Masui. The Japanese journal of anesthesiology
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We report the history and current issues of anesthesia in Korea. Korean medical doctors have to take 1-year internship and 4-year residency to be qualified to take the national examination for a board-certified anesthesiologist. ⋯ The Korean government adopted nurse-anesthetists in 1973 because of shortage of board-certified anesthesiologists. The Korean Society of Anesthesiologists is now demanding its amendment.
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Use of conventional sedatives is restricted in order to evaluate consciousness levels in patients undergoing intracranial surgery. However, patients can become agitated and delirious as a result of insufficient doses of sedatives, and as a consequence require physical restriction. Dexmedetomidine (DEX) provides a cooperative form of sedation, allowing patients easy transition from sleep to wakefulness. The clinical characteristics make it possible to perform neurological assessments. We evaluated the effect of DEX for sedation in patients undergoing cerebral aneurysm surgery. ⋯ DEX is beneficial for sedation in patients undergoing cerebral aneurysm surgery because it provides adequate sedation with less physical restriction.