THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
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Volume 11, Issue 4
Displaying 1-22 of 22 articles from this issue
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 377-387
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.377
    JOURNAL FREE ACCESS
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  • Feature of Parturient and Fetus
    Masahiro NISHIJIMA
    1991 Volume 11 Issue 4 Pages 388-398
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.388
    JOURNAL FREE ACCESS
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  • Sharing Role of Anesthesiologists, Obstetricians and Neonatologists for the better Care of Mothers and Infants
    Hiroshi NISHIDA
    1991 Volume 11 Issue 4 Pages 399-401
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.399
    JOURNAL FREE ACCESS
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  • Spinal Opioids in Obstetrics
    Kazushige MURAKAWA
    1991 Volume 11 Issue 4 Pages 402-407
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.402
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 408
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.408
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 409-413
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.409
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 414-419
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.414
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1991 Volume 11 Issue 4 Pages 420-426
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.420
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 427-429
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.427
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1991 Volume 11 Issue 4 Pages 430-432
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.430
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 433-443
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.433
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 444-450
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.444
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1991 Volume 11 Issue 4 Pages 451-454
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.451
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1991 Volume 11 Issue 4 Pages 455-458
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.455
    JOURNAL FREE ACCESS
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  • Continuous Measurement of Cardiac Output by the Fick Method During Inhalation Anesthesia in Man
    Hitoshi FURUMIDOH, Kenichi SATOH, Takeyasu YAMAMURA, Osamu KEMMOTSU
    1991 Volume 11 Issue 4 Pages 459-465
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.459
    JOURNAL FREE ACCESS
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    A computer-based system has been developed to continuously monitor cardiac output (CO). CO was calculated every 10 sec based on the Fick equation, using oxygen consumption by a gas exchange analyzer and arteriovenous oxygen difference by pulse (Biox-3740, Ohmeda) and fiberoptic (Opticath, Abbott) oximetry. Respiratory gas exchange was monitored by a multi-gas-monitor CAPNOMAC (DATEX) and by a SERVO 900C respirator. The overall accuracy of the system was estimated to be within 15%. There was a good correlation between CO by the Fick method and thermodilution: y=1.1x-0.24, r=0.95. The system provided virtually cotinuous hemodynamic analysis and facilitated more sophisticated circulatory control of the patient within a limited fluctuation.
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  • Effects of Age on the Spread of Neural Blockade and Pharmacokinetics in Epidural Anesthesia with Lidocaine
    Michiaki YAMAKAGE, Keiichi OMOTE, Maki MATSUMOTO, Akiyoshi NAMIKI
    1991 Volume 11 Issue 4 Pages 466-470
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.466
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    Effects of age on the spread of neural blockade and pharmacokinetics in lumbar epidural analgesia using 10ml of 2% lidocaine were studied. Patients were divided into two groups; a young group (under 60 yr old) and an old group (over 60 yr old).
    There was a significant correlation between the spinal segment number of analgesia and age (r=0.69, p<0.05). Peak plasma concentration of lidocaine in the old group was significantly higher than that in the young group (p<0.01). In order to investigate the difference of plasma concentration between the two groups, these results were applied to a one-compartment model. Consequently, it was revealed that the absorption rate constant per segment in the old group was higher than that in the young group.
    It is important to be aware of the toxicity of local anesthetics when epidural anesthe-sia is performed in older patients.
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  • The effect of epinephrine or norepinephrine on the duration of spinal anesthesia
    Hiroshi HAMADA, Kenichi KIMURA, Emiko ENDO, Akira FUKUI, Yoshihisa FUJ ...
    1991 Volume 11 Issue 4 Pages 471-479
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.471
    JOURNAL FREE ACCESS
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    The effect of vasocostrictors added to local anesthetic on the duration of spinal anesthesia was evaluated in sixty patients who were scheduled for lower extremity operations. They were randomly divided into four groups: Group C; 15 patients received Neopercamine S® (dibucaine 7.2mg, T-caine 3.6mg) 3ml alone. Group E1; 12 patients received Neopercamine S® 3ml added 0.1mg of epinephrine, Group E2; 15 patients received Neopercamine S® 3ml added 0.2mg of epinephrine, and Goup NE; 12 patients received Neopercamine S® 3ml added 0.1mg of norepinephrine. Segmental sensory blockade was assessed by pin prick at every 5min intervals for the first 30min after the intrathecal injection and thereafter at every 20min. Time for regression by two sensory dermatomes were significantly prolonged to 120±32min in the Group E1, 145±60min in the Group E2 and 142±55min in the Group NE, while it remained at 95±47min in the Group C. Time for regression by four sensory dermatomes were also prolonged to 178±35min in the Group E1, 191±68min in the Group E2 and 180±46min in the Group NE, while it remained at 135±52min in the Group C. No significant differences were noted in the analgesic duration between the groups.
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  • High-dose vecuronium administration for rapid endotracheal intubation
    Naomitsu OKUBO, Taro MIZUTANI, Hiroshi TAKAHASHI, Kazuyuki MIZUYAMA, S ...
    1991 Volume 11 Issue 4 Pages 477-482
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.477
    JOURNAL FREE ACCESS
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    To determine an appropriate dose of vecuronium for rapid endotracheal intubation, the authors evaluated the onset time and the duration of neuromuscular blockade in 68 surgical patients who were given either 0.1, 0.2, or 0.3mg/kg of vecuronium. The onset time and the duration of vecuronium were measured by stimulating the ulnar nerve with supramaximal impulses at 1.0 or 0.1Hz percutaneously (Myograph 2000TM and the acceleration transducer).
    Increasing dose of vecuronium produced the shorter onset time and the more prolonged duration of neuromuscular blockade, but there was no significant difference in the onset time between dose of 0.2mg/kg and 0.3mg/kg. There were no cardiovascular side effects with large dose of vecuronium. From this study, we recommend to give 0.2mg/kg of vecuronium for rapid endotracheal intubation because of rapid onset of action and not so prolonged duration. The onset time was 74±19 seconds and the duration of the block was 68±30 minutes.
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  • The effect of intravenous mexiletine on cardiac contraction during halothane anesthesia in man
    A Study by measurement of left ventricular time intervals
    Hisayasu YAMAOKA, Singo SUGIOKA
    1991 Volume 11 Issue 4 Pages 483-487
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.483
    JOURNAL FREE ACCESS
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    Left ventricular ejection time (LVET) and pre-ejectoin period (PEP) can be derived from the simultaneous recordings of arterial pressure form, phonocardiogram and electrocardiogram. Using the PEP/LVET and 1/PEP2 as the indices of cardiac contraction. We studied the effect of a new antiarrhythmic agent, mexiletine, on left ventricular function during halothane anesthesia in 15 subjects.
    Intravenous mexiletine 2mg/kg showed no significant depressive action on cardiac contraction. The dosages of 2.5 and 3mg/kg, however, decreased mean arterial pressure and 1/PEP2 and increased PEP/LVET significantly. This means that mexiletine exerted a depressive action on myocardium in 2.5 and 3mg/kg doses, but there were no significant changes in cardiac contraction among three groups. We conclude that mexiletine shows no dose-dependent cardiac depression during halothane anesthesia at the dose of 2 to 3mg/kg.
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  • Circulatory Collapse following the administration of Succinylcholine despite Precurarization
    Yutaka YOSHIMURA, Satoshi YOKONO, Kenji OGLI
    1991 Volume 11 Issue 4 Pages 488-491
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.488
    JOURNAL FREE ACCESS
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    Increase in plasma potassium levels following the administration of succinylcholine have been reported in normal anesthetized patients. Abnormal increase in plasma potassium levels has also been observed in patients with extensive burns, massive trauma, neuromuscular disorders, and tetanus resulting in serious even fatal cardiac arrhythmias a/o cardiac arrest. Some investigators have studied the effects of pretreatment with nondeporarizing muscle relaxants before succinylcholine. These effects have the benefit for the prevention from abnormal release of potassium after the administration of succinylcholine. We report on a case of cardiac arrest possibly induced by hyperkalemia following the administration of succinylcholine despite precurarization.
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  • Anesthesia for sleeve resection of the trachea using epidural anesthesia and high frequency jet ventilation (HFJV)
    Kouji SAKAIDA, Hiromune YANAI, Hideki OGINO, Toshiyasu ONUMA, Akira OK ...
    1991 Volume 11 Issue 4 Pages 492-495
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.492
    JOURNAL FREE ACCESS
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    A 69-years-old woman with a tracheal tumor that was 22mm in diameter, protruding from the posterior wall of the trachea directly, underwent sleep resection of trachea. An endotracheal tube (I.D. 5.0mm) without cuff was inserted alongside passing the tumor. Epidural anesthesia with low concentration of halothane and nitrous oxide was chosen under spontaneous breathing combined with HFJV. During anesthesia, the value of PaO2 and PaCO2 was kept within almost normal range, and the operation was accomplished uneventfully.In conclusion, epidural anesthesia under spontaneous breathing with HFJV is considered to be a good method for sleeve resection of the trachea.
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  • Anesthetic management of a patient with severe asthma: A case report
    Atsuko TANAKA, Shiu Shan JUAN, Takashi NISHINO
    1991 Volume 11 Issue 4 Pages 496-499
    Published: July 15, 1991
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.11.496
    JOURNAL FREE ACCESS
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    A 39-year-old woman with severe bronchial asthma was scheduled for a radical mastectomy. Anesthesia was induced with ketamine, enflurane, and vecuronium. An endotracheal tube was intubated under deep enflurane anesthesia. During anesthesia a saline-filled cuff pressure of the tracheal tube and airway pressure were continuously monitored. There was no asthmatic attack during the operation.
    No change in tracheal smooth muscle tone was observed even during the procedure of tracheal suction and after administration of neostigmine for the reversal of muscle relaxation. The tracheal tube was extubated while anesthesia was maintained with enflurane and continuous infusion of ketamine (20mg/hr). Postoperatively, the continuous infusion of ketamine was maintained for two days and satisfactory pain relief was obtained. The patient had a short attack of asthma in the recovery room, but not again during the postperative course.
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