, Ho Geol Ryu
Summary: This study investigated the appropriate method of antithrombin-III (AT-III) concentrate administration after liver transplantation to maintain plasma AT-III activity within the target range. The study randomized 130 adult patients into intermittent and continuous groups, and found that the continuous group had a higher rate of target attainment within 72 hours.
CTS-CLINICAL AND TRANSLATIONAL SCIENCE
(2023)
Article
Anesthesiology
Yoon Jung Kim, Bo Rim Kim, Hee Won Kim, Ji-Yoon Jung, Hye-Yeon Cho, Jeoung-Hwa Seo, Won Ho Kim, Hee-Soo Kim, Suhyun Hwangbo, Hyun-Kyu Yoon
Summary: Driving pressure-guided PEEP did not decrease the incidence of pulmonary complications within 7 days of laparoscopic or robotic lower abdominal surgery, although uncertainty remains given the lower than anticipated event rate for the primary outcome.
BRITISH JOURNAL OF ANAESTHESIA
(2023)
Article
Surgery
Seohee Lee, Jae -Woo Ju, Susie Yoon, Ho -Jin Lee, Jeong Hyun Ha, Ki Yong Hong, Ung Sik Jin, Hak Chang, Youn Joung Cho
Summary: This study compared the effects of norepinephrine and phenylephrine on blood flow during free flap breast reconstruction surgery. The results showed that norepinephrine preserved flap perfusion better than phenylephrine. This study has clinical significance, but further validation studies are needed.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Clinical Neurology
Soo-Hyuk Yoon, Jinyoung Bae, Susie Yoon, Kwon Joong Na, Ho-Jin Lee
Summary: This study investigated the correlation between QoR-15K scores and postoperative pain intensity in surgical patients. The results showed a significant negative correlation between QoR-15K scores and pain intensity at rest and during coughing at 48 hours postoperatively. Pain dimension and pain intensity at 48 hours postoperatively were significantly correlated with physical comfort, emotional state, and physical independence dimensions. Postoperative pain at 24 hours was negatively associated with good or excellent postoperative recovery.
JOURNAL OF PAIN RESEARCH
(2023)
Review
Clinical Neurology
Bo Rim Kim, Soo-Hyuk Yoon, Ho-Jin Lee
Summary: Chronic postsurgical pain (CPSP) is a complex condition that affects many patients undergoing surgery. Preventing and managing CPSP requires identifying preoperative risk factors and developing appropriate perioperative pain management plans to prevent its occurrence. Active postoperative pain management should be provided to prevent CPSP in patients with severe pain following surgery. These tasks have become increasingly important for perioperative team members.
KOREAN JOURNAL OF PAIN
(2023)
Article
Medicine, General & Internal
Bo Rim Kim, Moo Soo Kim, Jae Hak Lee, Do Yeop Lee, Hye-bin Kim, Seok Kyeong Oh, Heezoo Kim
Summary: This study describes a case in which remimazolam was used to induce and maintain general anesthesia for a high-risk, noncardiac surgery. The drug effectively preserved the patient's cardiac index and systemic vascular resistance without the need for vasopressor support.
MEDICINA-LITHUANIA
(2022)
Article
Anesthesiology
Hye-Yeon Cho, Yoonbin Hwang, SuHwan Shin, Susie Yoon, Ho-Jin Lee
Summary: Despite being classified as a controlled substance in South Korea since February 2011, propofol abuse among healthcare workers still exists, particularly among nursing aides. This study analyzed criminal cases related to propofol abuse among healthcare workers from the database of the Supreme Court in South Korea.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2022)
Article
Anesthesiology
Susie Yoon, Hyerin Kim, Hye-Yeon Cho, Ho-Jin Lee, Hongbeom Kim, Hyung-Chul Lee, Jin-Young Jang
Summary: This study investigated the association between postoperative non-steroidal anti-inflammatory drug (NSAIDs) use and clinically relevant anastomotic leakage (CR-AL) following pancreaticoduodenectomy (PD). The results showed that postoperative NSAIDs use was significantly associated with an increase in CR-AL incidence, prolonged postoperative hospitalization, and unplanned readmission within 30 days postoperatively. However, the sensitivity analysis did not consistently show this association.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2022)
Article
Anesthesiology
Hye-Yeon Cho, SuHwan Shin, SangJin Lee, Susie Yoon, Ho-Jin Lee
Summary: This study retrospectively analyzed judicial precedents in South Korea from 1994 to 2020 regarding severe complications associated with endotracheal intubation. The results showed that most cases resulted in permanent or more severe injury, with a high mortality rate. The most common issue identified was failed or delayed intubation, and the most common malpractice recognized by the court was the failure to attempt alternative airway techniques.
KOREAN JOURNAL OF ANESTHESIOLOGY
(2021)