1.Artificial intelligence in ultrasound-guided regional anesthesia: bridging the gap between potential and practice: a narrative review
Yumin JO ; Sujin BAEK ; Donghyeon BAEK ; Chahyun OH ; Dongheon LEE ; Boohwi HONG
Anesthesia and Pain Medicine 2025;20(4):357-370
Ultrasound-guided regional anesthesia (UGRA) offers substantial benefits in perioperative pain management; however, it remains underutilized because of technical complexity and training demands. Assistive artificial intelligence (AI) has emerged as a promising solution to support UGRA by enhancing anatomical recognition, procedural accuracy, and user confidence. This narrative review outlines the AI development pipeline for nerve visualization, describes available commercial tools, and summarizes clinical evidence. Although these technologies have the potential to democratize UGRA and reduce interoperator variability, limitations remain, including data bias, narrow anatomical coverage, and lack of outcome-based validation. Future efforts should focus on standardized evaluation, clinician-centered design, and rigorous clinical trials to ensure safe and effective integration of AI into UGRA practice.
2.Effectiveness of Convalescent Plasma Therapy in Severe or Critically Ill COVID-19 Patients:A Retrospective Cohort Study
YunSuk CHO ; YuJin SOHN ; JongHoon HYUN ; YaeJee BAEK ; MooHyun KIM ; JungHo KIM ; JinYoung AHN ; SuJin JEONG ; NamSu KU ; Joon-Sup YEOM ; MiYoung AHN ; DongHyun OH ; JaePhil CHOI ; SinYoung KIM ; KyoungHwa LEE ; YoungGoo SONG ; JunYong CHOI
Yonsei Medical Journal 2021;62(9):799-805
Purpose:
Coronavirus disease-2019 (COVID-19) is a novel respiratory infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); there are few specific treatments. Convalescent plasma (CP), donated by people who have recovered from COVID-19, is an investigational therapy for severe or critically ill patients with COVID-19.
Materials and Methods:
This retrospective cohort study evaluated the effectiveness of CP therapy in patients with severe or lifethreatening cases of COVID-19 at two hospitals in Seoul, Korea, between May and September 2020. Clinical outcomes were evaluated in 20 patients with CP therapy in a descriptive manner. Additionally, the changes in cycle threshold (Ct) values of 10 patients with CP therapy were compared to those of 10 controls who had the same (±0.8) initial Ct values but did not receive CP.
Results:
Of the 20 patients (mean age 66.6 years), 18 received high-dose oxygen therapy using mechanical ventilators or high-flow nasal cannulas. Systemic steroids were administered to 19 patients who received CP. The neutralizing antibody titers of the administered CP were between 1:80 and 1:10240. There were two ABO-mismatched transfusions. The World Health Organization ordinal scale score and National Institutes of Health severity score improved in half of the patients within 14 days. Those who received CP showed a higher increase in Ct values at 24 h and 72 h after CP therapy compared to controls with similar initial Ct values (p=0.002).No transfusion-related side effects were observed.
Conclusion
CP therapy may be a potential therapeutic option in severe or critically ill patients with COVID-19.
3.Preparation and Practice of the Necessary Documents in Hospital for the “Act on Decision of Life-Sustaining Treatment for Patients at the End-of-Life”
Sun Kyung BAEK ; Hwa Jung KIM ; Jung Hye KWON ; Ha Yeon LEE ; Young-Woong WON ; Yu Jung KIM ; Sujin BAIK ; Hyewon RYU
Cancer Research and Treatment 2021;53(4):926-934
Purpose:
Six forms relating to decisions on life-sustaining treatment (LST) for patients at the end-of-life (EOL) in hospital are required by the “Act on Decision of LST for Patients at the EOL.” We investigated the preparation and creation status of these documents from the database of the National Agency for Management of LST.
Materials and Methods:
We analyzed the contents and details of each document necessary for decisions on LST, and the creation status of forms. We defined patients completing form 1 as “self-determined” of LST, and those whose family members had completed form 11/12 as “family decision” of LST. According to the determination subject, we compared the four items of LST on form 13 (the paper of implementation of LST) and the documentation time interval between forms.
Results:
The six forms require information about the patient, doctor, specialized doctor, family members, institution, decision for LST, and intention to use hospice services. Of 44,381 who had completed at least one document, 36,693 patients had form 13. Among them, 11,531, 10,976, and 12,551 people completed forms 1, 11, and 12, respectively. The documentation time interval from forms 1, 11, or 12 to form 13 was 8.6±13.6 days, 1.0±9.5 days, and 1.5±9.7 days, respectively.
Conclusion
The self-determination rate of LST was 31% and the mean time interval from self-determination to implementation of LST was 8.6 days. The creation of these forms still takes place when the patients are close to death.
4.Effectiveness of Convalescent Plasma Therapy in Severe or Critically Ill COVID-19 Patients:A Retrospective Cohort Study
YunSuk CHO ; YuJin SOHN ; JongHoon HYUN ; YaeJee BAEK ; MooHyun KIM ; JungHo KIM ; JinYoung AHN ; SuJin JEONG ; NamSu KU ; Joon-Sup YEOM ; MiYoung AHN ; DongHyun OH ; JaePhil CHOI ; SinYoung KIM ; KyoungHwa LEE ; YoungGoo SONG ; JunYong CHOI
Yonsei Medical Journal 2021;62(9):799-805
Purpose:
Coronavirus disease-2019 (COVID-19) is a novel respiratory infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); there are few specific treatments. Convalescent plasma (CP), donated by people who have recovered from COVID-19, is an investigational therapy for severe or critically ill patients with COVID-19.
Materials and Methods:
This retrospective cohort study evaluated the effectiveness of CP therapy in patients with severe or lifethreatening cases of COVID-19 at two hospitals in Seoul, Korea, between May and September 2020. Clinical outcomes were evaluated in 20 patients with CP therapy in a descriptive manner. Additionally, the changes in cycle threshold (Ct) values of 10 patients with CP therapy were compared to those of 10 controls who had the same (±0.8) initial Ct values but did not receive CP.
Results:
Of the 20 patients (mean age 66.6 years), 18 received high-dose oxygen therapy using mechanical ventilators or high-flow nasal cannulas. Systemic steroids were administered to 19 patients who received CP. The neutralizing antibody titers of the administered CP were between 1:80 and 1:10240. There were two ABO-mismatched transfusions. The World Health Organization ordinal scale score and National Institutes of Health severity score improved in half of the patients within 14 days. Those who received CP showed a higher increase in Ct values at 24 h and 72 h after CP therapy compared to controls with similar initial Ct values (p=0.002).No transfusion-related side effects were observed.
Conclusion
CP therapy may be a potential therapeutic option in severe or critically ill patients with COVID-19.
5.Dietary intake of fat and fatty acids by 1–5-year-old children in Korea: a cross-sectional study based on data from the sixth Korea National Health and Nutrition Examination Survey.
YounJoo BAEK ; Jae Eun SHIM ; SuJin SONG
Nutrition Research and Practice 2018;12(4):324-335
BACKGROUND/OBJECTIVES: We examined dietary fat intake and the major food sources by young children in Korea. SUBJECTS/METHODS: A total of 1,041 children aged 1–5 years were identified from the 2013–2015 Korea National Health and Nutrition Examination Survey. Data on total fat and fatty acid intake were obtained by a single 24-h dietary recall. Food sources were identified based on the amounts of total fat and fatty acids consumption according to each food. Fat and fatty acid intakes and their food sources were presented by age group (1–2-y, n = 401; 3–5-y, n = 640). Fat and fatty acid intakes were also evaluated according to socioeconomic characteristics. RESULTS: The mean intake of fat was 27.1 ± 0.8 g in the 1-2-y group and 35.5 ± 0.7 g in the 3-5-y group, and about 23% of the total energy was obtained from fat in both age groups. The mean intake of saturated fatty acids (SFA) was 10.5 ± 0.3 g in the 1-2-y group and 12.7 ± 0.3 g in the 3-5-y group, with the 1-2-y group obtaining more energy from SFA than the 3-5-y group (9.2% vs. 8.3%). The mean intake of polyunsaturated fatty acids (PUFA) was 6.3 ± 0.1 g in the total subjects, with 0.8 ± 0.03 g of n-3 fatty acids and 5.5 ± 0.1 g of n-6 fatty acids being consumed. Milk, pork, and eggs were major food sources of total fat, SFA, and monounsaturated fatty acids, and soybean oil was the main contributor to PUFA in both age groups. In the 1-2-y group, children in rural areas had significantly higher intake of PUFA and n-3 fatty acids than did those in urban areas. CONCLUSIONS: Our findings provide current information on dietary fat intake among young Korean children and could be used to establish dietary strategies for improvement of health status.
Child*
;
Cross-Sectional Studies*
;
Dietary Fats
;
Eggs
;
Fatty Acids*
;
Fatty Acids, Monounsaturated
;
Fatty Acids, Omega-3
;
Fatty Acids, Omega-6
;
Fatty Acids, Unsaturated
;
Humans
;
Korea*
;
Milk
;
Nutrition Surveys*
;
Ovum
;
Red Meat
;
Soybean Oil

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