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 17, Issue 2
Displaying 1-9 of 9 articles from this issue
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  • [title in Japanese]
    [in Japanese]
    1997 Volume 17 Issue 2 Pages 67-73
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.67
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1997 Volume 17 Issue 2 Pages 74-80
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.74
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1997 Volume 17 Issue 2 Pages 81-87
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.81
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1997 Volume 17 Issue 2 Pages 88-94
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.88
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1997 Volume 17 Issue 2 Pages 95-102
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.95
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese], [in Japanese]
    1997 Volume 17 Issue 2 Pages 103-107
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.103
    JOURNAL FREE ACCESS
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  • Evaluation of a New Oscillometric Blood Pressure Monitor by the Cuff Inflation Method during Anesthesia
    Shuichi YOKOTA, Motoaki NAKAJIMA, Toru KOMATSU, Yasuhiro SHIMADA, Tomi ...
    1997 Volume 17 Issue 2 Pages 108-111
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.108
    JOURNAL FREE ACCESS
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    The technique most commonly incorporated in automated noninvasive blood pressure devices is the oscillometric principle during blood pressure cuff deflation. A new oscillometric blood pressure device senses variations in cuff pressure resulting from arterial pulsation during blood cuff inflation and determines arterial blood pressure values. We compared the agreement of the new device with simultaneous direct radial artery blood pressure in 60 patients (300points). Limits of agreement (bias±SD) were 0.43±5.30mmHg for systolic and 3.36±7.10mmHg for diastolic blood pressure. The new oscillometric technique correlates well with the direct arterial technique and provides an acceptable measurement of arterial blood pressure during anesthesia.
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  • A Case of General Anesthesia in a Child with Sotos' Syndrome
    Hiroko ITO, Noriki SAITO, Juichi HIROSAWA, Ryuhei TAMAGAWA, Yuichi ISH ...
    1997 Volume 17 Issue 2 Pages 112-115
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.112
    JOURNAL FREE ACCESS
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    Sotos' syndrome is a heriditary disorder characterized by prenatal onset of excessive growth, macrocephaly, prominent forehead etc. A 6-year-old female patient with Sotos' syndrome and poor coordination was highly agitated during induction of anesthesia because of severe mental retardation. Although preoperative cephalic X-P measurement by White and Kander's method indicated that tracheal intubation would be difficult, Mallampati's classification and Cormack's grade suggested otherwise. In fact, the patient was twice subjected to general anesthesia, the first time with inhalation anesthetics using a face mask and the second time with tracheal intubation, without any airway trouble. Our experience suggests that assesment based on the W-K method may be unsuitable for patients with skull deformities.
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  • Perioperative Management in a Patient with Giant Ovarian Cyst
    Shinji HANZAWA, Noboru ONODA, Kazuki TERAO, Hideaki SAKIO
    1997 Volume 17 Issue 2 Pages 116-119
    Published: March 15, 1997
    Released on J-STAGE: December 11, 2008
    DOIhttps://doi.org/10.2199/jjsca.17.116
    JOURNAL FREE ACCESS
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    A 33-year-old woman with a giant ovarian cyst was admitted for surgical removal. She could sleep on either side of the lateral decubitis position, but not in the supine position. Chest radiography noted elevated diaphragm and deformity of the rib cage. Preoperative paracentesis while monitoring systemic and pulmonary artery pressures was scheduled. A total of 35 liters of mucinous fluid was removed over 35 hours without any hemodynamic disturbance. On the following day, anesthesia was induced in the supine position. Immediately after aspiration of remaining fluid, abrupt hypotension (80/50mmHg) with decreases of CVP and Pao2 was observed. These were restored gradually by intravenous vasopressor agents, crystalloid solution and increased FIO2. The weight of the tumor including preoperative fluid was approximately 53 kilograms. The patient recovered uneventfully and was discharged on postoperative day 30.
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