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Volume 13 (1993)
- Issue 7 Pages 597-
- Issue 6 Pages 483-
- Issue 4 Pages 351-
- Issue 3 Pages 215-
- Issue 2 Pages 99-
- Issue 1 Pages 1-
Volume 13, Issue 7
Displaying 1-16 of 16 articles from this issue
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[in Japanese]1993 Volume 13 Issue 7 Pages 597-598
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese]1993 Volume 13 Issue 7 Pages 599-604
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese]1993 Volume 13 Issue 7 Pages 605-608
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese]1993 Volume 13 Issue 7 Pages 609-612
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1993 Volume 13 Issue 7 Pages 613-617
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...1993 Volume 13 Issue 7 Pages 618-621
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese]1993 Volume 13 Issue 7 Pages 622-624
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese]1993 Volume 13 Issue 7 Pages 625-628
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese]1993 Volume 13 Issue 7 Pages 629-635
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese]1993 Volume 13 Issue 7 Pages 636-639
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]1993 Volume 13 Issue 7 Pages 640-643
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese]1993 Volume 13 Issue 7 Pages 644-647
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
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Akio KONISHI, Keiko KIKUCHI, Hiromasa TAMII, Masayuki FUJII, Akira OKU ...1993 Volume 13 Issue 7 Pages 648-653
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSTo avoid blood transfusion, we carried out hypervolemic hemodilution (HH) by rapid infusion of colloid solution without blood withdrawal in anemic patients. Nine patients who had Hb of less than 11g/dl, and normal cardiac and renal functions, underwent HH with Ringer's lactate and HES, and with hypotensive anesthesia induced by nitroglycerin. This procedure made it possible to avoid blood transfusion for all patients without any complications or any abnormalities in the blood coagulation system. The minimum value of Hct was 23% on avarage.
We concluded that this preoperative HH was a very useful technique for avoiding blood transfusions in anemic patients. During acute hemodilution, however, excessive volume loading was associated with significant increases in CVP, PAP and PCWP. We must therefore select the operative cases who can most safely undergo HH, and should take scrupulous care concerning the sort of anesthetic technique and vasodilating therapy conducted during HH.View full abstractDownload PDF (548K) -
Akira FUKUI, Kenichi KIMURA, Yoshihisa FUJITA, Masuhiko TAKAORI1993 Volume 13 Issue 7 Pages 654-660
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSExtreme hemodilution occurred following unexpected massive hemorrhage and infusion of non-hemoglobin-containing fluids in six surgical patients.
The mean hematocrit value of these patients decreased minimally to 8.5±0.8% and remaind below 10% for 152±38min.
No irreversible complications occurred, however, and all six patients survived.
In trying to save a patients life, it is essential to maintain adequate circulating blood volume, even if the hemoglobin level decreases below the critical value.View full abstractDownload PDF (784K) -
Hiroyuki KUMEGAWA, Yasuo KAWASHIMA, Keiko HIROTA, Shigehito SAWAMURA, ...1993 Volume 13 Issue 7 Pages 661-667
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe studied 8 patients undergoing elective surgery of the lower limbs or lower abdomen who received continuous spinal anesthesia using a 32-gauge spinal catheter (Microspinal ®, TFX Medical). To avoid cauda equina syndrome, we tried to place the tip of the catheter 2 to 3cm above the level of the 2nd lumber vertebra cephalad by inserting a spinal needle at L2-3 instead of L3-4, and by directing the tip of the needle cephalad intentionally. We also selected 0.5% isobaric terracaine instead of hyperbaric solution to avoid the possibility of sacral accumulation of anesthetic. In 6 patients, after the initial administration of 3ml of 0.5% tetracaine, mean sensory blockade to T8 was achieved. The sensory block of the patients who required additional anesthetic through the spinal catheter exteded to the T4-5 level at the end of surgery. The 2 other patients required supplemental general anesthesia, beacuse maldistribution of local anesthetic might have occurred due to intrusion of a catheter toward the caudal sac. No complications such as cauda equina syndrome, breakdown of the spinal catheter, infection, neurological injuries or as postdural puncture headache were noted.
We conclude that the system for continuous spinal anesthesia by the microcatheter may require some improvement or an aiding device such as a Sprotte needle to control the direction of the catheter to avoid cauda equina syndrome.View full abstractDownload PDF (1226K) -
Yukari HANAOKA, Makoto IMAI, Kaori SUGAWARA, Hitoshi FURUMIDOH, Osamu ...1993 Volume 13 Issue 7 Pages 668-671
Published: December 05, 1993
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe have developed a simple, readily available method of producing a selective, tiponly, stimulating electrode for plexus block anesthesia, and evaluated its efficacy in 20 patients undergoing brachial plexus blocks.
The methods were as follows. A sterile, 18G-gauge Teflon needle, with a plastic cannula in place, was attached to a 23G-gauge (32mm length) needle in its needle hub.
The protruding end of the 23G-gauge needle was then attached to the alligator clip of the cathode of a nerve stimulator. After the optimal position was located by checking the muscle twitch of the upper extremity, the inner stem of 18G-gauge Teflon needle was withdrawn and an extension tube was connected to the catheter. Serial injections of local anesthetic agents were carried out. If prolonged anesthesia was needed, the cannula was advanced and the inner needle withdrawn.
The stimulating peak current was within 0.5mA. The success rate of this method applied for 20 brachial plexus blocks was 100%.
We conclude that this simple method may be useful for plexus block anesthesia especially when indicated for patients under general anesthesia.View full abstractDownload PDF (741K)
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