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Volume 17, Issue 3
Displaying 1-13 of 13 articles from this issue
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[in Japanese]1997 Volume 17 Issue 3 Pages 137-140
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese]1997 Volume 17 Issue 3 Pages 141-146
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]1997 Volume 17 Issue 3 Pages 147-153
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]1997 Volume 17 Issue 3 Pages 154-158
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese]1997 Volume 17 Issue 3 Pages 159-161
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese]1997 Volume 17 Issue 3 Pages 162-165
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]1997 Volume 17 Issue 3 Pages 166-170
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese]1997 Volume 17 Issue 3 Pages 171-173
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]1997 Volume 17 Issue 3 Pages 174-176
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
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Masahiro SUGIMOTO, Kiyoshi TAKEMOTO, Michihiko MIYAZAKI, Hisatoshi OHS ...1997 Volume 17 Issue 3 Pages 177-180
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThis study was designed prospectively to investigate the incidence and causative factor (s) of postoperative alopecia (POA) (study 1) and to determine the effect of periodic head-turning (every 30 min) on the incidence of POA (study 2). In study 1, we investigated 954 patients. POA occurred in five patients, all were characterized by 1) anesthesia time>6 hours, 2) major abdominal surgery, 3) general anesthesia combined with epidural anesthesia, and 4) supine position without position change. Considering the patients characterized by these 4 factors as POA-susceptible, the incidence of POA was 16.7% (5/30). Sixty-seven POA-susceptible patients were included in study 2. Although the skin of one gynecological patient swelled locally in the occipital region after surgery, no patients with periodic head-turning developed POA. POA is likely to be overlooked as a postoperative complication since the complication is not life-threatening. Our results indicated that POA is avoidable by simple periodic head-turning during surgery.View full abstractDownload PDF (867K) -
Yasuhiko WATANABE, Keiji KUMON, Naoki YAHAGI, Masaki HARUNA, Hideaki H ...1997 Volume 17 Issue 3 Pages 181-187
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe investigated the use of inhaled nitric oxide (NO) in 22 adult cases of severe respiratory failure associated with profound hypoxemia, pulmonary hypertension, or right ventricular failure after cardiovascular surgery. Breathing NO at less than 10 ppm improved oxygenation in patients with hypoxic respiratory failure. In patients with pulmonary hypertension, pulmonary artery pressure (PAP) fell when NO was inhaled, but the fall seemed to be dependent on the extent of the organic change in the pulmonary artery tissue. For the management of right ventricular failure, we adopted inhaled NO therapy in patients with a left ventricular assist system (LVAS) who required secure delivery of sufficient blood from the right ventricle to the LVAS, and in patients with pen-operative myocardial ischemia of the right ventricle. Their SVO2 rose, while their PAP and right atrial pressure (RAP) fell after inhalation of NO. Inhaled NO therapy seems to be both potent and effective for critical patients after cardiovascular surgery.View full abstractDownload PDF (811K) -
Takanori SAKAMOTO, Masahiko KAWAGUCHI, Koukichi KUREHARA, Katsuyasu KI ...1997 Volume 17 Issue 3 Pages 188-191
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSTransrectally administered midazolam is known to be less effective in younger than in older children. To verify the hypothesis that the difference in effect is based on differences in bioavailability at different ages, we measured plasma concentrations of midazolam in 13 children 8 years old or less. One mg/kg of midazolam was given 30 min before induction of anesthesia. The sedation score was evaluated using a 6-point scale on arrival at the operating room and a blood sample was collected immediately after arterial catheter placement. The data was analyzed by Spearmann's rank coefficent and significance was set at p<0.05. There was a significant correlation between sedative score and patients' age, but not between plasma concentration and patients' age. These results suggest that the difference in sedative effect at different ages is not caused only by differences in bioavailability.View full abstractDownload PDF (521K) -
Chiharu KOIZUMI, Yasunori YAMAMOTO, Kazuki TOHYAMA, Yuji SUGIMOTO, Yos ...1997 Volume 17 Issue 3 Pages 192-195
Published: May 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSTranscutaneous cardiac pacing is an easy, non-invasive procedure. The transcutaneous cardiac pacemaker (TCP) was placed for standby pacing before anesthesia in two patients with bradyarrhythmias who were clinically stable but who might have had severe bradycardia and hemodynamic complications during anesthesia. Both cases of TCP application are reported below.
Case 1: A 68-year-old female with sick sinus syndrome (SSS) was scheduled to undergo right mastectomy. The electrodes for pacing were placed after inducing anesthesia. During anesthesia, TCP often provided the effective ventricular beats upon severe bradycardia, and no hemodynamic complications occurred. Two weeks after the operation she lost consciousness because of critical bradycardia. A permanent cardiac pacemaker was implanted. Case 2: An 81-year-old female with SSS was scheduled to undergo the operation for a bone fracture in her lower leg. We prepared TCP using a similar method. She had severe bradycardia during anesthesia and immediate TCP gave effective ventricular beats for about 10 minutes without any complications.
Standby pacing by a transcutaneous cardiac pacemaker was effective and safe for patients with bradyarrhythmias during anesthesia.View full abstractDownload PDF (503K)
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