All issues
Volume 17, Issue 5
Displaying 1-11 of 11 articles from this issue
- |<
- <
- 1
- >
- >|
-
[in Japanese]1997 Volume 17 Issue 5 Pages 283-288
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (847K) -
[in Japanese]1997 Volume 17 Issue 5 Pages 289-299
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (1778K) -
[in Japanese]1997 Volume 17 Issue 5 Pages 300-303
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (579K) -
[in Japanese]1997 Volume 17 Issue 5 Pages 304-310
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (824K) -
Toshiyasu SUZUKI, Yoshio KINEFUCHI, Haruo Fukuyama, Mamoru TAKIGUCHI, ...1997 Volume 17 Issue 5 Pages 311-315
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe developed a method for establishing a continuous retrobulbar block by placing a fine catheter through a 20 gauge Atkinson retrobulbar needle in the orbital floor. The hub of the needle was modified to a funnel shape to facilitate passage of the pediatric epidural catheter. This method allowed smooth catheter insertion and continuous local anesthethic administra-tion. We used this block with light general anesthesia and obtained satisfactory results. Bradycardia and arrhythmia due to oculo-cardiac reflex were less with this method compar-ed to the cases given general anesthesia alone. We conclude that this method is useful for ophthalmic surgeries such as retinal reattachment and vitrectomy, and the retrobulbar needle we modified for pediatric epidural catheter placement appears to be a safe and effective.View full abstractDownload PDF (1745K) -
Yuji DOBASHI1997 Volume 17 Issue 5 Pages 316-319
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe effects of epidural anesthesia with 1.5% mepivacaine as pre and postoperative pain control were studied in 76 patients over 85 years of age who underwent surgical treatment for femoral neck fracture. Inorder to expedite surgery and ambulation, an epidurai catheter was placed at the L2-5 space in all patients promptly after admission, epidural anesthesia was administered, and radical operation performed as soon as possible.
All patients were administered buprenorphine 0.lmg with physiologic saline solution 5ml or buprenorphine 0.1mg with 0.125% bupivacaine 5ml epidurally after admission and after the operation. During operation, 1.5% mepivacaine was administered by injection.
Anesthesia was achieved uneventfully and satisfactory sedation was obtained.
It is concluded that epidural infusion is a clinically useful method for intraoperative, prepostoperative management. The results of this study suggest that appropriate anesthesia and surgical treatment should be given to patients over 85 years of age with femoral neck fracture.View full abstractDownload PDF (565K) -
Masataka NAKAMURA, Toshiyuki ODA1997 Volume 17 Issue 5 Pages 320-323
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSA case of cardiac arrest that may have been caused by lidocaine was described. A 70-year-old male with bifascicular block was scheduled for aortic valve replacement. Anesthetia was induced with fentanyl, vecuronium and isoflurane uneventfully. During the procedure of pulmonary arterial catheter insertion, cardiac standstill followed by sinus bradycardia occurred within a few minutes after administration of a 1, 5 mg•kg-1 lidocaine that was given for the treatment of ventricular premature complexes. The patient's heart beat was restored after 10 min ordinary cardiopulmonary resuscitation. We concluded that the cardiac arrest was caused by lidocaine because (1) cardiac arrests caused by lidocaine have been reported in the patients complicated with heart block, (2) the fashion of the cardiac arrest in this patient, viz., cardiac standstill followed by sinus bradycardia, is alike to previously reported lidocaine-induced cardiac arrest, (3) we did not recognize any eventful response after administration of drugs except with lidocaine, and because (4) hemodynamic or electrocardiographic findings were uneventful before the cardiac arrest occurred.View full abstractDownload PDF (544K) -
Yukari Motegi ISHIYAMA, Seiji KATO, Shigeyuki MATSUZAKI1997 Volume 17 Issue 5 Pages 324-327
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe report a case of Jehovah's witness patient with acute fatty liver of pregnancy. The patient was a 33-year-old woman at the 27th week of gestation. Blood transfusion was necessary because her condition was complicated with remarkable coagulopathy and ten-dency to bleeding. Although she refused to undergo surgery at first, after explanation of her general condition and the necessity of surgery and blood transfusion, she accepted. General anesthesia was performed and blood transfusion was needed, but her religious beliefs prevented us from transfusing before surgery, as in necessary for acute fatty liver of pregnancy.View full abstractDownload PDF (573K) -
Kenichi FUKUDA, Ayako SUGIYAMA, Tatsuya ICHINOHE, Yuzuru KANEKO1997 Volume 17 Issue 5 Pages 328-331
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe anesthetized a 6-yaer-old boy with mandibular micrognathia and microstomia undergoing surgical implantaion of Hoffman mini-expanders. Retrograde intubation and inser-tion of a laryngeal mask was impossible because of trismus and microstomia. Couscious intubation was also difficult because of the patient's age. Accordingly, we selected fiber-optoic nasotracheal intubation under inhaled anesthesia with a nasopharygeal tube. After premedication with intramuscular scopolamine, anesthesia was induced with intravenous midazolam and ketamine. Care was taken not to depress the patient's spontaneous ventilation. After an adequate topical anesthesia of the nasopharyngeal area, a nasal airway was inserted into the right nostril. Then, the patient was administered 50% nitrous oxide, 3% sevoflurane and oxygen by inhalation via the airway. After attaining an adequate depth of anesthesia, a transtracheal topical anesthesia in the larynx and the trachea was performed. Fiberoptoic nasotracheal intubation through the left nostril was completed readily and safely with this method.View full abstractDownload PDF (872K) -
Yuko TOMOTARI, Haruhiko SANO, Takeyoshi SATA, Akio SHIGEMATSU1997 Volume 17 Issue 5 Pages 332-334
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe studied the success rate of and time required for proper insertion of esophageal tracheal combitube (ETC) by doctors who are not specialized anesthesiologists. The rate of successful insertion on the first attempt was 89%, which increased to 100% by the third attempt. Successful insertion required 32.9sec and 20.8sec on the first and third attempts, respectively. After a few trials, ETC could be inserted efficiently in a short period of time, even by non-specialized doctors having neither experience with endotracheal intubation nor with insertion of ETC. ETC may be useful for prompt establishment of the patent airway.View full abstractDownload PDF (392K) -
Tsuguhisa ISA, Tetsuro OHTSU, Shinya OGATA, Norimitsu AOKI, Hiroshi MO ...1997 Volume 17 Issue 5 Pages 335-339
Published: June 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSThe implementation survey team visited the Gaza Strip, Palestine Liberation Organization (PLO) on July 1996, for the purpose of studying the possibility of donating medical instruments to four hospitals. It is recommended that the implementation survey's scheduling be flexible in the event of unfavorable changes in international situation. Anesthesiologists would be well suited as member's of such a survey team because of their wide knowledge of hospital administration. We studied the adaptability of three kinds of infusion sets (made in Israel and Philippine) and seven infusion pumps (made in Japan), and concluded that six infusion pumps and two infusion sets (Israel made) would be suitable in clinical use. It is most important to understand the concept of international medical cooperation from the standpoint of developing countries.View full abstractDownload PDF (1389K)
- |<
- <
- 1
- >
- >|