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Volume 23 (2004)
- Issue 3 Pages 127-
- Issue 2 Pages 73-
- Issue 1 Pages 1-
Volume 23, Issue 2
Displaying 1-6 of 6 articles from this issue
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Yoshiyuki Oi, Katsuyuki Terajima, Noriyuki Kobayashi, Akihiro Matsu-ur ...2004 Volume 23 Issue 2 Pages 73-80
Published: June 15, 2004
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSThe effects of bicarbonated Ringer's solution containing 1 mEq/L of magnesium (BR), acetated Ringers solution (AR), lactated Ringer's solution (LR) or Ringer's solution (NR) for correcting metabolic acidosis were studied in a model of hemorrhagic shock (n=20) . Shock was produced for the mean arterial pressure to reach 40mmHg in dogs by hemorrhage via external jugular vein at a speed of 1 ml/kg/min. At the time when base excess reached-13mEq/L, the fluids were infused at a rate of 1 ml/kg/min over a 90min period. Arterial blood gas values, blood metabolic variables, plasma electrolytes were measured before, during and after the infusion. Bicarbonate, pH and base excess (BE) in BR returned to the control values with rapidity, compared with those received AR, LR or NR. The maximum effect on correcting metabolic acidosis in AR and LR occurred after infusion of fluids were completed, showing that acetate and lactate need some time to be metabolized. On the basis of the finding of this study, bicarbonate is a buffer which is more effective on correcting metabolic acidosis than acetate and lactate in hemorrhagic shock.View full abstractDownload PDF (1110K) -
Masanori Yamauchi, Shingo Furuse2004 Volume 23 Issue 2 Pages 81-85
Published: June 15, 2004
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSWe evaluated the effects of twice basic life support (BLS) training courses for 82 student nurse. The BLS training courses were performed at interval of 2 weeks or 2 months. Their comprehension for BLS was examined by questionnaires. Although the average scores of the test significantly increased from about 50 points to 8 0 points after the first training (p<0.05), the second training did not have any additional effect to obtain further comprehension for BLS. The most frequent incorrect answer was the position of the hands for cardiac massage. Our results show that the repeated training for BLS twice within 2 months was not effective to augment BLS knowledge for the student nurse.View full abstractDownload PDF (531K) -
Yasuhiro Myojo, Kazuki Tohyama2004 Volume 23 Issue 2 Pages 86-88
Published: June 15, 2004
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSA 55-year-old obese woman was admitted to our hospital with difficulties opening her mouth and neck rigidity 11 days after injuring her left hand by hoe. After debriedmant, human anti-tetanus immunoglobulin 4.000IU, benzylpeniculline potassium 12million units and antibiotics were given to her. However systemic muscle convulsion and opisthotonus was occurred next day. The onset-time was about 40hours. Tracheotomy and mechanical ventilation was made under continuous intravenous infusion of propofol at a speed of 2mg kg-1·hr-1, to achieve sedation of ramsay score 2-3. There were no severe sympathetic overactivity, systemic convulsion and other complications. After propofol sedation for two weeks, she could wean from ventilator. Propohol can be employed to acquire adequate sedation in patients with tetanus.View full abstractDownload PDF (360K) -
Shinya Yamazaki, Hiroyoshi Kawaai, Kazuho Tanaka2004 Volume 23 Issue 2 Pages 89-92
Published: June 15, 2004
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSWe experienced a case of aiway management with Cuffed Oropharyngeal Airway (COPA) to massive pharyngeal bleeding. A 57-year-old female received radical operation of tongue cancer one year ago. She was hospitalized for an examination because she felt discomfort of pharynx. Immediately after hospitalization, bleeding from pharynx suddenly occurred during a conversation with her husband at ward. Emergency tracheotomy and hemostasis under general anesthesia was scheduled due to progressive deterioltion of consciousness level and blood aspiration. During anesthetic induction, endotracheal intubation was impossible due to the bleeding and post opetative trismus and scar. Then, COPA was inserted and ventilation became possoble. Tracheotomy and hemostasis finished smoothly because the cuff of COPA pressed the bleeding point. Total bleeding volume was 1, 000ml, and the cause of bleeding was the rupture of pharyngeal artery due to metastasis of tongue cancer. COPA was effective for ventilation and hemostasis during bleeding from pharynx.View full abstractDownload PDF (4826K) -
Osamu Watabe, Kunihiko Okada, Tetsuo Kimura, Syuuiti Imai, Makoto Tamu ...2004 Volume 23 Issue 2 Pages 93-95
Published: June 15, 2004
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSDownload PDF (427K) -
2004 Volume 23 Issue 2 Pages 96-101
Published: June 15, 2004
Released on J-STAGE: June 08, 2010
JOURNAL FREE ACCESSDownload PDF (859K)
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