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Volume 17, Issue 6
Displaying 1-8 of 8 articles from this issue
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[in Japanese]1997 Volume 17 Issue 6 Pages 349-356
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (855K) -
[in Japanese]1997 Volume 17 Issue 6 Pages 357-365
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESS -
[in Japanese]1997 Volume 17 Issue 6 Pages 366-369
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSDownload PDF (502K) -
Kohki NISHIKAWA, Masayasu NAKAYAMA, Motohiko IGARASHI, Kazumasa TSUNOD ...1997 Volume 17 Issue 6 Pages 370-377
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe evaluated the intraoperative hemodynamic stability and postoperative analgesic effects of epidural fentanyl-morphine mixture during sevoflurane anesthesia. Twenty-one patients undergoing upper abdominal surgery were randomly assigned to groups according to the following epidurally administered analgesics: 0.01mg/kg of fentanyl alone (F, n=7), a mixture of 0.01mg/kg of fentanyl and 0.06mg/kg of morphine (FM, n=7), or 10ml of 1.5% lidocaine and 0.06mg/kg of morphine (LM, n=7). In group LM, there were more frequent episodes of hypotension and ephedrine injection was necessary more often than in groups FM and F. Patients in group F required a higher concentration of sevoflurane than did those in group FM. The use of postoperative analgesics was significantly less in group FM than in groups LM and F (p<0.05). There was no side effect such as severe respiratory or circulatory depression in any group. We concluded that epidural administration of a mixture of fentanyl and morphine would be a useful method for intraoperative hemodynamic stability and postoperative pain relief in patients undergoing upper abdominal surgery.View full abstractDownload PDF (995K) -
Michiaki YAMAKAGE, Sumihiko SEKI, Osamu SATOH, Hideya OHMORI, Hiroshi ...1997 Volume 17 Issue 6 Pages 378-383
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe investigated the effects of repeated sevoflurane anesthesia on hepatic and renal function prospectively. In 27 patients (ASA I-II) for 80 repeated sevoflurane anesthesia cases, AST (GOT) and ALT (GPT) were measured as indicators of hepatic function, and blood urea nitrogen (BUN) and serum creatinine (Cre) were measured as indicators of renal function just before the operation and 1, 3, 7, 14, and 21 days after the operation. There were 11 anesthesia cases with abnormal AST or ALT values, and 5 anesthesia cases with BUN or Cre abnormalities. These abnormal changes in laboratory findings, however, were transient and slight, and there was no relationship between these abnormal changes and the use of sevoflurane. Moreover, there was no relationship between the cases which showed abnormal values and the number of times sevoflurane anesthesia was repeated. Two patients who had had slight hepatic and/or renal dysfunction preoperatively did not show any exacerbation of these organ dysfunctions after repeated sevoflurane anesthesia. The authors conclude that sevoflurane is a safe inhalation anesthetic for repeated use.View full abstractDownload PDF (1344K) -
A Case ReportRisa ASAJIMA, Yasuo KOMODA, Yoshikazu SAI, Shiro OKU, Shuichi NOSAKA1997 Volume 17 Issue 6 Pages 384-387
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSWe report an experience of anesthetizing a 61-year-old female patient for the resection of a giant laryngeal polyp (1.5cm in diameter). The polyp moved to-and-fro from larynx to trachea in synchrony with respiration, and was big enough to cause progressive hoarseness and respiratory disturbance. All of anesthesia was induced by spontaneous respiration. We intubated the patient with a Portex longtube®(ID 3.0mm, length 25cm) and used high frequency jet ventilation (HFJV). As the polyp remained in the larynx due to positive pressure in the trachea, surgical resection was performed without difficulty. Anesthesia was maintained with O2 or N2O/O2 and isoflurane. The anesthetic course was uneventful except for a transient hypercapnea (PaCO2 56mmHg).View full abstractDownload PDF (1307K) -
Koichi OTA, Youko TARUMI, Maki MATSUMOTO, Akiyoshi NAMIKI1997 Volume 17 Issue 6 Pages 388-392
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSCancer patients sometimes suffer from intractable pain by vertebral compression fracture due to osteoporosis. Although the intractable pain reduces spontaneously within several weeks, it is still one of the major problems which lower the quality of life (QOL) in terminally ill cancer patients. We experienced three advanced cancer patients with vertebral compression fracture pain due to osteoporosis which resisted conventional therapy including NSAIDs. We treated the patients with continuous epidural analgesia for several weeks. Both excellent pain relief and improvement of QOL were obtained in all patients. Continuous epidural analgesia is a useful method for reducing intractable compression fracture pain due to osteoporosis in cancer patients.View full abstractDownload PDF (632K) -
Atsushi TSUDA, Humihiko IRIE, Ryoji OGATA, Toru FUJIGAKI1997 Volume 17 Issue 6 Pages 393-395
Published: July 15, 1997
Released on J-STAGE: December 11, 2008
JOURNAL FREE ACCESSHypohidrotic ectodermal dysplasia is a congenital anomaly associated with decrease of sweating, febrile episodes, recurrent pulmonary infections, missing teeth and sparse hair. The main problems often encountered by anesthesiologists in managing such cases are (1) problematic airway caused by maxillary and mandibular hypoplasia, microstomia, small conical or missing teeth, (2) difficulty controlling body temperature related to hypohidrosis and (3) persistent infection of the respiratory tract. We present a child with this syndrome who underwent tonsillectomy. General anesthesia was induced with nitrous oxide and sevoflurane. No problems occurred during and after the operation with careful management.View full abstractDownload PDF (345K)
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