BACKGROUND: The Korean Journal of Anesthesiology (KJA) was first published in 1968 containing only 16 articles. In 1998, the number is 291. However, the quantitative growth does not mean a qualitative growth. There are many aspects to improving quality. One of them is statistical accuracy. I have examined the statistical methods in our field and checked the accuracy of the methods. Then, I compared the results with the methods in the 1980s and examined what kinds of changes exist. METHODS: I reviewed all the articles except case reports and review articles in KJA published from 1994 to 1998. I focused on the methods of inferential statistics because those kinds of statistics were usually mentioned in the articles. It is based on the mentioned technique in the article to decide which inferential statistics are used, even though sometimes they are not accurate. I adopted the similar statistical error criteria selected by Ko. RESULTS: Basic statistical error, for example no statistics used even though statistical methods are needed, were dramatically reduced compared to the 1980s. It is increased to use the mean comparison methods correctly, but, some statistical methods are still misused frequently, for example Chi-square test, nonparametric analysis, multiple comparison methods and improperly adopted methods based on the variable scale. CONCLUSION: Generally, based on my criteria statistical errors are reduced from about 75% in the 1980s to about 60% in the 1990s.
Anesthesiology*

No abstract available.
Heparin

There are a lot of units used in Anesthesiology field. Sometimes, we could not compare two units describing the same physical category. For example, I cannot find reference materials explaining whether a 7 French catheter is larger than a 16 Gauge catheter. Furthermore, I would like to know why there are so many differences of blood calcium levels between regular check and intraoperative emergency reports. As for liquid drug concentrations, we usually use the mg/ml during a clinical practice, however, basic researchers report it as mole/liter (molarity, M). I would like to answer these questions. So, I have searched some references and have summarized them to explain length, concentration, temperature, particle size, pressure, and ratio units commonly used in our clinical practice, Anesthesiology.
Anesthesiology* ; Calcium ; Catheters ; Emergencies ; Particle Size

No abstract available.
Humans ; Jehovah's Witnesses

BACKGROUND: For a rapid transfusion, pressure is sometimes applied to packed red blood cells during the operation. However, there are neither standard guidelines nor reported data regarding adequate change interval of transfusion kits. The aim of this study is to present relevant data by simulating a surgical situation. METHODS: Each unit of packed red blood cells was mixed with 50 mL of normal saline. Pressure (250 mmHg) was applied to the mixed red blood cells. Each filtration time was measured without change of the transfusion kit. The weight of the mixed red blood cells was measured before and after administration. The passed blood was examined microscopically for detection of possible microaggregation. Eight transfusion sets were tested with 70 packed red blood cells. RESULTS: International guidelines have recommended replacement of the transfusion set if flow rate decreased to less than 100 mL/min. The flow rate of five transfusion sets was recorded as less than 100 mL/min. The flow rate of the third packed red blood cells decreased to less than 100 mL/min. No microaggregate was detected. CONCLUSION: Therefore, we recommended replacement of the blood filter after filtering two units of packed red blood cells with pressure under operation room circumstances.
Erythrocyte Transfusion ; Erythrocytes ; Filtration

BACKGROUND: Procedures in medical papers should be described in sufficient detail to allow other researchers to reproduce the results. The apparatus including anesthesia machine should be given, too. Anesthesia machine has dramatically improved as bioengineering has developed. There are several ventilator settings in modern anesthesia machines. However, it seems that only a few ventilator settings are described even though modern ventilators are used in research. The purpose of this study is to investigate that how many ventilator parameters were described in the papers of the Korean Journal of Anesthesiology from 2001 to 2006. METHODS: All of papers with human general anesthesia were reviewed except case reports, and papers regarding only induction or intubation procedures. Recruited articles were grouped into papers with strongly related to respiratory parameters (STP), and into ones with slightly related to them based on the research topics. The description of following categories was counted in each paper; the type of anesthesia machine, tidal volume, respiratory rate, inspiratory:expiratory ratio, mode of ventilation, pressure set in pressure targeted ventilation, positive end expiratory pressure, inspiratory pause, and inspiratory rising rate. RESULTS: The description rate of each parameters in STP were 36% in the type of anesthesia machine, 66% in tidal volume, 54% in respiratory rate, and 24% in inspiratory:expiratory ratio. The other settings were seldomly mentioned. CONCLUSIONS: Description on the ventilator parameters was sometimes missed. We should describe adequate ventilator settings to reproduce the results because the modern anesthesia machine has additional ventilator options.
Anesthesia* ; Anesthesia, General ; Anesthesiology ; Bioengineering ; Humans ; Intubation ; Positive-Pressure Respiration ; Respiration, Artificial ; Respiratory Rate ; Tidal Volume ; Ventilation* ; Ventilators, Mechanical*

No abstract available.
Blood Pressure*

BACKGROUND: Empirical use of fresh frozen plasma (FFP) in perioperative blood transfusion leads to high wastage of FFP. However, coordination of many related clinical departments is difficult. Therefore, quality improvement (QI) activities for establishment of appropriate use of FFP are needed. METHODS: Departments of surgery (all surgery departments except ophthalmology) and the departments of anesthesiology, clinical pathology, and nurses met each month from March, 2011 to October, 2011. Each department investigated the number of FFP usages, wastage, and coagulation tests. Primary measured variables and objectives were decrease of 50% of FFP wastage rate compared with the previous year and 50% increase of coagulation testing before using FFP. Secondary measured variables were total amount of FFP usage and report time for coagulation tests. RESULTS: After the QI activities (March, 2011~October, 2011), FFP wastage decreased, from 71.5 units during the second half of 2010 to 37.8 units during the second half of 2011 (-47.1%). Rate of coagulation testing before using FFP more than doubled during the second half of 2011 (57%) compared with the second half of 2010 (25%). The rate of less than 30 minutes report time for coagulation testing increased from 60% to 75%. FFP transfusion per 1,000 surgical cases decreased to from 190 units to 118 units. CONCLUSION: Rate of FFP wastage and transfusion decreased and rate of performance of the blood coagulation test was enhanced through education and training on transfusion and QI activities.
Anesthesiology ; Blood Coagulation Tests ; Blood Transfusion ; Pathology, Clinical ; Plasma ; Qi ; Quality Improvement

No abstract available.
Anemia, Hemolytic, Autoimmune*

No abstract available.
Anemia, Hemolytic, Autoimmune*